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2021. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
      August 01, 2025 - Department of Health and Human Services. … Department of Health and Human Services. … Error in the Operating Room 2014–2016 $99,683 Purpose: Find a feasible method to assess social and behavioral … Imperative to consider patients’ voice (in safety measurement, implementation, etc.) especially in behavioral … Publications: 9 Nancy Wilson VHA Health Foundation, Inc.

2022. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
      June 02, 2025 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery.

2023. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
      June 02, 2025 - . ► Patient safety is the prevention of harm resulting from the processes of health care delivery.

2024. Clinic/Clinician-Community Resource Relationships | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-5.html
      October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL) A-18.

2025. Hypertension Screening for Children Who Are Overweight or Obese: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
      February 01, 2020 - The health education component of this mandate provides an opportunity for clinicians to discuss health … Not applicable. 25 Health plan*: Can compare quality of care among health plans. … Health IT Enhancement Please describe how health IT may enhance the use of this measure. … Health IT Testing Has the measure been tested as part of an electronic health record (EHR) or other … health IT system?

2026. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
      January 01, 2017 - This quote is particularly applicable to health care today because of its continuously changing environment … Every day a patient is on the ventilator causes an increase in health care costs. … ensure that providers complied with evidence-based recommendations for the prevention of two common health … Mortality rates and health care costs were decreased while safety climate and patient outcomes improved … Adaptive or cultural, behavioral changes are required to effectively put the technical components of

2027. AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
      January 01, 2020 - National Institutes of Health (NIH). Indian Health Service (IHS). … through the use of health IT. … Use of Health IT for Children (CHIP and Children's Issues in Health IT and HIE CoP and Health IT for … funded under the Health Information Technology for Economic and Clinical Health Act. … record EMR = Electronic medical record Health IT = Health information technology HIE = Health

2028. Conducting Cognitive Testing for Health Care Quality Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/cognitive/index.html
      September 01, 2019 - Conducting Cognitive Testing for Health Care Quality Reports One of the most useful techniques … It was then adapted to test health-related report materials in general and quality reports in particular … Special Supplement on Qualitative Methods in Health Services Research: Part II. … Health Serv Res 1999 Dec;34(5):1101-18. Sofaer S. Qualitative Research Methods. … Int J Qual Health Care 2002;14(4):329-36. Willis G.

2029. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - Dlugacz et al.9 describe a root cause analysis of patient suicides in a non-VA health care system. … University of Washington Department of Psychiatry and Behavioral Medicine (BF). St. … J Ment Health Admin. 1997;24(3):350–8. 7. Lehmann L. McCormick RA, McCracken L. … Suicidal behavior among patients in the VA health care system. … Safety strategies to prevent suicide in multiple health care environments.

2030. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
      February 01, 2023 - From a public health standpoint, CAUTIs pose another risk, namely that their frequency leads to additional

2031. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - However, the 1999 Institute of Medicine (IOM) report, To Err Is Human: Building a Safer Health System1 … To err is human: building a safer health system. … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Continuous improvement as an ideal in health care. N Engl J Med 1989;320:53–6. 5. Moray S. … Sheffield, England: Centre for Health Information Management Research; 1998. 19.

2032. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
      January 01, 2017 - SAY: Take a moment to think of a defect you have experienced, either as a health care provider or as … With a timeline and process map created, consider the contributing factors from each level of your health … Slide 15 System Factors Impact Safety SAY: Each level of the health care delivery system matters. … ASK: What levels can you identify within your health care delivery system? … SAY: The following are all factors that impact safety in the health care system: · Institutional factors

2033. 6. Implementation (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
      May 01, 2018 - care, behavioral health care, home care, and hospice care) have required that patients' culture, ethnicity … the health and health care of the population statewide, and are key players in ensuring the adoption … Health IT terms: Glossary of selected terms related to e-Health. Resources . … Integrated Health Association. … Madison, WI: Division of Public Health, Wisconsin Department of Health Services.

2034. National Pcep Meeting White Paper (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
      May 05, 2014 - We simply do not have enough nurses, doctors, behavioral health people, or case managers to handle the … Everybody’s talking about population health. – Denise Koo, MD, MPH Senior Advisor for Health Systems, … A health care cooperative extension service: transforming primary care and community health. … Health extension in New Mexico: an academic health center and the social determinants of disease. … Health extension: role in primary care and community health.

2035. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - and specialty journals in medicine, nursing, and pharmacy, as well as human factors, informatics, health … The distinction between “patient safety” and “health care quality” is by no means clear and is, to … To err is human: Building a safer health system. … Qual Saf Health Care 2006; 15: 174-178. 3. AHRQ Morbidity and Mortality (M&M) Rounds on the Web. … Making health care safer: A critical analysis of patient safety practices.

2036. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
      February 01, 2017 - Slide 3: Model for Improving Care Say: Quality improvement work in health care requires multiple … Outcome measures are high-level clinical or financial results that concern health care organizations.

2037. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
      December 01, 2017 - Slide 23 Population Health Improvement Image: The outline of the state of West Virginia with a … Slide 88 Funding Prepared by the Health Research & Educational Trust of the American Hospital Association

2038. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
      March 01, 2017 - HHSP233201500022I/HHSP23337002T Prepared by: MedStar Health Research Institute Kelly Smith, Ph.D … Overview of a formal scoping review on health system report cards. … J Health Serv Res Policy 2013;19(1):34-41. DOI:10.1177/1355819613500664. 17. … Department of Health and Human Services; 2015. … Qual Saf Health Care 2009;18(6):424-8. doi:10.1136/qshc.2009.036954.

2039. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - Nursing in Women’s Health. 2008 Jun;12(3):208-15. … NW Update in OBGYN and Women’s Health, Portland, Oregon, October 21, 2006. … Oregon Women’s Health Policy Summit, Portland OR October 20, 2006. … AHRQ Patient Safety and Health IT 2nd Annual Conference, Washington, DC, June 2006. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

2040. Meeting Minutes, July 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
      November 01, 2016 - The agency developed an Integration Playbook, or how-to guide ( also online ), for integrating behavioral … health and primary care. … employees who are enrolled in health insurance at establishments that offer health insurance. … The public wants the best doctors, hospitals, nursing homes, home health agencies, health plans, and … health plan best for themselves.