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www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Patient Safety Tools
The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print.
Contents
Tools for H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap
521
A New Model of Tracheostomy Care:
Closing the Research–Practice Gap
Joel St. Clair
Abstract
Performance improvements have brought about fundamental changes in the
past year at Walter Reed Army Medical Center (WRAMC), where a concerted …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement
Transforming the Morbidity and Mortality Conference
into an Instrument for Systemwide Improvement
Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD;
Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …
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www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Principal Investigator: Scott D. Halpern, M.D., Ph.D.
Perelman School of Medicine, University of Pennsylvania
Other key team …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2018, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare…
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting
Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory
Setting
Principal Investigator: Terry S. Field, DSc
Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke
Harrow,…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sustaining Zero CLABSIs (Transcript)
May 8, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
6. Implementation (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidenc…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
1. Introduction
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidence of Dispariti…
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www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE)
1. Title Page
Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE)
Principal Investigator and Team Members
Research Team
UCSF
Andrew Auerbach, MD, MPH (PI)
Tiffany Lee, BA
Gilmer Valdes, PhD, DABR
Colin Hubbard, Ph…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Hand Hygiene in the
Perioperative Setting
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Hand Hygiene in the Perioperative Setting
SAY:
Welcome to this presentatio…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - As of 2017, NPCR supports central registries and promotes the use of registry
data in 46 states, the
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/index.html
October 01, 2014 - Studies in Meta-analyses
This Clinical Practice Guideline used the references below in meta-analyses of research on treating tobacco use and dependence. They are listed by table in the guideline:
Contents
Table 6.4 | Table 6.5 | Table 6.7 | Table 6.8 | Table 6.9 | Table 6.10 | Table …
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Cook, Ann F.
Title of the Project: Quality Care and Error Reduction in Rural Hospitals
Principal Investigator: Ann Cook, Ph.D.
Co-investigator: Helena Hoas, Ph.D.
Team Member: Katarina Guttmannova, Ph.D.
Organizat…
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
References
Previous Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic Safety R…
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www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study)
1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma
(REDEFINE Study)
Principal Investigator and Team Members/Organization:
Min J. Joo, MD, MPH, Department of Medicine, College of Medi…