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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
What Are the 4 Es?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation of patient safety interventions. This framework integrates well with the Comprehensive Unit-…
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www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
January 01, 2024 - Final Progress Report: Multi-Method Proactive Risk Assessment
Title: Multi-Method Proactive Risk Assessment
PI and Team:
Wilson D. Pace, MD – Principal Investigator
David R. West, PhD – Co-investigator
Stephen Ringel, MD – Co-investigator
Susan West, RN – Co-investigator
Doug Fernald, MS – Project Manager
Caroline …
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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, …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
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 ch…
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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…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
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 ch…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A, Pt. 2
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Summary
Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - Tool: SSA
Summary
Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-survey-instructions.pdf
July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC)
Care Coordination Quality Measure for Primary Care
(CCQM-PC)
Your Care Coordination Experience
Survey Instructions
Answer each question by marking the box to the left of your answer. You are sometimes told to
skip over some questions in this survey…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda
Managing Interruptions to Improve Diagnostic
Decision-Making: Strategies and Recommended Research
Agenda
Jennifer F. Sloane, PhD1,2 , Chris Donkin, PhD2,3, Ben R. Newell, PhD2,
Hardeep Singh, MD MPH1, and Ashl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record
23
Improving Patient Safety with the
Military Electronic Health Record
Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan
Abstract
The United States Department of Defense (DoD) has transformed health care
delivery in its use of infor…
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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-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals
Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC;
David R. Lomely, BS; Gail Bellamy, PhD
Abstract
Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting
system …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis
211
AHRQ WebM&M—Online Medical
Error Reporting and Analysis
Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello,
Scott A. Flanders, Erin E. Hartman
Abstract
The AHRQ WebM&M Web site represents an unprecedented effort to publish
illustrative case…
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki Grant Number: R03 HS21583-01
AHRQ Grant Final Progress Report
Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki, MD, MSCE
Team Members: Vinay …
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www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Principal Investigator: Ronilda Lacson, MD, PhD
Team Members: Ramin Khorasani, MD, MPH
Katherine Andriole, PhD
Luciano Prevedello, MD, MPH
Tejal …
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www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
January 01, 2024 - Final Progress Report: Measuring Mistrust in Healthcare
Grant Title: Measuring Mistrust in Healthcare
Principal Investigator: Thomas A. LaVeist, Ph.D.
Professor of Health Policy and Management
Organization: Johns Hopkins Bloomberg School of Public
Health
Inclusive Dates of Project: 7/1/2002 - 12/31/2003
Federal…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/careaffordability/qdr2015-chartbook-careaffordability.pdf
August 01, 2016 - 2015 National Healthcare Quality and Disparities Report: Chartbook on Care Affordability
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
CHARTBOOK
ON
CARE
AFFORDABILITY
National Healthcare Quality and Disparities Report
This document is in the public domain and…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
December 01, 2024 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
UPDATED AUGUST 2024
Guidelines for Using the CAHPS®
Outpatient Mental Health Survey
Introduction ............................................................................................ 1
Section 1: Preparing Your Organization’s Survey Instr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Diagnostic Safety Supplemental Items for
Medical Offices
Prepared for:
Agency for Healthcare Resea…