The rate of ventilator-associated pneumonia during inpatient stays increased by 20.1 percent between 2016 and 2019. (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #313, ...

Because pressure ulcer care is complex, efforts to improve pressure ulcer prevention require a system approach that will involve organizational change. Bringing about organizational change of any type ...

Health care delivery systems throughout the United States are employing the triple aim (improving the experience of care, improving the health of populations, and reducing per capita costs of health ...

Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The Agency for Healthcare Research and Quality, which has sponsored ...

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This student workbook was prepared for the Agency for Healthcare Research and Quality by RAND Corporation under contract 290-06-00017-7. It is one component of a four-part set of training modules ...

The rate of MRSA diagnoses on admission among expected self-pay hospitalizations decreased from 130.1 per 10,000 stays in 2019 to 114.1 per 10,000 stays in 2021, and the rate among hospitalizations ...

The AHRQ Safety Program for Long-Term Care: HAIs/CAUTI was developed and refined over a 3-year period through a national quality improvement collaborative designed to reduce CAUTIs and enhance LTC ...

The "Implement Teamwork and Communication" module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, ...

How do we manage the change process at the front line? How do we pilot test the new practices? How do we get staff engaged and excited about pressure ulcer prevention? How can we help staff learn new ...

In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, which, when implemented, can help you get your patients off the ventilator faster. In doing ...

Clinicians should identify tobacco users at each visit and intervene with those individuals who are willing to quit (go to Five Major Steps to Intervention [The "5 A's"]). Tobacco users willing to ...