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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumnuck.html
October 01, 2014 - years (2008-2012) Total Award: $552,000 Project Description: This research proposes to develop an approach … After developing the approach, the grantee will apply it to computerized physician order entry and obtain
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - The CANDOR process is an integrated approach that involves
different pieces; but for the process to … Slide 13
Say:
The CANDOR process is an approach that health care institutions and
practitioners can … Slide 23
Say:
Eliminating human error is a futile goal, as it is not a realistic approach. … This approach is used in the
aviation industry, and it is part of the safety culture in health care … This
approach should be part of the safety culture in health care organizations.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
April 01, 2025 - Services
Decolonization Implementation
Universal Versus Targeted: Key Takeaways
Universal decolonization approach … Fewer barriers to implement
Cost effective
*Universal decolonization was the preferred approach in the … AHRQ Safety Program surgical services cohort for the reasons listed above.*
Targeted decolonization approach … nostril11,14
When choosing between universal and targeted decolonization—
Preferred: Universal decolonization approach … Fewer barriers to implement
Cost effective
Alternative: Targeted decolonization approach
Local epidemiology
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Investments
22
projects
170
publications*
5,262
citations*
Geographical Distribution of Funding
Approach … Among the 22 projects, the most common primary approach to improving healthcare facility
design was … information.
ii The total number of projects is greater than 22 as some projects used more than one approach … In
addition, the results from three case studies suggest taking a similar HFE integration
approach … The work also describes a novel web-based depth video rewind approach that
may be useful for reviewing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - describe an approach that measures the process of care by video audit. … An interdisciplinary approach to decision support development is
outlined. … Health care providers might reject such an approach because they fear loss
of autonomy. … This approach takes a long time. … Using
video audit to improve trauma resuscitation – time for
a new approach.
-
www.ahrq.gov/ncepcr/tools/self-mgmt/why-script.html
February 01, 2016 - long-term primary care practices are about chronic care management and this is the kind of thing, the team approach … I learned so much more about my patients when I started using this approach. … They see that it's a positive team approach.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-id-success-story.pdf
April 01, 2015 - “North Carolina’s approach really helped shape
the foundation of what we’re trying to do in
Idaho—to … Primary Care Transformation in Idaho
model that proved influential in Idaho’s plan included its approach … This approach works well, given
Idaho’s many rural areas, which have sparse infrastructure to support … This train-the-trainer approach will put Idaho’s
collaboratives in a good position to support practices
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
June 02, 2025 - has enabled many in health care move beyond the old (and
quite ineffective) “name, blame, and shame” approach … A systems approach to health care safety presents certain new challenges:
(1) It has been said that … Which approach is better? but, rather, What can we learn
from each? … Employing a systems approach to reducing harm in health care also has led to
a rethinking of the role … The contributions to this volume display both the complexity of a systems
approach to patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/idstateataglance.pdf
March 01, 2012 - Testing an approach to quality improvement of a State’s own design. … 4) demonstrate the impact of a model electronic health record format for children, and (5) test an
approach … Testing an Approach to Quality improvement of Idaho’s Own Design
As part of the National Improvement
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mastateataglance.pdf
March 01, 2012 - Testing an approach to quality improvement of a State’s own design. … 4) demonstrate the impact of a model electronic health record format for children, and (5) test an
approach … Testing an Approach to Quality Improvement of Massachusetts’ Own Design
Massachusetts has formed a
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/utstateataglance.pdf
March 01, 2012 - Testing an approach to quality improvement of a State’s own design. … 4) demonstrate the impact of a model electronic health record format for children, and (5) test an
approach … Testing an Approach to Quality improvement of Utah’s Own Design
As part of the National Improvement
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ilstateataglance.pdf
March 01, 2012 - Testing an approach to quality improvement of the State’s own design. … 4) demonstrate the impact of a model electronic health record format for children, and (5) test an
approach … Testing an Approach to Quality Improvement of Illinois’s Own Design
Illinois will establish a public‐private
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Informal debriefings by clinical team immediately following event using an approach that does not shame … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … Use a predetermined approach to call for additional rapid assistance. … Team members manage conflict using a constructive positive approach to emphasize "what is right, not … patients the option of selecting between continuous EFM or intermittent auscultation (IA), or another approach
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-slides.pptx
January 01, 2017 - Garner Buy-In
Prepare multipronged approach for approval
Target individual stakeholders
Identify respected … naysayers
Find the kernel of truth in their doubts
Take that truth seriously
Advocate for grassroots approach … rather than lightning bolt approach
Share your data
Communication ‹#›
AHRQ Safety Program for Mechanically
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - The current
study uses the error-producing conditions (EPC) approach to help identify device-related … This can be
distinguished from RCA’s reactive approach because it applies a more proactive strategy … Overall, a system-oriented approach
that emphasizes proactive and pre-emptive error management is in … A
disadvantage of this approach, though, is that it requires a trained observer to visit work places … Obviously, this makes the approach quite resource-intensive and time-consuming.
-
www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/mt-sinai-grantee-profile.pdf
February 01, 2024 - This approach integrates Long COVID care
directly into primary care settings and incorporates a community … Operated by primary care clinicians, the clinic has enhanced its person-
centered approach by incorporating … This approach
streamlines resource sharing, communication, and the
seamless transfer of management back
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - A sample of how some of these key perinatal safety elements can be incorporated into a unit approach … This approach allows for understanding of what went well, what could have gone better, and what could … Unit can decide its approach to reviewing cases where magnesium sulfate was used outside of the unit’ … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … Use unit-established approach for nursing-led patient education regarding magnesium sulfate infusion,
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - This approach was pilot tested in seven diverse primary care practices across North Carolina. … Since forming, MACRMI renamed the approach Communication, Apology, and Resolution (CARe); developed clear … A standardized approach to compensation for Avoidable Classes of Events was also developed. … This grantee concluded that diverse stakeholders in Oregon view the safe harbor approach as valuable … The grantee found that a significant challenge to the safe harbor approach would be the development,
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Demonstration Project
□ Key program evaluation concepts
□ SPPC‐II/Demonstration Project evaluation approach … briefly review key program
evaluation concepts, and then last we will discuss the proposed evaluation
approach … teamwork and communication
safety culture
maternal outcomes
□We will employ a mixed‐methods approach … To do this, we will employ a mixed‐methods (quantitative and qualitative) approach
consisting of surveys … SPPC‐II/Demonstration Project Evaluation Approach
Evaluation Plan for SPPC‐II/Demonstration Project
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Demonstration Project
□ Key program evaluation concepts
□ SPPC‐II/Demonstration Project evaluation approach … briefly review key program
evaluation concepts, then last, we will discuss the proposed evaluation approach … teamwork and communication
safety culture
maternal outcomes
□We will employ a mixed‐methods approach … To do this, we will employ a mixed‐methods (quantitative and qualitative) approach
consisting of surveys … SPPC‐II/Demonstration Project Evaluation Approach
Evaluation Plan for SPPC‐II/Demonstration Project