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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
    January 01, 2024 - Introduction Introduction-Medication or Other Substance The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include the relative frequency…
  2. 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…
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
    March 01, 2015 - Proposed Changes to the CAHPS Clinician & Group Survey Proposed Changes to the CAHPS Clinician & Group Survey The Agency for Healthcare Research and Quality’s (AHRQ) CAHPS Consortium is recommending changes to the CAHPS Clinician & Group (CG-CAHPS) Survey and the Patient-Centered Medical Home (PCMH) Item Set. The…
  4. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Diverticulitis and Biliary Tract Infections AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Diverticulitis and Biliary Tract Infections Acute…
  5. 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…
  6. 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…
  7. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
    October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Slide Presentation Slide 1: How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 Slide 2: Basic Quality Improvement  Principle If you can’t measure it, you can’t improve it. Image: Pu…
  8. www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
    April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value Denver Health: How a Safety Net System Maximizes Its Value The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers (CEOs) and other C-suite leaders better understand t…
  9. www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
    April 01, 2019 - University of Utah Health: Creating a Formula for Value-Based Care University of Utah Health: Creating a Formula for Value- Based Care The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and other C-suite leaders better unde…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Use of Preoperative Chlorhexidine Antisepsis 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 Preventi…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention How To Integrate a CUSP Approach ICU & Non-ICU Slide Title and Commentary Slide Number and Slide How to Integrate a CUSP Approach SAY: Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 1 Basic Quality Improvement Principle If you can’t measure it, you can’t improve it. 2 2 Quality Improvement Principle Pressure injury rates and preven…
  14. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
    March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Overview      How To Use This Guide          LTC Safety Toolkit Modules Sustainability Essentials      Leadership Commitment   …
  15. www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Auditing Your Briefings and Debriefings Process Slide 2: Learning Objectives Recap the briefings and debriefings process. Adapt a briefing a…
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators References Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators I…
  17. www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix M. Master Risk Factor List with Final Bolded Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary …
  18. www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
    December 01, 2023 - Two-Day Training Content If you teach the Communication Module as part of a 2-day training, you should be able to perform all the activities noted below in around 80 minutes. Components to include in this section for a 2-day training include: Introduction and Objectives: 5 minutes Communication Exercis…
  19. 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…
  20. www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
    February 01, 2024 - Teaching Implementation Change Management Change Management Overview and Objectives Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic. In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…

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