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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
January 05, 2022 - Module 4: Leadership
Module 4
Leadership To Improve Diagnosis
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement course. This presentation will cover Module 4, Leadership To Improve Diagnosis, that you will review as the course facilitator.
Individuals who plan to take the…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
7. Tools and Resources
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
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www.ahrq.gov/research/publications/pubcomguide/pcguide-avdevelopment.html
July 01, 2024 - Publishing and Communications Guidelines
Audio and Video Products
Previous Page Next Page
Table of Contents
Publishing and Communications Guidelines
Section 1: Product Development
Audio and Video Products
Appendix 1-A. Release Forms
Appendix 1-B. Trademarks
Appendix 1-C. YouTube Submission…
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www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE
Title: Patient-centered approach to reducing harm from VTE
Principal Investigator: Michael Rothberg, MD, MPH
Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox
Organization: Cleveland Clinic Foundation
In…
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www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/2016-ahrq-complaint-activity.pdf
January 01, 2016 - 2016 AHRQ Complaint Activity
2016 AHRQ Complaint Activity
Complaint
Activity
Comparative Data
Previous Fiscal Year Data 2016 Thru 09-30
2011 2012 2013 2014 2015
Number of
Complaints
Filed
1 3 1 0 0 1
Number of
Complainants
1 2 1 0 0 1
Repeat Filers 0 1 0 0 0 0
Complaints by Basis
Complain…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
January 01, 2011 - Creating an Improvement Culture
Creating an Improvement Culture
October 2011 Podcast
Speaker
Patrick Jordan, Chief Operating Officer, Newton-Wellesley Hospital
Moderator
Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy, Saint
Vincent College
Presentation Av…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
7. Tools and Resources
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
June 02, 2025 - SAY:
The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module explains the responsibilities of the nurse manager, leadership and management roles of the nurse manager, key business and…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module
Slide 1: Improving Communication and Teamwork in the Surgical Environment Module
Slide 2:
Image: The objectives are listed as a series of ascending steps:
Describe teamwork and communication issues in the surgical environment,
Ap…
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www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - Guide: Purpose and Use of CLABSI Tools
Purpose of the Tools
These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
August 01, 2022 - Meeting Minutes, May 2022
Minutes from the May 12, 2022, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 17, 2021, Meeting Summary
Discussion of New Opportunities for AHRQ
Patient-Centered Outcomes R…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
January 01, 2022 - National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022
National Advisory Council, May 12, 2022 Page 1
Agency for Healthcare Research and Quality (AHRQ)
National Advisory Council (NAC)
Virtual Meeting
May 12, 2022
SUMMARY
NAC Members Present
Asaf Bitton, M.D., M.P.H., Ariadne Labs, Bri…
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - But See the Patient First
January 29, 2021
Sinigayan VR. But See the Patient First. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/see-patient-first
The Case
A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief
complaint of fever. Five days previously, he …
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - The Empty Bag
Citation Text:
Vincent C. The Empty Bag. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 5UC1HS015316
Taconic Health Information Network & Community
(THINC)
Inclusive dates: 09/30/04 - 03/31/08
Principal Investigator:
A. John Blair, III, MD
Team members:
Rainu Kaushal, MD (Co-Principal Investigator)
Lisa M. Kern, MD (Investiga…
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/autism-spectrum-disorder-in-young-children-screening
February 16, 2016 - reported cognitive and language outcomes for early intensive behavioral interventions delivered by trained