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Agency for Healthcare Research and Quality

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Innovations
Checklist-Plus-Technology System Eliminates Wrong-Site Surgery and Near-Misses, Enhances Required Preoperative Process Compliance 7/30/2014
Barnes-Jewish Hospital adopts an integrated checklist and armband technology system that ensures essential steps are completed during the outpatient preoperative process.
Comprehensive Program Virtually Eliminates Preventable Birth Trauma 7/30/2014
As part of a system-wide effort to transform inpatient care and eliminate preventable injuries and deaths, Seton Healthcare Family developed and implemented a comprehensive set of practices that collectively led to a substantial reduction in the incidence of birth trauma.
Evidence-Based Bundle Increases Adherence to Recommended Practices, Leading to Fewer Central Line Infections and Lower Costs 7/30/2014
Implementation of an evidence-based bundle of interventions led to a 75 percent reduction in central line infections in four intensive care units, yielding annual cost avoidance of approximately $1 million.
Hospital Provides Non-English-Speaking Patients With Recording of Discharge Instructions in Native Language, Leading to Improved Comprehension and High Satisfaction 7/30/2014
A hospital makes a telephone-based recording of discharge instructions available to non–English-speaking and low-literacy patients in their native language, leading to improved comprehension of discharge instructions and high levels of patient/family satisfaction.
Hospital Revamps Morbidity and Mortality Conferences to Focus on System-Wide Improvement, Leading to Better Identification and Addressing of Quality Problems 7/30/2014
The Monroe Carell Jr. Children's Hospital at Vanderbilt University transformed its monthly morbidity and mortality conferences from didactic teaching opportunities for residents into interactive, multidisciplinary quality improvement forums.
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QualityTools
2013 National Healthcare Disparities Report 7/30/2014
The purpose of the National Healthcare Disparities Report (NHDR) is to identify the differences or gaps through which some populations receive poor or worse care than others and to track how these gaps are changing over time.
2013 National Healthcare Quality Report 7/30/2014
The key function of the National Healthcare Quality Report (NHQR) is to summarize the state of health care quality and access for the Nation and report on progress and opportunities for improving health care quality, as mandated by the U.S. Congress. This report measures trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care.

Electronic Preventive Services Selector (ePSS) 7/30/2014
This tool, based on the current evidence-based recommendations of the U.S. Preventive Services Task Force (USPSTF), is designed to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients.
Guide to Clinical Preventive Services, 2014 7/16/2014
The Guide to Clinical Preventive Services includes USPSTF recommendations on screening, counseling, and preventive medication topics and includes clinical considerations for each topic. This new pocket guide is an authoritative source for making decisions about preventive services.
Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit 7/2/2014
Leaders in infectious disease and infection control, as well as those concerned with patient safety and performance improvement, can use the carbapenem-resistant Enterobacteriaceae (CRE) control and prevention toolkit to develop interventions to control CRE. 

Last updated: July 30, 2014.