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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Daily Huddle Component Kit
Contents
1. Why a Daily Huddle?
2. “Know What, Know How, Know Why” for Daily Huddle
3. Plan-Do-Study-Act “Ramp”: Learn To Use a Daily Huddle
4. Standard Huddle Agenda (Adapt to Your Needs and Experience)
5. Learn More
Appendix: Plus/Delta Review
1. Why a Daily Huddle?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Acute Care Learning From Defects
AHRQ Safety Program for Improving Antibiotic Use
Making Effective Changes in Antibiotic Decision Making
Acute Care
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Id…
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www.ahrq.gov/funding/process/grant-app-basics/apptips.html
February 01, 2025 - AHRQ Tips for Grant Applicants
The Agency for Healthcare Research and Quality (AHRQ) funds grants for research to support the Agency’s mission to improve the safety and quality of the health care system. This page provides links to information regarding grant application basics, such as the funding process; fun…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
March 01, 2019 - Step 2: Determine Whom To Engage
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Spreading the Model to Partner States
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Met…
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www.ahrq.gov/es/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Learn From Defects in Care of Mechanically Ventilated Patients
Slide 2: Learning Objectives
Af…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - While some results are reported, the primary
purpose is to describe the process of instrument development … The
number of symptoms participants reported experiencing ranged from zero to
eight. … Twelve symptoms (34
percent) were reported to a provider with whom a participant did not have a long … In all instances, participants reported receiving instructions. … These and all other comments are being content-analyzed and will be
reported at a later date.
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www.ahrq.gov/news/newsroom/case-studies/201520.html
July 01, 2015 - Jackson reported. … CUSP checklists and "Staff Safety Assessment" have been particularly helpful, reported Ms. Jackson.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
November 02, 2017 - In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
January 01, 2019 - another system could have been identified as offering an insurance product
because one of its hospitals reported … groups:
• Systems that offered any insurance product; that is, at least one hospital in the system
reported … Among the 626 systems on the list, only 4 percent (26 systems) had
no reported information on insurance … If a hospital reported an insurance product owned by
another hospital in a purchasing affiliation and … As with all self-reported data, the
accuracy of the measure depends on the knowledge of the informant
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - Errors reported in this way would populate a “visual database,”
providing the ability to disseminate … Such information, reported internally for quality and safety
improvement purposes, potentially has more … A reported event can consist of one or more errors, together with causes and consequences. … Similarly, and perhaps even more importantly, those errors that are reported most frequently are
not … Rates and types of
events reported to establish incident reporting systems
in two U.S. hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - Nearly three-
quarters of the respondents
reported direct patient
contact at baseline and
remeasurement … For all dimensions but two (“Frequency of Events Reported” and “Handoffs & Transitions”),
administrative … At remeasurement, in only “Frequency of Events Reported” did
nursing staff continue to score more positive … At remeasurement, in only “Frequency of Events Reported” did
nursing staff continue to score more positive … high levels of
teamwork with nurses, only 40 percent of nurses reported high levels of teamwork with
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
October 01, 2014 - What would you have reported and to whom? … It is more important to report anything that might matter than to get the amount of reported information … Are there any changes that should be watched for or reported?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1
• The reported … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by
other factors … o Pulling or ripping sensation reported by patient (if old enough to verbalize).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1
• The reported … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by
other factors … o Pulling or ripping sensation reported by patient (if old enough to verbalize).
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No. … In Use: Have measure results been reported at this level previously?
No.