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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - From a public health standpoint, CAUTIs pose another risk, namely that their frequency leads to additional
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract … Department of Health and Human Services. … Facilities
18 Food Services
19 Housekeeping, Environmental Services
20 Information Technology, Health … Obstetrics & Gynecology
10 Oncology, Hematology
11 Pediatrics (including NICU, PICU)
12 Psychiatry, Behavioral … Management
25 Financial Services, Billing
26 Human Resources, Training
27 Information Technology, Health
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - American Hospital Association (AHA)/Health … (ABQAURP) and American Hospital Association (AHA)/Health
Research and Education Trust (HRET). … Medicine at The
University of Vermont
Laura Lui, MS
EHR Manager at County of Santa Barbara
Public Health
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www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
January 01, 2024 - Purpose & Scope
Hospital-associated infections are major problems that not only affect patient health … aimed at mitigating
their risk.
8
Publications
Conferences:
6th International Conference on Health … Conference Proceedings at the 19th Annual Society for Health Systems Conference at
New Orleans, LA,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Centers for Disease Control and Prevention, National
Center for Health Statistics. … Health Serv Res
2011;46(5):1517-33. https://www.ncbi.nlm.nih.gov/pmc/
articles/PMC4020723/. … Health
Literacy Universal Precautions Toolkit, 2nd ed. … Health
Literacy Universal Precautions Toolkit, 2nd ed. … NYC Health (New York City Department of Health and
Mental Hygiene).
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - Improving Health Care Response to Obstetric Hemorrhage (California Maternal Quality Care Collaborative … Adolescent Health Division. … Washington, DC: Association of Women’s Health, Obstetric, and Neonatal Nurses; 2012. … J Midwifery Womens Health 2010 Jan-Feb;55(1):20-7. PMID: 20129226. … Association of Women’s Health, Obstetric and Neonatal Nurses.
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - Health Policy
2010;94(3):183-195.
5. Eppich W, Howard V, Vozenilek J, Curran I. … Development of an attitudes toward
health care teams scale. … BMC Health
Serv Res 2006;6:44. … Qual Health Res 2016;26(13):1802-1811.
40. Hollnagel E. … BMC Health Serv Res 2013;13(1):494.
44. Chen W, Reeves TC.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - Improving Diagnosis in Health Care. … Description Link
Improving Diagnosis in
Health Care Appendix D:
Examples of Diagnostic
Error
https … Jackson, MD
Example Health Clinic
Date:
03-05-2019
Patient Information
TeamSTEPPS® for
Diagnosis … Have you seen anyone else about your health?
� Yes
What are you worried about? … Description Link
Improving Diagnosis in
Health Care Appendix D:
Examples of Diagnostic
Error
https
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
July 08, 2025 - Harm
• Domain 2: Strategic Planning & Organizational Policy
• Domain 3: Culture of Safety & Learning Health … strategic plan with clear safety goals and metrics.
9
Domain 3: Culture of Safety & Learning
Health … • Have varied patient representation to address health outcome
discrepancies – e.g., PFAC should … Patient Safety Culture
The beliefs, values, norms,
shared by health care staff
Determines
behaviors … Harm
Domain 2: Strategic Planning & Organizational Policy
Domain 3: Culture of Safety & Learning Health
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration ( … Christiana Care Health System: Safety Mentor Program ( PDF , 501 KB )
Michele Campbell, et al. … News Media and Health Care Providers at the Crossroads of Medical Adverse Events ( PDF , 129 KB ) … Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings ( PDF , 156 KB ) … Personal Health Records to Improve Health Information Exchange and Patient Safety ( PDF , 803 KB )
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
August 01, 2021 - Chicago, IL: Health Research and Educational Trust/AHA.
Health Literacy Innovations. 2007. … Minnesota Department of Health, Office of Rural Health Primary Care. 2008. … for Health Statistics. … Linguistic disparities in health care access and health status among older adults. … Hispanic Journal of Behavioral Sciences 3:145-160.
Ratzan, S. C., and R. M. Parker. 2000.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
January 01, 2020 - The HC collects detailed data on demographic characteristics;
health conditions; health status, including … questions;
attitudes about health questions; and health status questions as measured by the SF-12 … Special Health Care Needs (CSHCN) Screener questions; children’s
general health status as measured … by several questions from the General Health
Subscale of the Child Health Questionnaire; Columbia … Impairment Scale questions
about possible child behavioral problems; and child preventive care questions
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - identify potential harm associated with antibiotic prescribing by seeking input from a diverse group of health … dispensing pharmacist(s) will have a distinct point of view, as will people from administration and allied health … Department of Health and Human Services. … Any practice described in this presentation must be applied by health care practitioners in accordance … These practices are offered as helpful options for consideration by health care practitioners, not as
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - In addition, the
ASP should engage with IT when decisions about
electronic health records and other … This may be via Web site, app,
handbook, or pocket card, or available in the electronic
health record … Department of Health and Human
Services. … • Any practice described in this presentation
must be applied by health care practitioners in
accordance … These practices are offered as
helpful options for consideration by health care
practitioners, not
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
March 01, 2011 - 365
(Post DX of ADHD)
Follow-up Day 1-365
(Post DX of ADHD)
Medical College of Wisconsin - Truven Health
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Slide 2
View Potential Harms as Opportunities
SAY:
In health care, when problems cause harm to patients … Also, a health care practitioner may write the wrong dose of an antibiotic because he or she is unaware … For example, we often embed alerts in the electronic medical system to notify a health care practitioner … In health care, we often use checklists and other protocols to standardize our actions. … Department of Health and Human Services.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
January 01, 2025 - Health IT Support. All grantees provided health IT support as part of their QI support. … EHR=electronic health record. HIE=health information exchange. HIT=health information technology. … population health. … and
tribal health clinics. … • Screened and well-managed behavioral health: Screening and addressing
depression and substance
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - Improving Diagnosis in Health Care. … Team members appropriately use all available methods of diagnostic communication (e.g.,
electronic health … Record
Outside Clinicians
ex: mental health provider
Other
Write in any other members not listed … Jackson, MD
Example Health Clinic
Date:
03-05-2019
Patient Information
TeamSTEPPS® for
Diagnosis … Have you seen anyone else about your health?
� Yes
What are you worried about?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Author Affiliations
Fairview Health Services (Dr. Davis, Ms. … Miller); Division of Health Policy and Management,
School of Public Health, University of Minnesota … Medical
team training programs in health care. … Qual Saf Health Care 2004; 13: i51-i56.
15. Northam G. … Qual Saf Health
Care 2003; 12: ii2-ii7.
23. Marx DA, Slonim AD.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - Can you explain to me…”
Info Point 3: “Your inhaler is important for your health. … Health Educ Behav 2013 40(5):603-611
5. Hancock K, Clayton JM, Parker SM, et al. … Health Aff 2013 Feb 1;32(2):207-14.
8. Keulers BJ, Scheltinga MR, Houterman S, et al. … Teaching about health literacy and clear communication. … Reducing the effects of low health literacy. Virtual Mentor 2003 Jun 1;5(6).
12.