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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
SPPC-II
Toolkit
Introduction
to the SPPC-II Teamwork Toolkit
for Obstetric Hemorrhage
Module 1 of 8
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in …
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Contents …
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Chapter 2. Determining Surgical Site Infection Rates
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
C…
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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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center
A Model of Care Delivery to Reduce Falls
in a Major Cancer Center
Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN;
Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN
Abstract
Falls are a leading cause of injuries…
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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…
-
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 …
-
www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report
Leveraging Existing Assessments of Risk Now (LEARN)
Final Report
PI: Donna Woods, EdM, PhD
Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker,
PhD; Jonathan Young; O…
-
www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room
Title Page
Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room
Principal Investigator:
• Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University.
Co-Investigators:
• Richar…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes
2023
National Healthcare
Quality and Disparities
Report Appendixes
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Quali…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes
2023
National Healthcare
Quality and Disparities
Report Appendixes
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Quali…
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Chartbook on Women's Health Care: Slide Presentation
2014 National Healthcare Quality & Disparities Report
Contents
Introduction
Summary Tables
Access to Health Care
Patient Safety
Person-and Family-Centered Care
Communication and Care Coordination
Effective Treatment of Leading Causes of Morbid…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs
Contract Final Report
Environmental Scan of Patient Safety
Education and Training Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Introduction and Methods
2021
National
Healthcare
Quality and
Disparities
Report
Introduction
and Methods
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citati…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1
COMMUNITY
PHARMACY
SURVEY
ON PATIENT
SAFETY
CULTURE
2015 USER COMPARATIVE DATABASE REPORT
PATIENT
SAFETY
Community Pharmacy Survey on Patient Safety
Culture: 2015 User Comparative Database Report
Prepared for…
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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…