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  1. Sensemakingnotes (doc file)

    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…
  2. 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…
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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 ______________________________…
  8. 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…
  9. 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…
  10. 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 …
  11. 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…
  12. 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
  13. 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.
  14. 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
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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