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

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