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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
…
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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…
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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…
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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
…
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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…
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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…
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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…