-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
-
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety
Clinical Decision Support Simulations for Medication Administration
Safety Principal Investigator: Jacqueline Moss, PhD, RN
Co-Investigator: Eta S. Berner, EdD
University of Alabama at Birmingham
Dates of Aw…
-
www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Eliminating CLABSI,
A National Patient Safety
Imperative
Final Report on the National On the CUSP: Stop BSI Project
A Project of:
Health Research & Educational Trust
Johns Hopkins Medicine Armstrong Institute for Patient Safet…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/consent-form-nc.pdf
June 02, 2025 - Heart Health Now Advancing Heart Health in NC Primary Care Consent Form
Heart Health NOW
Advancing Heart Health in NC Primary Care
This document outlines the agreement between UNC-Chapel Hill and [Practice Name] to conduct the project
titled “Heart Health Now! Advancing Heart Health in NC Primary Care”. This agr…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/115-michigan-hh4m-coop-1st-round-interview-protocol.pdf
June 02, 2025 - Draft Interview Protocol: HH4M Interviews With Cooperative Members Round 1 of 2
Draft Interview Protocol
HH4M Interviews with Cooperative Members – Round 1 (of 2)
Focus: (1) Strengths and weaknesses of the HH4M Cooperative, (2) Perceptions of the Cooperative’s
ability to achieve it’s early goals, (3) Perceptions…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications (continued)
2.0. Pressure Ulcer Prevention Reports
The reports included in On-Time Pressure Ulcer Prevention and described in this document are listed in the table below.
On-Time Pressure Ulcer Prevention …
-
www.ahrq.gov/patient-safety/reports/engage/start.html
July 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Getting Started With Patient and Family Engagement in Primary Care
Implementing the strategies will be like any quality or process improvement project. It requires commitment, leadership, and planning. The Agency for…
-
www.ahrq.gov/faqs/index.html?page=7
June 12, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
-
www.ahrq.gov/nursing-home/nursing-home-network.html
November 01, 2021 - Data and Impact from the National Nursing Home COVID-19 Network
The AHRQ ECHO National Nursing Home COVID-19 ACTION Network, through the University of New Mexico ECHO Institute, contracted or subcontracted with 99 academic medical centers, healthcare delivery systems, and quality improvement organizations to …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any clinical or o…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - Case Scenarios: Handling Challenging Communications
AHRQ Communication and Optimal Resolution Toolkit
Purpose : To help you prepare for disclosure communications by using four scenarios to practice challenging interpersonal communications.
Who should use this tool? Disclosure Lead(s).
How to use this too…
-
www.ahrq.gov/talkingquality/translate/web/index.html
May 01, 2019 - Taking Advantage of Web Functionalities in a Quality Report
The vast majority of health care quality reports are available on the internet. This section discusses how you can use web functionalities to improve your displays of quality scores and help readers get to the data they want quickly and easily.
Whi…
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - Sustaining Change
Slide Presentation
Slide 1
Sustaining Change
Eugene S. Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Health
Associate Clinical Professor of Medicine
University of Colorado School of Medicine
Image: On bottom left of every slide is the CUSP symbol.
Slide 2
Lea…
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
June 01, 2018 - Chartbook on Care Coordination
References
Previous Page
Table of Contents
Chartbook on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions of Care
Preventable Emergency Department Visits
Potentially Avoidable Hospitalizations
Integrati…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
CLABSI Supplemental Call Series
How CUSP Enables Nurse Empowerment
November 15, 2011
Presenters:
Pat Posa, RN, BSN, MSA
Joanne Timmel, MSN, RN, NE-BC
Slide *
CLABSI Supplemental Call Series
Pat Posa, RN, BSN, MSA
System Performance Improvement Leader
St. Joseph Mercy Heath Syste…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
January 01, 2006 - Project Report - Lean Sigma
Learning Objectives
2
Identify characteristics of successful teams and barriers to team performance
Understand the importance of your CUSP team
Develop a strategy to build a successful team
Define roles and responsibilities of team members
2
The Unit-Based CUSP Team
Understand…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/2_mark_schuster.pdf
January 22, 2015 - Introducing the CAHPS Child Hospital Survey
Child HCAHPS:
A New Experience of Care Survey
Mark A. Schuster, MD, PhD
Center of Excellence for Pediatric Quality Measurement
January 22, 2015
Funding: AHRQ/CMS U18HS020513 13
Outline
• Pediatric Quality Measures Program
• Developm…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-research-datasets.pdf
January 01, 2024 - SOPS® Database De-Identified Research Dataset Contents
Contents of SOPS De-identified Research Datasets
Last Updated: April 2024 1
Agency for Healthcare Research and Quality (AHRQ)
SOPS® Database
De-Identified Research Dataset Contents
This document is for researchers interested in requesting de-identified …
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-5-table-5.pdf
January 01, 2010 - CHIPRA 230: Section 5, Table 5
1
Table 5: Evidence for Documentation of BMI Percentile and Weight Classification for Children
Type of Evidence Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
In 2007, the AAP, AMA, and CDC collaborated
to form an expert committee to up…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
June 01, 2021 - PowerPoint Presentation
Partnering With a Senior Executive
AHRQ Safety Program for Improving Antibiotic Use
Long-Term Care
AHRQ Pub. No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Senior Executive
1
Objectives
Identify the qualities a senior executive brings to a team a…