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  1. 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 Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…
  2. 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…
  3. 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. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…
  4. 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
  5. 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
  6. 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
  7. 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…
  8. 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…
  9. 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…
  10. 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
  11. 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
  12. Paul Tedrick (doc file)

    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
  13. 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
  14. 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…
  15. 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…
  16. 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…
  17. 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 …
  18. 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 …
  19. 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 …
  20. 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 …

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