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  1. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…
  2. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
    March 01, 2017 - Module 5: Resident and Family Engagement: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 5: Resident and Family Engagement Say: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility…
  3. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
    March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Patient and Family Advisor Orientation Manual Strategy 1: Working with Patients & Families as Advisors (Tool 9) [Type text] [Type text] [Type text] Strategy 1: Working With Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagem…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
    May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis Preparing Data from CAHPS® Surveys for Analysis Contents Introduction ................................................................................................................................................... 1 Creating Your Analysis Dataset ...............…
  6. www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Results References …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
    January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…
  13. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
    January 01, 2010 - Tobacco Use and Dependence, General References General References 1. Fiore MC, Bailey WC, Cohen SJ, et al. Smoking cessation. Clinical Practice Guideline No. 18. Rockville, MD, U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. AHCPR Publication …
  15. Imp-Handouts (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation On-Time Preventable Hospital and ED Visits Self-Assessment Scripted Exercise Team consists of:  Facilitator [Tom]  Program Champion (Quality Assessment and…
  16. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Detailed Findings Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
  17. www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
    December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) Webinar Transcript AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…
  18. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
    August 12, 2014 - Paul Tedrick AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…
  19. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety Clinical Decision Support Simulations for Medication Administration Safety Principal Investigator: Jacqueline Moss, PhD, RN Co-Investigator: Eta S. Berner, EdD University of Alabama at Birmingham Dates of Aw…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease …

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