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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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 …
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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 …
  19. 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…
  20. 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…

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