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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
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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-Pronovost_95.pdf
June 12, 2008 - Improving the Value of Patient Safety Reporting Systems
Improving the Value of Patient
Safety Reporting Systems
Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD;
Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS;
Lisa H. Lubomski, PhD; Albert W. Wu, M…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Sepsis
AHRQ Safety Program for Improving
Antibiotic Use
1AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Sepsis
Acute Care
Slide Title and Commen…
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www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
January 01, 2025 - Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation
Title of Project: Society for Pediatric Sedation Consensus Meeting: Great Expectations—
Defining Quality in Pediatric Sedation
Principal Investigator: J. Michael Connors, MD
Team …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B
Appendix B: Clinical Materials to Share
With Primary Care Providers
Diagnoses and Conditions
■ Anemia of Prematurity
■ Apnea of Prematurity
■ Bronchopulmonary Dysplasia
■ Gastroesophageal Reflux
■ Nephrocalcinosis
■ Patent D…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
January 01, 2009 - Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition
Technical Review 17
Nutritional Research Series
Volume 1: Application of Systematic Review Methodology to
the Field of…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-2 – Standardized Nursing Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine
(CHG) and Showering With 4% CHG Liquid Soap …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Daily Goals During Interdisciplinary Rounds
Slide 2: Learning Objectives
After this session, you will be able to—…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Module: Daily Goals During Interdisciplinary Rounds
Daily Goals During Interdisciplinary Rounds
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-35-EF
January 2017
Daily Goals ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this sessio…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-1 – Standardized Nursing Protocol:
Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse
Bathing Cloths and Showering
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Presentation: Program Overview
Learn From Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-34-EF
January 2017
Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this ses…
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation
Four Safety Strategies: A Symposium on Implementation
Principal Investigator: Mary A. Pittman, Dr.P.H.
Project Team: Allan Frankel, M.D., Partners HealthCare System
Tejal Gandhi, M.D., Brigham & Women’s Hospital
Sarah Grillo
Peter…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
June 02, 2025 - Teach-Back
Teach-Back
Teach-Back: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Teach-Back
Role Play Scenario 1
Facilitator Instructions
1. As facilitator, play the role of the patient.
2. Request a volunteer to play the role of the clinici…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Module 1: Overview
SAY:
“Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tra…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - Module 1: Overview - Facilitator's Notes
Preventing CAUTI in the ICU Setting
Slide 1. Preventing CAUTI in the ICU Setting
Say:
"Preventing CAUTI in the ICU Setting" is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in cathe…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
May 01, 2017 - Coaching Clinical Teams Module
Slide 1: Coaching Clinical Teams Module
Slide 2: Objectives
The objectives are listed as a series of steps:
Understand current team training in the health care setting
Describe coaching in the clinical environment
Outline benefits of coaching
Identify the characterist…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
June 02, 2025 - CHIPRA 119 Section 2, Detailed Measure Specifications
CAPQuaM PQMP Perinatal MEASURE 4 Detailed Measure Specifications
A. Description
Divides low birthweight neonates who are admitted to a Level 2 or higher
nursery into five strata based upon their admission temperature and calculates
the proportion of infants in…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-data-collection-redcap-tool.xlsx
June 02, 2025 - 2b.Phase2.3_Practice_Asthma_Data_Collection_RedCAP_Survey_Tool
2. Asthma_2b.Phase2.2_Practice
Variable / Field Name Form Name Section Header Field Type Field Label Choices, Calculations, OR Slider Labels Field Note Text Validation Type OR Show Slider Number Text Validation Min Text Validation Max Identifier? Branchi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-2-chart-tech-specs.pdf
January 01, 2013 - Section 2, Chart Abstraction Tool and Technical Specifications
Basic Elements
Age upon
Age upon admission
Patient ID Race Ethnicity Gender Payer
Preferred
Language
admission (YEARS)
[e.g. for 12.5 year
(MONTHS) [
e.g. for 12.5
old, years = 12) year old,
months = 6]
1 White Non-Hispanic Female Medicaid E…
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Measure Descriptions for Daily Care Processes: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Measure Descriptions for Daily Care Processes
Slide 2: Learning Objectives
After this session, you will be abl…