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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/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - Team Structure and Assembly
SPPC‐II
Toolkit
Hospital AIM
Team
Leads
SPPC II
Team Structure and Assembly
Module 2 of 8
‐
SCRIPT
Thank you for participating in the Safety Program for Perinatal Car…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - Team Structure and Assembly - PowerPoint Presentation
Team Structure and Assembly
Module 2 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 Program for Perinatal Care II (also known as SPPC-II) Teamwork Toolkit presented by the …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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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/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
January 01, 2020 - Recent Insights into CAHPS Survey Modes and Response Rates
Understanding CAHPS Surveys: A Primer for New Users
January 2020 Webcast
Speakers
Caren Ginsberg, Ph.D., CPXP, Director, CAHPS & SOPS, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality, Rockville, MD
Dal…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
November 01, 2023 - Preparing for and Recovering After Hip or Knee Replacement Surgery
Preparing for and Recovering
After Hip or Knee
Replacement Surgery
e
Hip or Knee Replacement Surgery Patient Education Guide 1
Preparing for and Recovering After
Hip or Knee Replacement Surgery
Patient Name ______________________________…
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www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
AHRQ GRANT FINAL PROGRESS REPORT
Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
Principal Investigator:
Geb W. Thomas, Ph.D.
Professor of Mechanical & Industrial Engineering
The Universit…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…
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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/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/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - They are documented by
the nursing staff, who are trained in MDS standardized assessments, and then
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www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
January 01, 2024 - At each site, abstractors were hired and trained to review and
abstract ED records.
-
www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - As expected, a highly trained expert study pharmacist using chart review outperformed the automated system
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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-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor Program
Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan
Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA
Abstract
According to the Institute of Medicine, as many as 98,000 patients…
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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-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - Personal Health Records to Improve Health Information Exchange and Patient Safety
Personal Health Records to Improve Health
Information Exchange and Patient Safety
James R. Fricton, DDS, MS; Diane Davies, MD
Abstract
The personal health record (PHR) is proposed as an innovative solution to the problems of
f…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises
Contents
Nutrition Risk Reports Information Exercises
Exercise #1: Risk Criteria and Rules
Exercise #2: Identify Residents Meeting High-Risk Criteria
Exercise #3: Identify Resi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
April 01, 2025 - PowerPoint Presentation
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
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgical Services
Hand Hygien…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
January 01, 2013 - Teach-back: Interactive Module Slides
1 Teach-back Interactive Module
Teach-back
1.1 Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in
Effective Clinician-Patient Communication
2 Teach-back Interactive Module
1.2 AHRQ
Sponsored by the Agency for Heal…