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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
June 02, 2025 - On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet is designed to help staff review how they currently identify residents who have experienced a change in pressure ulcer risk, how they determine if new clinical interventions are needed, and how they determine w…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications (continued)
3. Specifications for Each Pressure Ulcer Prevention Report
3.1. Nutrition Risk Reports: High Risk and Medium Risk
3.1.1. Report Description
The weekly reports display resident-level nutritio…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications
3. Specifications for Each Pressure Ulcer Prevention Report (continued)
3.3. Weight Summary Report
3.3.1. Report Description
The Weight Summary Report displays 4 weeks of trended weight information for e…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
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www.ahrq.gov/faqs/index.html?page=6
October 01, 2020 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsresources.pdf
July 01, 2014 - Supplemental Resources on Self-Management Support
External Resources On Self-Management Support
For Clinicians and Staff
Background, resources, and tools
• AHRQ’s Self‐Management Support Resource Library has basic information about self‐management
support plus links to a wide range of practical tools, technique…
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www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation
Final Progress Report
Improving Patient Safety and Disease Management While on Contact Isolation
Daniel Morgan (PI)
Anthony Harris (Mentor)
University of Maryland School of Medicine
Dates of Project: 7/01/09–6/30/14…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - PowerPoint Presentation
Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
How the Approach Has Evolved, with
Current Recommendations on the Right Approach
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improvin…
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www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs
This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities.
…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Competencies To Improve Diagnosis in Health Professions Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing
Decolonization of
on-ICU Patients With Devices N
Section 14-1 – Addressing Questions Asked by Staff:
Chlorhexidine for Bathing
Why does the hospital use special soap for bathing and showering in patients
with medical devices?
This hospital i…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
January 01, 2018 - Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from South Carolina’s experience during the
quality demonstration funded by the Centers for Medicare
& Medicaid Services (…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Measures of Cognitive Load
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdf
April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen
Measure: Developmental Screening Follow-up:
Follow-up Referral After Positive
Developmental Screen
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Presentation: Program Overview
Assessment of the Resident With a Suspected Respiratory Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Assessment of RTI
1
Objectives
Recognize the signs and symptoms of a suspected respiratory tract infection
Ident…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening
Measure: Developmental Screening Follow-up:
Follow-up with Patient Family After
Developmental Screening
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Dat…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p013-ef.pdf
February 01, 2016 - Measure: PROMIS Pediatric Global Health Measure (PGH-7)
Measure: PROMIS Pediatric Global Health
Measure (PGH-7)
Measure Developer: The Children’s Hospital of Philadelphia PQMP Center of Excellence
Numerator Denominator Exclusions Data Source(s)
The sum of the measure
scores across all
individuals in the group. …
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www.ahrq.gov/patient-safety/reports/engage/summary.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of …
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataaptabe1a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table E-1. Template of Granular Ethnicity Category Lists and Coding Schemes with Rollup to the OMB Race and Hispanic Ethnicity Categories (continued)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and…