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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
    June 21, 2004 - Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events 483 Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events Sandra Ludwick Abstract Under standards set forth by the Joint Commission on Accreditatio…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
    June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences 71 A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences Dale A. Arroyo Abstract To improve the patient safety program at the Naval Hospital at Oak Harbor, the facility instituted a new computerized s…
  3. www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
    March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Study Outcomes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overvi…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - Improving Surgical Care and Recovery Core and Surgery Specific Pathways Worksheet Use this worksheet to develop enhanced recovery pathways for use at your hospital. The information in this tool is based on evidence reviews (see appendix) conducted by the National Project Team at the American College of Surgeons and Jo…
  5. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
    May 12, 2015 - May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Speaker 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:00 a.m. Central Time. Speaker 2: Excuse me everyone. We now have all of our speakers in conference. Ple…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
    March 01, 2008 - Vascular Access Device (VAD) Policy, Adult Version 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical Practice Manual Infection Control Approval Date N/A Page 1of 16Subject Vascular Access Device (VAD) Policy, Adult Supercedes 08/01/2007 Keywords: Vascula…
  9. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Transitional Care Medication Safety: Stakeholders' Perspectives Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability …
  10. www.ahrq.gov/news/newsletters/e-newsletter/908.html
    April 01, 2024 - Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds Issue Number 908 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 9, 2024 AHRQ Stats: Trends in Psychological Distress During the COVID-19 Pandemic Between 2018 and 2021, the proportion …
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/110-cusp-program-sustainability-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention CUSP Program: Sustainability ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Program Sustainability 1 Educational Objectives Define sustainability for quality improvement s…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Mini Presentation: Performing a Premortem Project Assessment ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Mini Presentation: Performing a Premortem Project Assessment SAY: Welcome to this mini presentation on why and how to use a Premortem Project Assessm…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
    June 02, 2025 - Best Practices in Pressure Injury Prevention Best Practices in Pressure Injury Prevention ADD Hospital Name Module 3 Best Practices Best practices are those care processes—based on literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries in the hospital. AHRQ Pati…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - Tool 13: ED Care Plan Tool 13: ED Care Plan Purpose The purpose of the emergency department (ED) care plan is to create institutional memory across numerous providers; make easily visible prior recurrent presentations and related testing; identify a patient’s existing clinical, behavioral, and social services; and …
  15. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.html
    March 01, 2019 - Four States' Approaches to Practice-Level Quality Measurement and Reporting Supplement to Evaluation Highlight No. 1 The National Evaluation of the CHIPRA Quality Demonstration Grant Program Supplement to Evaluation Highlight No. 1 : How are CHIPRA demonstration States approaching practice-level quality me…
  16. www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/functional-status.html
    April 01, 2016 - Chartbook on Healthy Living Functional Status Preservation and Rehabilitation Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectivenes…
  17. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-webinar-chat.pdf
    February 18, 2025 - National Action Alliance Webinar: Engineering Safety into Practice Through Implementation of the 2025 SAFER Guides Chat Conversations, January 21, 2025 National Action Alliance Webinar: Engineering Safety into Practice Through Implementation of the 2025 SAFER Guides Chat Conversations, January 21, 2025 from Z…
  18. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section1.html
    March 01, 2019 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key Findings by Category 3. …
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
    October 01, 2014 - Measure: Pediatric All-Condition Readmission Measure Measure: Pediatric All-Condition Readmission Measure Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM) Numerator Denominator Exclusions Data Source(s) Hospitalizations at general acute care hospitals for patients less than 18 …
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/fagnan-reflections-perceptions-mosops.pdf
    June 02, 2025 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Fagnan & Rollins Practice Reflections & Perceptions of MOSOPS—Process, Value, and Potential Use L.J. Fagnan, MD and Nancy Rollins Oregon Rural Practice-based Research Network (ORPRN) Oregon Health & Science University AHRQ PBRN Task Order…

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