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www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions
FINAL REPORT
Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of
Readmissions
Principal Investigator: J.B. Jones, PhD, MBA
Mark J. Selna (original Principal Investigator)
Team Members: Mark Selna, MD
…
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated Infections
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting
Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory
Setting
Principal Investigator: Terry S. Field, DSc
Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke
Harrow,…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.5. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - Them to Support the Champion (or Become One…)
Rehabilitation Specialists
The urinary catheter reduces
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - The absence of the catheter reduces the risk of bacteriuria and
the likelihood of obtaining a urine culture
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - The absence of the catheter reduces the risk of bacteriuria and
the likelihood of obtaining a urine culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - The absence of the catheter reduces the risk of bacteriuria and
the likelihood of obtaining a urine culture
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors
A Memory-Based Approach to Reducing
Medication Errors
Project Final Report
June 26th, 2023
Principal Investigator:
Sadaf Kazi, PhD
Team Members:
Raj Ratwani, PhD
Ella Franklin, MSN, RN
Deanna-Nicole Busog
Organization:
MedSta…
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs
Reducing Risks by Engineering Resilience into HIT for EDs
Principal Investigator: Robert L. Wears, MD, MS, PhD
Team Members:
John Wreathall
Rollin (Terry) Fairbanks, MD, MS
Ann M. Bisantz, PhD
Shawna J Perry, MD
Chris Johnson,…
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
July 01, 2019 - This reduces the need for patients to drive to pick up medications, especially for multiple medications … Team members' ability to perform multiple roles to support colleagues reduces bottlenecks and increases
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www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
January 01, 2024 - Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability
Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual
Disability R03 HS022353-02
Title of Project: An Intervention to Reduce Falls Among Adults with
Intellectual Disability
Principal Inv…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apc.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix C. Universal Decolonization in Adult ICUs Overview Statement
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Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientif…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - of separate “lines” or “queues” for different services creates more
flexibility in the system and reduces
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www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Decolonization
Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - professional
consensus) showing the practice is “obviously beneficial” or self-evident (i.e., the
practice reduces
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
September 01, 2015 - PowerPoint Presentation
Preventing CAUTI in the ICU Setting
AHRQ Safety Program for Reducing CAUTI in Hospitals
Module 3: Conversations Around Device Necessity
AHRQ Pub No. 15-0073-4-EF
September 2015
AHRQ Safety Program for Reducing CAUTI in Hospitals
1
ICU with high CAUTI rates
Unit instituted a nurse-driven pr…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - A simple reminder system improves venous thromboembolism prophylaxis rates and reduces thrombotic events … Comprehensive venous thromboembolism prevention programme incorporating mandatory risk assessment reduces