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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Pre…
  3. www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
    January 01, 2024 - During each trial, study participants were asked to answer the question, “If you had the condition(s
  4. www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
    January 01, 2024 - in whom at least a provisional diagnosis is usually known at the start of the period of care in question
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 13. Alarm Fatigue Alarm Fatigue 13-1 13. Alarm Fatigue Authors: Meghan Woo, Sc.D., and Olivia Bacon Reviewer: Ann Gaffey, R.N., M.S.N., CPHRM, DFASHRM Introduction Alarm fatigue occurs when clinicians experience high exposure to medical device alarms, causing alarm desensitiz…
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
    January 01, 2016 - Medical Office SOPS: 2016 User Comparative Database Report, Part I MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE 2016 USER COMPARATIVE DATABASE REPORT Surveys on Patient Safety Culture™ PATIENT SAFETY The authors of this report are responsible for its content. Statements in the report should not be c…
  7. www.ahrq.gov/research/findings/final-reports/ptmgmt/references.html
    September 01, 2018 - Patient Self-Management Support Programs: An Evaluation References Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Support Progra…
  8. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
    May 01, 2014 - www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0012-2-EF Concise Antibiogram Toolkit Getting Started—Sources of Data Once you decide that an antibiogram will be a useful tool for your nursing home, there are a few things to consider. 1. What will you need to create the antibiogram? 2. What data are need…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartfull.pdf
    January 27, 2017 - Implementation Quick Start Guide: Warm Handoff Implementation Quick Start Guide Warm Handoff The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Implementation Quick Start Guide: Warm Handoff | III Table of Contents What Is a Warm Handoff? .......................…
  10. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
    June 01, 2023 - Implementation Change Management The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
    January 01, 2015 - Medication Management 1 Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients …
  12. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p-fac-notes.html
    May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products: Transcript/Facilitator Notes - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Hello, my name is Tim Landers. I'm an assistant professor at the Ohio State University College of Nursing. Thank you so much for…
  13. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
    July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Recogn…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
    September 01, 2022 - Gap Analysis for Antibiotic Stewardhip in Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use Gap Analysis for Antibiotic Stewardship in Ambulatory Care Instructions: Complete this document to evaluate the practices antibiotic stewardship activities on an annual basis and to define areas …
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Why Choose a CUSP Approach? Surgical Services Slide Title and Commentary Slide Number and Slide Why Choose a CUSP Approach? SAY: Welcome to this presentation titled “Why Choose a CUSP Approach?” CUSP is short for the “Comprehensive Unit-based Safety Program.” …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa.pdf
    June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix A Appendix A: Family Information Packet Getting Care ■ Tips for Finding a Pediatrician ■ Tips About Health Insurance Understanding Signs and Symptoms of Illness ■ Signs and Symptoms of Illness ■ Crying ■ Colic Medicines and Immun…
  17. www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
    February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Daily Goals During Interdisciplinary Rounds Slide 2: Learning Objectives After this session, you will be able to—…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
    January 01, 2017 - Module: Daily Goals During Interdisciplinary Rounds Daily Goals During Interdisciplinary Rounds AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-35-EF January 2017 Daily Goals ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
    March 01, 2022 - Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 9-1 – Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering …
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
    March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 9-2 – Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap …

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