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 ...

After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System, the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal ...

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 ...

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 ...

The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The ...

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 ...

The aim of this module is to support your efforts to use best practices as outlined in the Preventing Falls in Hospitals Toolkit in your hospital’s Fall Prevention Program.

Address correspondence to: Michael Pignone, M.D., M.P.H.; 5039 Old Clinic Building; UNC Hospitals; Chapel Hill, NC 27599-7110; E-mail: pignone@med.unc.edu This article originally appeared in the ...

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 ...

Before initiating antibiotics it is important to pause and review all relevant clinical and laboratory data and then weigh the potential benefit versus harm of initiating antibiotic therapy. Moment 2: ...

Care coordination means different things to different people; no consensus definition has fully evolved. A recent systematic review identified over 40 definitions of the term "care coordination." 2 ...

Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review ...