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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
Introduction
to the SPPC-II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in the Safety Prog…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Improving Communication and Teamwork in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Objectives
…
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Next Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
Summary
…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 4. Results and Key Findings
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapt…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
Visit the AHRQ Website for the full Guide.
March 2017
https://www.ah…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged
Emergency Visits for
Opioid Use Rose While
Treatment for Illicit
Drug Use Remained
Unchanged
This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
References
Previous Page
Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis in the Context of Rurality
Three Areas To Immediately Advance…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Optimizing Environmental Cleaning
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgic…
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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-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
May 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs
A Guide for Building COVID-19
Vaccine Trust and Increasing
Vaccination Rates Among CNAs
Invest
Trustin
2
Contents
Introduction 3
Summary 4
Section 1: How We Approached This Project 6
Section 2: What Is …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
January 01, 2020 - Slide 1
NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT
Chartbook on Access to Health Care
May 2016
1
National Healthcare Quality and Disparities Report
Annual report to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129)
Provides a comprehensive overview of:
Quality of health…
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety
TITLE OF PROJECT: PHARMACIST TECHNOLOGY FOR
NURSING HOME RESIDENT SAFETY
PRINCIPAL INVESTIGATOR: KATE L. LAPANE, PHD
ORGANIZATION: BROWN MEDICAL SCHOOL
DATES OF PROJECT: 9/30/2001-9/29/2005
PROJECT OFFICER: JUDITH SANGL, PHD
ACKNOWLE…
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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes
Nursing Home Medication Safety 1
Technology to Improve Medication Safety in Nursing Homes
Jill Scott-Cawiezell, PhD
Principal Investigator
Marilyn Rantz, PhD, Lanis Hicks, PhD, Richard Madsen, PhD, & Greg Petroski, PhD
Investigators
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - On the CUSP: Stop CAUTI in ICU
July 8 ICU Content Call
Travis: Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call by written invitation from the AHA for AHA members only. Unauthorized participants and/or any part in the aid of unauthorized participants may be s…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles
Webinar Transcript
On the CUSP: Stop CAUTI in ICU
July 8, 2015 ICU Content Call
Travis: Excuse me, everyone. We now have all our speakers in conference. Please note that participation on this call …
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www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions
e PATIENT
SAFETY
Calibrate Dx:
A Resource To Improve
Diagnostic Decisions
1
Calibrate Dx: A
Resource To Improve
Diagnostic Decisions
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
March 01, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores
Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores
March 2016 Webcast
Speakers
Rick Evans, MA, Senior Vice President and Chief Experience Officer, NewYork-Presbyterian Hospital
Debra Rosen, RN, MPH, Director, Quali…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care
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RE…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017
July 2020
AHRQ National Scorecard on Hospital-Acquired Conditions
Final Results for 2014 Through 2017
Summary
Final patient safety data for 2014 through 2017 showed a downward trend in the annual
number of hospital-acq…