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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
September 08, 2015 - 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
and the Children’s Health Insurance Program
(CHIP). Funded by the Children’s Health
I…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series
National Action Alliance to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August 22, 2023
Beth Daley Ullem
Founder and CEO, Quality and Safety First
National Action Alliance To Advance …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6)
Insert hospital logo here
Communicating to
Improve Quality
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 2: Communicating to Improve Quality Training (Tool 6)
Guide to Patient & Family Engagement
As people enter the …
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
May 11, 2023 - Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
Implementing Hybrid Cardiac Rehabilitation to Expand Access and Capacity
IMPORTANT NOTE RE: ACCESSING LINKS in the PPT presentation:
Links embedded in SLIDE portion are hyperlinks
Links shown in the NOTES portion must be copied into a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
November 01, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®)
Action
Planning
Tool for
the AHRQ
Surveys
on Patient
Safety
Culture
Public Domain Notice
This document is in the public domain and may be used and reprinted without permission in the United States
for noncommercial purposes, unl…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
January 01, 2014 - Section 5, Table 1
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3
Video-Based Simulation:
Facilitator Guide
Situation Monitoring
Shared Mental Model
TeamSTEPPS Training Curriculum
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5)
Insert hospital logo here
Become a Patient
and Family Advisor:
Information Session
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Patient & Family Advisor Information Session (Tool 5)
Guide to Patient & Family Engag…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Issue Brief 15
Strategies for Improving Clinician
Psychological Safety in Reporting
and Discussing Diagnostic Error
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 15
Strategies for I…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis
Preparing Data from CAHPS®
Surveys for Analysis
Contents
Introduction ................................................................................................................................................... 1
Creating Your Analysis Dataset ...............…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
November 01, 2017 - 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Medical Office SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
-
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 - Challenges to Real-Time Decision Support in Health Care
Challenges to Real-Time Decision Support
in Health Care
Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care);
Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD;
Colin F. Mackenzie, MBChB, FRCA, FCCM
Abstract
This …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients
Using Six Sigma® Methodology to Improve
Handoff Communication in High-Risk Patients
Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD;
Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL;
Karen S. Frush, MD…
-
www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Options include a
brief computer-based training module for nurses and nursing assistants, train-the-
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - Highlights
Note: “Other clinical staff or clinical support staff” includes medical assistants, nursing
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology
Improving Medication Management Practices and
Care Transitions through Technology
Penny H. Feldman, Ph.D. – Principal Investigator
Liliana E. Pezzin, Ph.D. – Co-Investigator
Timothy R. Peng, Ph.D. – Co-Inv…