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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - percent reduction in CLABSIs and a 71 percent reduction in VAP in more than 100 Michigan intensive care units
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - The units that often derive the greatest benefits from in situ simulations are—at
baseline—high-acuity … These include critical care units, operating rooms, and
EDs, all of which are areas that are subject
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digital.ahrq.gov/ahrq-funded-projects/empower-nicu-bridge-resources-adjusting-and-coping-emotions-embrace
August 31, 2025 - Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE)
Project Description
Research Story
The use of a mobile health application to universally screen and monitor parents of infants in the neonatal intensive care unit for psychological sympt…
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digital.ahrq.gov/ahrq-funded-projects/electronic-exchange-poisoning-information/citation/legal
January 01, 2023 - Legal aspects of information sharing and communication by poison centers in the United States.
Citation
McDonald A, Francis L, Crouch BI, Cummins M. Legal aspects of information sharing and communication by poison centers in the United States. Clin Toxicol (Phila). 2020 Jan 14:1-7. doi: 10.1080/155636…
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digital.ahrq.gov/ahrq-funded-projects/use-hit-increase-primary-care-access-medicaid-patients/citation/invited
January 01, 2023 - Invited letter: the evolving model of health care in the United States: system change is not enough.
Citation
Wexler RK. Invited letter: the evolving model of health care in the United States: system change is not enough. Adv Health Care Manag 2014;16:173-6. PMID: 25626205.
Link
https://www.n…
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psnet.ahrq.gov/node/35685/psn-pdf
February 01, 2006 - Error rate greatest in hospital radiology.
February 1, 2006
Stein R; USP; United States Pharmacopeia
https://psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
This article reports on an analysis of data collected by United States Pharmacopeia's voluntary reporting
program that found medication errors are…
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psnet.ahrq.gov/node/42420/psn-pdf
July 05, 2013 - Standing Up for Doctors, Speaking Out for Patients. Final
Report.
July 5, 2013
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
https://psnet.ahrq.gov/issue/standing-doctors-speaking-out-patients-final-report-0
This report summarizes findings from a survey queryin…
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - Identify Defects Through Sensemaking
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Note : Slide content is presente…
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses
Associa…
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digital.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf
May 01, 2009 - Impact of Health IT on Nurses’ Time Spent on Direct Patient Care
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
Impact of Health IT on
Nurses’ Time Spent on Direct
Patient Care
Monitoring nurses’ time spent on activities related to
patient care allows o…
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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality
Principal Investigator: Alison Stuebe, M.D., M.Sc., University of North Carolina, Chapel Hill, NC. Co-PIs: Kristin Tully, Ph.D., University of North Carolina, Chapel Hill, NC; Emily Patterson, Ph.D., The Oh…
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Understand the Science of Safety
Presentation Slides
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Ensure ongoing support from other units such as facilities management and IT. … new system, as a training tool for frontline staff, and as an ongoing clinical reference tool on the units
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www.ahrq.gov/nursing-home/resources/guide-infection-prevention.html
June 01, 2021 - A Unit Guide To Infection Prevention for Long-Term Care Staff
Resource: A Unit Guide To Infection Prevention for Long-Term Care Staff (PDF, 3 MB)
This guide is designed to provide long-term care staff with basic knowledge about facility infection prevention guidelines. The guide is meant to provide infectio…
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psnet.ahrq.gov/node/39612/psn-pdf
June 16, 2010 - National Action Plan to Improve Health Literacy.
June 16, 2010
Washington, DC: United States Department of Health and Human Services; 2010.
https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
This report presents goals for improved health literacy in the United States and recommends pra…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules.html
July 01, 2023 - Toolkit Pillars
Toolkit for Improving Perinatal Safety
Each pillar contains PowerPoint slide sets, accompanying facilitator guides, and tools to support change at the unit level.
Teamwork and Communication for Perinatal Safety
This pillar presents six concepts of the Comprehensive Unit-based Safety Progra…
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meps.ahrq.gov/data_stats/summ_tables/insr/state/series_10/2020/ic20_xc_e.pdf
January 01, 2020 - Table X.C Premium distributions (in dollars) for private-sector employees enrolled in single coverage at the 10th, 25th, 50th (median),
75th and 90th percentiles, by State: United States, 2020
Division and State Average (mean) 10th percentile 25th percentile 50th percentile
(median)
75th percentile 90th percentile
U…
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_10/2019/ic19_xc_e.pdf
January 01, 2019 - Table X.C Premium distributions (in dollars) for private-sector employees enrolled in single coverage at the 10th, 25th, 50th (median),
75th and 90th percentiles, by State; United States, 2019
Division and State Average (mean) 10th percentile 25th percentile 50th percentile
(median)
75th percentile 90th percentile
U…