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  1. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
    February 01, 2016 - Implementing Heart Health Practice Self-Assessment Implementing Heart Health Practice Self-Assessment February 1, 2016 Implementing Heart Health Practice Self-Assessment – February 1, 2016 pg. 1 Preface This document presents a Practice Strategy Toolkit for the Heart of Virginia Healthcare (HVH) Cooperative. T…
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Introduction to Preventable Hospital and ED Visits Reports AHRQ’s Safety Program for Nursing Homes: On-Time …
  3. www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
  4. www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
    January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department 1. TITLEPAGE Title: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department Co-Principal Investigators: Jesse M. Pines, MD, MBA, MSCE, George Washington Un…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Blood Culture Practices and Stewardship ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Blood Culture Practices and Stewardship SAY: Welcome to this presentation about blood culture practices and stewardship. This presentation will help ensure that units ha…
  6. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
    June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, M…
  8. www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
    January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …
  9. www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
    January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research Principal Investigator: Hripcsak, George Progress Report Close-Out Documentation Title: Mining complex clinical data for patient safety research Principal Investigator and Senior Team Members: George Hripcsak, MD, MS (PI) Caro…
  10. www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
    December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
    February 08, 2018 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 How to Use the Guide to Patient and Family Engagement The Guide to Patient and Family Engagement in Hospital Quality and Safety is an evidence-based resource that hospitals can use to…
  12. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
    March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation Guide for Care Coordination March 2023 1 Implementation Guide for Enhancing Care Coordination for CR Acronym List Term Abbreviation AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation AR Automatic Refe…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
    April 01, 2025 - Implementation Guide: MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Implementation Guide: MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Introduction Setting up or improving a methicillin-resistant Stap…
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
    June 03, 2021 - Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 PATIENT SAFETY e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action e Issue Brief 5 Leadership To Improve Diagnosis: A Call to Action Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
    June 01, 2019 - CHIPRA 209 Report: Neonatal Intensive Care Outcomes 1 Neonatal Intensive Care Outcomes Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care Outcomes 1.B. Measure Number 0209 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it meas…
  17. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of Heal…
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Facilitator's Guide TeamSTEPPS® for Diagnosis Improvement Facilitator’s Guide This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 TeamSTEPPS for Diagnosis Improvement Course …
  19. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 5. Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture I. Purpose This document provide…

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