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  1. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients Say: In this module, we will discuss the Learning From Defects tool. It is a very useful proc…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
    May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA; Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
  3. www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Private Sector Efforts in Value-Based Purchasing and Quality Improvement Previous Page   Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Qu…
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
    September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children? 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 qual…
  5. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
    February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? Evaluation Highlight No. 7 Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    June 02, 2025 - Module 2: How To Manage Change Module 2: How To Manage Change Module Aim The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program. Module Goals The goals of Module 2 are to identify necessary actions to improve …
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
    September 08, 2015 - How the CHIPRA quality demonstration elevated children on State health policy agendas 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 quality of health care for children enrolled in Medicaid …
  8. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
    November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? Evaluation Highlight No. 5 Author: Leslie Foster Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstration …
  9. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
    August 20, 2024 - NAA National Webinar July 2024 Making Healthcare Safer by Design: Redesigning for Safety, Efficiency, and Burden Reduction NATIONAL WEBINAR SERIES July 16, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website. • Please use the ‘Chat’ function to engage wit…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
    December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work Engaging Senior Executives – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Engaging Senior Executives SAY: In this module we will discuss the importance of senior engagement on your safety pr…
  11. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …
  12. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
    December 01, 2017 - Engaging Senior Executives: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Engaging Senior Executives Say: In this module we will discuss the importance of senior engagement on your safety program team. Slide 2: Why Do We Need an Executive? Say: Sometimes getting executives involved …
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  14. www.ahrq.gov/funding/training-grants/hsrguide/hsrguide3.html
    October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Step 3: Planning the Infrastructure Support Previous Page Next Page Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilit…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
    February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 1. The Framework for Improvement Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …
  16. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
    June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5 Module 5 Implementation Guide: Building and Implementing a Successful Automatic Cardiac Rehab Referral System Purpose and Overview This implementation guide is designed to help you think through the steps you will need to address in designing and i…
  17. digital.ahrq.gov/sites/default/files/docs/citation/r01hs021495-safran-final-report-2019.pdf
    January 01, 2019 - To answer the questions set forth in the specific aims, we employed a prospective observational cohort
  18. effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
    September 29, 2011 - Searching for the Evidence: Literature Search Strategies for Identification of Relevant Studies To Answer
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
    November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet On-Time Preventable Hospital and Emergency Department Visits: Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description…
  20. digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
    January 01, 2017 - Opportunistic Decision Making Information Needs and Workflow in Emergency Care - Final Report Grant Number: R01 HS21236 Opportunistic Decision Making Information Needs and Workflow in Emergency Care 1 AHRQ Grant Final Progress Report Title of the Project: Opportunistic Decision Making Information Needs and…