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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix I
Glossary
Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death.
Anchoring bias: the tendency to make all information fit into a preconceived story, causing…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-wi-intuit.pdf
January 01, 2025 - Bridging Community-based Continence Promotion and Primary Care (WI-INTUIT)
Bridging Community-based
Continence Promotion and Primary
Care (WI-INTUIT)
Project Overview
WI-INTUIT is comparing streamlined practice facilitation (SPF) and SPF in
combination with partnership building. SPF encompasses well-establish…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - A high level of reliability is not necessary for a measure to provide
useful information for quality … improvement. … index.html
https://www.ahrq.gov/cahps/surveys-guidance/cg/improve/index.html
https://www.ahrq.gov/cahps/quality-improvement
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - Conflict Resolution (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on October 12, 2010.
Contents
Slide 1. Conflict Resolution
Slide 2. What is Conflict?
Slide 3. Views of Conflict
Slide 4. Sources of Conflict
Slide 5. Types of Conflict
Slide 6. Goal of Co…
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www.ahrq.gov/teamstepps-program/curriculum/team/teach/half-day.html
May 01, 2023 - Half-Day Training Content
Components you can include in Module 2 for a half-day training include the following:
Teams and Team Structure
Introduction: 2 minutes
Defining teams: 2 minutes
Integrating patients and families into teams: 5 minutes
Multi-team systems: 5 minutes
Team structure video disc…
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www.ahrq.gov/policy/electronic/privacy/index.html
July 01, 2025 - AHRQ Privacy Policy Notice
Information about the AHRQ website privacy policy.
This website is maintained as a public service to provide information on healthcare research and quality from our agency, a component of the U.S. Department of Health and Human Services. We collect no personal information about yo…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
References
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview of the 14 Transform…
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www.ahrq.gov/ncepcr/reports/grants-transform/references.html
March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
References
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview of the 14 Transform…
-
www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research
Principal Investigator: Hripcsak, George
Progress Report
Close-Out Documentation
Title: Mining complex clinical data for patient safety research
Principal Investigator and Senior Team Members:
George Hripcsak, MD, MS (PI)
Caro…
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www.ahrq.gov/nursing-home/resources/invest-in-trust.html
June 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs
Resource: Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (PDF, 883.4 KB)
Invest in Trust: A Guide for Building COVID-19 Vaccine Trust Among Cert…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
April 01, 2022 - Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Chlorhexidine Bathing and Perineal Cleaning
This “Making It Work” tip sheet provides additional information to help intensive care un…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Preventi…
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www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
February 10, 2014 - The Pressure Ulcer Counts by Month Report may be used by the quality improvement team to identify a unit … ANSWER: a
If a unit is identified with a trend for worsening pressure ulcers, what questions would the quality … improvement committee ask?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks
Medical Product Safety Network (MedSun)
Collaborates with Medical Product Users to Create
Specialty Subnetworks
Donna Engleman, BSN; Suzanne Rich, RN, MA, CT; Tina Powell, BA; Marilyn Flack, M.A.
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
June 01, 2023 - Regional Analgesia for Total Hip Arthroplasty and Total Knee Arthroplasty: Facilitator Guide AHRQ Safety Program for Improving
Surgical Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: Regional Analgesia for
Total Hip Arthroplasty and Total Knee Arthroplasty
Hello, and thank you f…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Multimodal Analgesia Tips: Facilitator Guide AHRQ Safety Program for Improving
Surgical Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: Multimodal Analgesia Tips
Hello and thank you for joining me. Today I will be providing some useful tips to help you adopt multimodal analgesia …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - CUSP, or Comprehensive Unit-based Safety Program, is a patient safety and quality improvement framework
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…