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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Attitude regarding the guideline
Does the clinician believe that following the guideline will reduce … Slide 29: Execute: The Principles of Safe Design 6
Standardize care:
Reduce complexity. … Slide 30: Briefings and Debriefings
Reduce communication breakdowns and OR delays. 7
Reduce procedure … Briefings and debriefings standardize care, reduce complexity and create redundancy. … A surgical safety checklist to reduce morbidity and mortality in a global population.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - AHRQ is the lead Federal Agency conducting and supporting research
designed to reduce medical errors … Selker, TIPI Systems to
Reduce Errors in Emergency Cardiac Care).
3. … Although clinical informatics has the potential to markedly reduce medical
errors, there is still a … • Using evidence-based practices to reduce hospital-acquired infections. … Doing what counts for patient safety: federal actions to
reduce medical errors and their impact.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - How will you reduce the likelihood of the defect happening again? … Create a plan to reduce the likelihood of this defect repeating. … How will you reduce the likelihood of this defect happening again? … How will you reduce the likelihood of the defect happening again? … Create a plan to reduce the likelihood of this defect repeating.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Staff Strategies to Reduce Fall Risk
Slide 12b. … Staff Strategies to Reduce Fall Risk (continued)
Slide 13. How You Can Help
Slide 14. … Staff Strategies To Reduce Fall Risk
Falls assessment to determine problems with medications, … Staff Strategies To Reduce Fall Risk (continued)
Hip protectors
Individualized wheelchair seating
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www.ahrq.gov/news/newsroom/press-releases/state-based-health-extension-cooperatives.html
September 01, 2024 - into health care delivery through improvements in health care policy, payment, and practice, and to reduce … aims to use data, PCOR clinical evidence, and stakeholder input to align payment and other incentives, reduce … The three components of AHRQ’s Healthcare Extension Service should significantly reduce the time from
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www.ahrq.gov/news/newsletters/e-newsletter/index.html
August 05, 2025 - Program
June 10, 2025
Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce … Celebrates National Public Health Week
March 25, 2025
AHRQ Report Identifies Strategies To Reduce … To Improve Patient Experience
February 18, 2025
New Predictive Model May Help Hospitals Reduce
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - What can we do to reduce the risk of it happening again? … Did the interventions reduce the likelihood of recurrence of the defect?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
March 01, 2017 - What can we do to reduce the risk of it happening again?
… Did the interventions reduce the likelihood of recurrence of the defect?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - Slide 18
Huang et al., 2013: REDUCE MRSA Trial
SAY:
The REDUCE MRSA Trial, by Huang et al., running … Conducted in HCA Healthcare hospitals, REDUCE MRSA was a pragmatic, 3-armed cluster-randomized trial … Slide 20
REDUCE MRSA Results: MRSA BSI
SAY:
Similarly, for MRSA bloodstream infection, there was … Slide 22
REDUCE MRSA Results: Cost Savings of Universal ICU Decolonization
SAY:
The REDUCE MRSA Trial … This raises the question: could clearing S. aureus from the nose reduce infection risk?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
September 03, 2014 - hygiene is critical
Explain practices that all staff members can follow during site access in order to reduce … risk
Identify key points to share with staff on proper techniques and protocols
List three ways to reduce … Model consists of the six interventions shown in studies to drastically reduce and prevent VAIs. … — Reduce and
Remove Catheters
Reduce and remove hemodialysis catheters to increase usage of the … model and its interventions to reduce vascular access infections in your dialysis center.
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - In doing so, you will effectively reduce the risk of ventilator-associated pneumonia (VAP) and other … Interventions to improve patient outcomes and reduce complications focus on the importance of getting … Slide 12: AHRQ Safety Program Goals
Say:
The two main safety program goals are: (1) reduce the … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated … Combining all six of these interventions can effectively reduce ventilator associated events, reduce
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk was reduced? … Slide 24: How Will You Reduce Risk Reoccurring? … Slide 25: How Will You Reduce Risk of Reoccurrence? … Slide 26: How Will You Reduce Risk of Reoccurrence? … Slide 27: How Will You Reduce Risk of Reoccurrence?
Remember that engagement is hard!
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Hierarchy
First-Order
Problem Solving
Second-Order
Problem Solving
Recovers for one patient, but does not reduce … How will you reduce the risk of it happening again? … How Will You Reduce Risk Reoccurring? … Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
23
How Will You Reduce … Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
24
How Will You Reduce
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www.ahrq.gov/hai/tools/mrsa-prevention/index.html
November 01, 2024 - This program aims to adapt AHRQ's proven CUSP framework to develop and implement interventions to reduce … So other providers can reduce MRSA infection, tools and resources used and lessons learned by participants
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - to help intensive care unit (ICU) team
leaders implement effective strategies and achieve goals to reduce … Recommendation: If we could reduce catheter utilization and engage the neurosurgeons in the process, … Conclusion
Many strategies are available to reduce catheter utilization and CAUTI rates for ICU patients … Multistate programme to reduce catheter-associated
infections in intensive care units with elevated … A multi-faceted program to reduce the rates of
catheter-associated urinary tract infections.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - Evidence-based care practices improve patient outcomes and reduce complications by getting patients off … First, we must reduce the risk of patient harms associated with mechanical ventilation. … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated … In addition, you will reduce the number of ventilator-associated events and the duration of mechanical … Your financial leaders will ask you how you can reduce your ICU LOS.
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www.ahrq.gov/hai/cusp/index.html
April 01, 2025 - Improve Safety for Mechanically Ventilated Patients Toolkit for Reducing CAUTI in Hospitals Toolkit To Reduce … CAUTI and Other HAIs in Long-Term Care Facilities Toolkit To Reduce CLABSIs in ICUs Using a CUSP for
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - This approach will reduce the likelihood that another patient will be harmed in the same way. … (What could you do to reduce risk?)
Step 4. … (What could you do to reduce risk?)
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - Describe how you will reduce the likelihood of this defect from happening again by completing the tables … If involved, did it negatively contribute (increase harm) or positively contribute (reduce impact of … How Will You Reduce the Likelihood of This Defect Happening Again? … Interventions To Reduce the Risk of the Defect
Ability To Mitigate the Contributing Factor, 1 (Low to … Specific Interventions To Reduce the Risk of the Defect
To address these factors, the following actions
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - CAUTI
Reduce antibiotic use
Reduce potential of increased resistance and Clostridium difficile … salaried physicians with incentives based on hospital-based quality and efficiency
Urologists
Reduce … placement is common in the ED
Promoting appropriate placement of urinary catheters in the ED will reduce … Slide 44
Image: Screen shot of a table depicting the two-tier protocol implemented to reduce Catheter … through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce