This document provides preliminary estimates for 2014 on hospital-acquired conditions (HACs), indicating a 17 percent decline, from 145 to 121 HACs per 1,000 discharges, from 2010 to 2014. A ...

Student Workbook 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 ...

The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performance information clear, meaningful, and usable ...

Federal and State governments, private purchasers, physicians, nurses, insurers, labor unions, health plans, hospitals, accreditation organizations, and others have begun to address some of the ...

Return to Contents A4. Sample Aim Statement for VTE Prophylaxis The Sample Aim Statement can be used by leadership to charter a VTE prevention team or to provide direction to an existing team. They ...

Slide 1: Module 5: Resident and Family Engagement Say: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety ...

Module 1: Understanding Why Change Is Needed Hospital: 400+ beds Pilot Unit: Neuro Medical ICU (MICU); 9 beds Challenge: Lack of leadership buy-in or support. Solution: Discuss pressure injury ...

Slide 1: Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change Say: This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework ...

Slide 1: Patient and Family Engagement in the Surgical Environment Module Say: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing ...

Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence ...

Slide 1: Overview of On-Time Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training Say: Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training. This 2-day Facilitator training ...

When event investigation and analyses are conducted from a systems approach, with a focus on identifying the system factors that contributed to the event, a fair and accountable culture can be ...