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2661. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science …

2662. About SDOH in Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/sdoh/about.html
      February 01, 2020 - About SDOH in Healthcare SDOH in Communities SDOH, although experienced by individuals, exist at the community level. Healthcare systems that learn about the communities their patients live in, and the community-level barriers members can face to becoming and staying healthy, can better adapt their recommenda…

2663. AHRQ Research: Staff Contacts | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/priorities-contacts/contacts/index.html
      March 01, 2025 - AHRQ Research: Staff Contacts AHRQ welcomes inquiries regarding the Agency's current areas of research interest. Direct your questions regarding program matters to the AHRQ staff listed below. Address for General Correspondence Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 A…

2664. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/teachback.html
      February 01, 2023 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Teach-Back “I've been doing this [primary care] for a long time and didn't realize a lot of things are not heard. Teach-back is a wonderful idea; we think we're getting our message across and obviously we are not.” …

2665. How to Use the CUSP Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/index.html
      July 01, 2018 - How to Use the CUSP Toolkit The CUSP Toolkit can help your team learn key principles that increase safety. Once you’ve learned the basics, add-on modules can help you target certain safety issues. The CUSP Toolkit is modular. The core CUSP Toolkit is composed of instructional material that a unit leader (fa…

2666. The Division of Practice Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/centers/cepi/dpi.html
      February 01, 2025 - The Division of Practice Improvement The Division of Practice Improvement (DPI), part of the Center for Evidence and Practice Improvement , promotes innovative and evidence-based healthcare and advances the science of dissemination and implementation DPI creates materials to teach healthcare professionals and…

2667. Describe the Source of Data for Health Care Quality Scores | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/labels/describe-source.html
      November 01, 2018 - Describe the Source of Data for Health Care Quality Scores Consumers are appropriately wary about the accuracy of the information in a comparative quality report. Here’s what you can do within the data display itself to engender trust. Describe: The source of the data being shown. If the information came …

2668. Practice Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/index.html
      June 01, 2025 - Practice Improvement AHRQ develops, tests and shares resources and strategies to assist health systems and clinicians deliver high-quality, safe, high-value healthcare. These evidence-based tools, toolkits, and training resources can help clinicians address challenging changes in medical practice and deliver th…

2669. About the Toolkit Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/esrd/resource/tooldev.html
      January 01, 2015 - About the Toolkit Development ESRD Toolkit The ESRD Toolkit was developed during a 2-year project called the National Opportunity To Improve Infection Control in End-Stage Renal Disease Facilities, conducted through a partnership that brought together subject matter experts and providers in the field. Backg…

2670. Oregon Rural Practice-based Research Network (ORPRN) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/obesity/obpcp-obprn.html
      May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Oregon Rural Practice-based Research Network (ORPRN) Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword…

2671. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - Staff trainings addressed issues related to privacy and confidentiality. … Staff trainings, using the PowerPoint presentation included in the Guide (Tool 3), addressed nurses’ … • Mandatory staff trainings addressed concerns and set expectations. … Training addressed nurses’ concerns and emphasized key elements of bedside shift report.

2672. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
      November 01, 2017 - a fall occursThe questions in each Self-Assessment are tailored to the On-Time adverse event being addressed … Do any barriers need to be addressed? … Do any barriers need to be addressed?

2673. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
      September 03, 2014 - Learning from Defects form to determine potential opportunities for improvement and identify areas to be addressed … Two or three issues that can be easily addressed Be Prepared To Operate Differently … Because our patients deserve the best care possible, it is a challenge that needs to be addressed.

2674. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Detailing as a Quality Improvement Tool Instructor’s Guide Practice facilitator (PF) competencies addressed … probing skills and relevant key messages, features/benefits, and enablers. 5.Gain confirmation that you addressed … Was there anything important you feel I haven’t answered or addressed about managing your patients

2675. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
      January 01, 2002 - assessed the physicians’ self-reported likelihood of future errors with a novel nine-item scale that addressed … attention has been paid to stress in physicians, and few studies of stress in health care workers have addressed … Fortunately, some causality questions will be addressed in the third phase of our study.

2676. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - mandatory reporting system and incident review process supported within the hospitals, the survey addressed … Barriers to use of reporting systems The following set of questions addressed potential barriers to … the use of both mandatory and close-call reporting systems, including a set of questions that addressed

2677. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
      January 01, 2004 - The use of these standardized forms also addressed the problem of poor documentation of patient’s baseline … Study protocols have addressed this issue with very intensive postoperative follow-up and strict algorithms … Finally, the difficulties encountered in the coordination of perioperative care need to be addressed

2678. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - review The 1999 Institute of Medicine (IOM) report, To Err Is Human: Building a Safer Health System,2 addressed … the individuals involved.2, 9, 10 Errors were considered individual performance problems and were addressed … , included 6,053 different issues addressed by 5,621 respondents.

2679. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - patient safety project, change management issues should be encouraged to surface and then be effectively addressed … These issues were addressed using several tools and techniques. … We paid attention to and addressed the demands of testing interventions in everyday work settings, and

2680. Pressure Injury Prevention Program Phases | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
      September 01, 2017 - Which pressure injury prevention practices go beyond a single unit and how they will be addressed. … How gaps in staff education and competency will be addressed.