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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
March 01, 2017 - LTC Data Collection Tool
Sheet1
Data Rates Monthly Rate
CAUTI Rate
(CAUTIs per 1,000 catheter … &"-,Bold"AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
CAUTI-Related Data Collection Tool
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - No. 23-0052
June 2023
&G
Audit Tool
Purpose of this tool: To support your hospital’s … The ISCR Audit Tool includes process measures from ISCR pathway, like early mobility and bowel preparation … The tool is intended to help your team collect and evaluate process measure compliance, and make adjustments … How to use this tool: The ISCR Audit Tool is intended to be used with the ISCR Pathway Checklist. … No. 23-0052 45078
Compliance Tracking Sheet
ISCR Audit Tool: Compliance Tracking Sheet
Preoperative
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Antibiotic Time Out Tool
Date:
Patient Name or … #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out Tool … No. 17(20)-0028-EF
November 2019
Antibiotic Time Out Tool
4
AHRQ Safety Program for Improving Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template … It is not a stand-alone tool. … Specifically consult the Identify Defects Through Sensemaking module and the Learn from Defects Tool … This tool is also a template, which means it can and should be adapted to each organization. … Lastly, do not wait too far out to complete the event report tool as it may be difficult to fill in the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
AHRQ Safety Program for … Surgery
Barrier Identification and Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing … clinical units, the Barrier Identification and Mitigation (BIM) Tool was designed to help frontline … Who Should Use This Tool? … How To Use This Tool
The BIM tool is best applied within the context of a comprehensive quality and safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool10_dc_checklist.docx
November 01, 2015 - Tool 10: Discharge Process Checklist
Tool 10: Discharge PROCESS Checklist
Purpose
Provide updated … Description
This tool, adapted from the CMS Conditions of Participation (COPs), provides a checklist … This tool can be used to update existing processes and identify whether new processes and practices need … Additional Resources
See Tool 8: Conditions of Participation Handout for an overview of CMS COP content … Tool 10: Discharge PROCESS Checklist
This checklist is a tool to promote optimal adherence to the processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Tool 9: Transitional Care Planning
Tool 9: Whole-Person Transitional Care Planning Tool
Purpose
The … Description
This tool provides discharge planners with a set of prompts to identify readmission risks … information that can be used to populate the right side of the Whole-Person Transitional Care Planning Tool … Tool 9: Whole-Person Transitional Care Planning Tool
Readmissions rarely result from a singular breakdown … As is evident by the many domains on this assessment form, it can be a valuable tool for not only hospital
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
December 01, 2017 - Tool: Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Perioperative Staff Safety … Please Adapt This Tool
A team of clinicians designed this tool to assess practice variability in its … Your team may want to add questions that are not included in this tool, and this tool may include questions … Please modify this tool to best fit your team’s needs. … Staff Safety Assessment tool to all clinical and nonclinical staff in the unit.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/surgical-skin-prep-audit-tool.docx
December 01, 2017 - Surgical Skin Preparation Audit Tool
Surgical Skin Preparation Audit Tool
Introduction
Problem Statement … Purpose of This Tool
This tool will help your safety program team understand how appropriately you are … Please Adapt This Tool
A team of clinicians designed this tool to assess the adequacy and variability … Please modify this tool to best fit your team’s needs. … How To Use This Tool
An observer who is not assisting with skin preparation passively watches the skin
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www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool-template.docx
June 02, 2025 - SOPS Action Planning Tool Template
Facility name: Date last updated:
Action Plan for the AHRQ Surveys … to:
How often progress updates will be provided:
Notes or Comments
Action Planning Tool
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
June 02, 2025 - Tool 11: Community Resource Guide
Tool 11: community resource guide
Purpose
Many hospital readmission … Description
This is a two-part tool: a community resource guide and a 1-page “quick reference” version … Use the quick reference part of this tool to populate Tool 12: Whole Person Transitional Care Planning … Tool 11: Community Resource Guide
The first step to using community resources to address patients’ social … This tool will help you populate a resource guide to quickly and efficiently connect patients to the
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-self-management.pdf
June 02, 2025 - Tobacco Use Self Management Tool
Tobacco Use Self
Management Tool
MANAGEMENT TOOL
Being tobacco
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www.ahrq.gov/nursing-home/resources/huddle-tool.html
July 01, 2021 - Huddle Tool
Resource: Huddle Tool
This tool provides guidance for implementing a daily
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
July 01, 2024 - Tool: STAR
STAR is a mnemonic tool that is used extensively to help elicit and share key information
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
June 02, 2025 - Section 8-A, Data Feasibility Tool
EHR Data Feasibility Tool copyright 2011 American Medical
Association … THIS TOOL IS PROVIDED
"AS IS" WITHOUT WARRANTY OF ANY KIND. … CPT® contained in this tool is copyright 2004- 2010 American
Medical Association. … If not, do you use another
standardized pressure ulcer risk assessment tool? … 5 How are standardized nutrition screening tool results documented in
your EMR?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/140-ssi-investigation-tool-cusp-completed.docx
April 01, 2025 - Safety Program for MRSA Prevention: Targeting SSI
This is a sample of a completed SSI Investigation Tool … Surgical Site Infection Investigation Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint … Introduction
Purpose of this tool: This tool will help your Comprehensive Unit-based Safety Program ( … Please adapt this tool to your environment: A team of clinicians designed this tool while accounting … This is a sample of a completed SSI Investigation Tool.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream … worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
April 01, 2022 - CAUTI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Catheter-Associated Urinary Tract … worksheet is designed to be used near the bedside and is the shortened version of the CAUTI Event Report Tool
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 02, 2025 - Safety Program for MRSA Prevention
Core CUSP Team Member
Roles & Responsibilities
How To Use This Tool … This tool identifies core Comprehensive Unit-based Safety Program (CUSP) team members and describes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/126-monthly-team-checkup-tool.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Monthly Team Checkup Tool for MRSA and SSI Prevention … Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Your team can use this tool … No. 25-0029
April 2025
Monthly
Team Checkup Tool
| 1
AHRQ Safety Program for MRSA Prevention | Surgical