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  1. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
    September 08, 2015 - How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qualit…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…
  3. www.ahrq.gov/cahps/news-and-events/news/archive/index.html
    June 01, 2024 - Archived Announcements About CAHPS Surveys AHRQ Post Webcast Materials for "Learning from Patient Narratives Through Innovative Feedback Reporting Methods" (May 2023) This webcast provided an overview of AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys and patient narratives and d…
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture I. Purpose This document provide…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
    July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and plannin…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
    July 01, 2023 - Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
    March 14, 2008 - Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial Peter M. Layde, MD, MSc; Linda N. Meurer…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
    March 01, 2004 - A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics 213 A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics Valerie J. Riege Abstract Historically, pharmacists have been safety consultants for patients with minor illnesses and have assisted…
  10. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
    January 10, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
    January 10, 2022 - Module 6: Mutual Support Module 6 Mutual Support To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 6, Mutual Support To Improve Diagnosis, that you will review as the course facilitator. Individuals who plan t…
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
    January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for …
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-6.pdf
    January 01, 2014 - Depression Care for Adolescents and Adults 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for t…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-testing-report.pdf
    January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for …
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Decision-Making and Readiness for Implementation ICU & Non-ICU For more in-depth information on the implementation of decolonization, please refer to the presentation “Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization,” available on t…
  16. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  17. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 3: Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary R…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
    January 01, 2017 - Presentation: Program Overview Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-54-EF January 2017 LTVV Intro, Evidence, Implementation ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning…
  19. www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
    January 01, 2024 - Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology 1 Project Title: A National Report of Nursing Home Quality Measures and Information Technology Principal Investigator Gregory L. Alexander, PhD, RN, FAAN Professor University of Missouri Sinclair School of N…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
    March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A. Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient experiencing complications from a disease p…

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