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  1. Highlight03 (pdf file)

    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…
  2. 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…
  3. 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 …
  4. 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 …
  5. 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…
  6. 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…
  7. Section 5, Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
    January 01, 2014 - Section 5, Table 1 …
  8. 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 …
  9. 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…
  10. 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…
  11. 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 …
  12. 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 ...............…
  13. 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…
  14. 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…
  15. 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 …
  16. 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…
  17. 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…
  18. 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-
  19. 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
  20. 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…

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