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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/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Facilitator Notes
SAY:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A
2018 National Healthcare Quality and Disparities Report | A.2-1
APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES
A.2. Quality Trends
Measures included in Figure 33: Number and percentage of all quality measures that were improving,…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
November 01, 2017 - summarizes how respondents answered groups of items that all measure
different aspects of the same thing
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - retribution but by learning and by a drive to reduce risk
for future patients.”6
However, there is no such thing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care
High-Hanging Fruit: Improving
Transitions in Health Care
Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD
Abstract
Discussions about enhancing the safety of transitions in health care have been disjointed.
Respected health care …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration
Using Rapid-Cycle Research to
Reach Goals: Awareness,
Assessment, Adaptation,
Acceleration
Using Rapid-Cycle Research to Reach Goals:
Awareness, Assessment, Adaptation, Acceleration
P…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - to ensure that systems support clinicians and patients and make it easier for them to do the right
thing
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - The most important thing to keep in mind is that suicide risk is highest when multiple risk factors coexist
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Ghaferi, MD, MS
The death in this case serves as an unfortunate reminder that there is no such thing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
March 01, 2017 - LONG-TERM CARE: HAIs/CAUTI
When it comes to hand hygiene as a strategy for preventing CAUTI, the easiest thing
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - From a safety point
of view, that would be considered a good thing, but, in order to reduce frustration
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - That would be my first thing. And
then…ah…administration. And then adverse effects.” … A participant explained her reasoning:
“Well my thing is, even experts, even with their 25 and 30
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - You intended to do the right
thing but did the wrong thing.
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - community/state]
Quality in health care, including in hospitals, can be described as “doing the right thing … Quality in health care, including in hospitals, can be described as “doing the right thing,
at the right
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - emphasized that, to improve safety, health IT systems should
be designed to make it “easy to do the right thing … and implement it so that, as the
Institute of Medicine report says, we “make it easy to do the right thing
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-machine-learning-screening.pdf
November 01, 2019 - ;
no way to know how many records will need to be
screened before you get predictions
“One last thing
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-information-exchange-disposition-160504.pdf
December 15, 2015 - informaticians, especially across countries and discipline
areas use different terms for the same thing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - hospital because …
· I wanted to join the advisory council because …
· Optional icebreaker question: One thing