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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagn…
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www.ahrq.gov/hai/cusp/modules/spread/index.html
July 01, 2018 - Spread
The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture is local. This module explores how to take th…
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www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers
Slide Presentation by Hector P. Rodriguez
Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH.
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Slide 1
Implementing Team Approaches for Improving Diabetes Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/2020-Compendium-TechDoc.pdf
January 01, 2020 - Joint participation
in an accountable care organization (ACO) is not by itself indicative of joint management … systems list contains information on
nearly 600,000 outpatient centers, hospitals, nursing homes, accountable
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www.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
January 01, 2021 - Joint participation in
an accountable care organization (ACO) is not by itself indicative of joint management … systems list contains information on
nearly 600,000 outpatient centers, hospitals, nursing homes, accountable
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
January 01, 2023 - Joint participation in
an accountable care organization (ACO) is not by itself indicative of joint management … systems list contains information on
nearly 600,000 outpatient centers, hospitals, nursing homes, accountable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
Purpos…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
August 03, 2022 - TeamSTEPPS Communication - Module 1
Communication
Module 1
1
Objectives
Describe how communication affects team processes and outcomes.
Define effective communication.
Identify communication challenges.
Identify TeamSTEPPS tools and strategies that can improve a team’s communication.
2
Communication
2
C…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - For example, medical groups may want to
incorporate questions from the CAHPS Survey for Accountable
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - The nurse manager on this unit does not want to make waves and has not made the nurses accountable for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - The nurse manager on this unit does not want to make waves and has not made the nurses accountable for
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-os-linkage-techdoc.pdf
January 01, 2023 - Joint participation
in an accountable care organization is not by itself indicative of joint management
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities
Toolkit for Decolonization
of Hospital Non-ICU Patients
With Indwelling Devices
Based on the ABATE Infection Trial Protocol
Abbreviated Title:
Decolonization of
Non-ICU Patients With Devices
I…
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www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery
1. Title Page
Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery
MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH
Organization University of Chicago
Dates of the Project 07/01/2018 - 04/30…
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www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
January 01, 2024 - Final Progress Report: Safety Culture Research: Ways to improve existing methods
Safety Culture Research: Ways to improve existing methods (R13HS023062)
PI: Jason M. Etchegaray, PhD
Other Significant Contributor: Eric Thomas, MD, MPH
The University of Texas Health Science Center at Houston
04/05/2014-03/31/2015
J…
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Implementation of
the Healing Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports
Note: This part of the training primarily consists of exercises …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - Lessons from the Field: Identifying Measurement Challenges and Successes
Lessons from the Field: Identifying
Measurement Challenges and Successes
Prepared for the Agency for Healthcare Research and Quality by L&M
Policy Research, LLC with guidance from the Pediatric Quality Measure
Program (PQMP) Grantees
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States
1
Factors Contributing to Sustainment Outcomes in Four States
This supplementary material contains brief case studies that examine key factors influencing
decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …