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3321. Puh-Impsteps (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Implementation Steps and Timeline The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. We created the Implementation…

3322. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients SAY: Today, we will give you an overview of the Science of Safety and identifying defects. Slide 1 Learning O…

3323. Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
      March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Patient and Family Involvement in Care of Mechanically Ventilated Patients Say: This module is about patient and family involvement in patient c…

3324. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
      June 02, 2025 - Slide 1 Patient-and-family Centered Care * Christine Goeschel ScD, MPA, MPS, RN, FAAN Assistant Professor, Johns Hopkins School of Medicine Joint Appointment, Schools of Public Health and Nursing And Gail Panoff Chair, Patient and Community Engagement Council St. Joseph Mercy Health System Ann Arbor, MI Lear…

3325. Chapter 5. Education and Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 5. Education and Training Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildi…

3326. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
      January 01, 2014 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation (Slide Presentation) This slide presentation was presented at a webinar on July 15, 2013. Presenter: Jeffrey Smith, PhD(c) Discussant: Cheryl …

3327. Project Report - Lean Sigma
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
      January 01, 2007 - Project Report - Lean Sigma 1 1 Learning Objectives 2 Identify and apply effective communication strategies from CUSP and TeamSTEPPS® Recognize the importance of effective communication Identify barriers to communication Describe the connection between communication and medical errors 2 Basic Compon…

3328. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

3329. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
      March 01, 2023 - Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation Implementation Guide for Automatic Referral Introduction Acronym List Term Abbreviation AHRQ Agency for Healthcare Research and Quality AR Automatic referral CABG Corona…

3330. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations 1 Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations Principal Investigator: Victoria J. Fraser, MD Co-Principal Inv…

3331. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - the primary advantage of a point system is reported to be equal treatment of staff, one must still question

3332. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - pediatric considerations when setting research priorities in diagnostic safety Priority Research Question … Five Things Physicians and Patients Should Question. American Academy of Pediatrics.

3333. Implementation Guide: MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
      April 01, 2025 - Implementation Guide: MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Implementation Guide: MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Introduction Setting up or improving a methicillin-resistant Stap…

3334. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
      March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

3335. Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
      April 01, 2009 - assess all former tobacco users, regardless of how long ago they quit, about challenges by asking the question

3336. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
      June 02, 2025 - PowerPoint Presentation Implementing TeamSTEPPS Introduction Reflecting on Day 1 Day 2 Preview Patient safety is threatened by poor communication and teamwork. TeamSTEPPS provides tools and a framework to improve both. Questions or reflections on day 1. 2 2 Preparing for Day 2 Day 2 Preview Day 1: Int…

3337. Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
      September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Implementing Antibiotic Stewardship in Your Practice Ambulatory Care Slide Title and Commentary Slide Number and Slide Implementing Antibiotic Stewardship in Your Practice Ambulatory Ca…

3338. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
      July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Design Options for a Self-Management Support Program (continued) Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology…

3339. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
      July 01, 2023 - Team Structure and Assembly Hospital AIM Team Leads SPPC‐II Team Structure and Assembly Module 2 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) Teamwork Toolkit presented by the Johns Hopkins University, Agency for Healthcare Re…

3340. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
      July 01, 2023 - Team Structure and Assembly SPPC‐II Toolkit                                                                                                           Hospital AIM Team Leads SPPC II Team Structure and Assembly Module 2 of 8 ‐ SCRIPT Thank you for participating in the Safety Program for Perinatal Car…