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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries
305
Implementing a Systems Engineering
Intervention for Improving Safety
in Outpatient Surgeries
Pascale Carayon, Ann Schoofs Hundt, Carla J. Alvarado,
Scott Springman, Amanda Borgsdorf, Lynn Jenkins
Abstract
This…
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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-Emanuel-Berwick_110.pdf
July 02, 2008 - What Exactly Is Patient Safety?
What Exactly Is Patient Safety?
Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD;
Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD;
Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD
Abstract
We articulate an intellectual h…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
March 19, 2012 - Report citing a case of accidental profound hypothermia:
Slow re-warming rate of 0.50 -1.00 C per hour … Report concluded significant decisions involved determination of the most appropriate method
and speed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … FDC Reports. NQF-endorsed set of safe practices.
The Blue Sheet 2003 46(21):11–2.
9. Leape LL.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
February 01, 2023 - H, Perman C, Sowinski-Rice A, Bowden S, Gruber E, et al. 2020 Maryland Primary Care Program Annual Report
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Antibiotic Stewardship and MRSA Reduction
SAY:
Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
September 02, 2022 - may want to designate a team member to analyze the
interview summaries from a round and prepare a report
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - However, these levels represent the kinds of services and supports which families report that they need
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Slide 1
Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
*
Sanjay Saint, MD, MPH
M. Todd Greene, MPH, PhD
University of Michigan Medical School
Ann Arbor VA Medical Center
Learning Objectives
Describe the methods to engage clinicians in CAUTI prevention
Describe methods to engage l…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - to create a learning culture where there is trust and transparency to create a safe environment to report
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - to create a learning culture where there is trust and
transparency to create a safe environment to report
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - to create a learning culture where there is trust and transparency to create a safe environment to report
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - to create a learning culture where there is trust and
transparency to create a safe environment to report
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Improving Communication and Teamwork in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Objectives
…
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook
Community-Acquired
Pneumonia Clinical
Decision Support
Implementation
Toolkit
Handbook
1
Table of Contents
Introduction .................................................................................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-slides.pptx
November 01, 2019 - PowerPoint Presentation
Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Clostridioides difficile
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary 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
Asymptomatic Bacteriuria and Urinary Tract …