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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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 …
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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. …
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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 …
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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…