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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. Nursingnotes (doc file)

    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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. Psn-Pdf (pdf file)

    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 …
  15. 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 …
  16. Title Page (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. 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…
  20. 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