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3321. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
      January 01, 2024 - paper was published in JAMA (2003;289:1001-1007), was widely covered in the media, and was awarded the Best

3322. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - Joe and Barbara did the best they could.”

3323. Learn From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
      December 01, 2017 - We obviously couldn’t change the way our surgeons worked best.

3324. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Joe and Barbara did the best they could.”

3325. Advancing Patient Safety Through Diagnostic Excellence (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
      June 01, 2025 - Even the best communicators and diagnosticians can fall short when they are faced with a huge patient

3326. Section 1: Planning a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
      October 01, 2014 - States should consider relevant components from multiple States and develop a care management program best

3327. Discussion of Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/findings.html
      March 01, 2017 - –260 Evidence of the impact of tools to support question asking is suggestive and case based at best

3328. Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
      January 01, 2024 - However, they do not provide insight into the best path forward for CP patients who are already prescribed

3329. Redesigning Primary Health Care Teams for Population Health and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
      November 01, 2017 - organizationwide senior leadership, flexibility for teams to adapt to workflows that suited their needs best

3330. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
      December 01, 2017 - , Tribal, and Urban Indian health programs. 2 Using current scientific research and evidence-based best

3331. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - A clinical decision support system may evolve to incorporate new evidence regarding best treatment

3332. Meeting Minutes, March 27, 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
      July 01, 2015 - Schwartz cited the need to identify best practices. Ann L.

3333. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
      May 01, 2016 - It sponsors collaborations to improve data quality, establishes best practices, and more.

3334. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - As more small- and medium-size primary care environments share best practices and qualitative information

3335. A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
      November 01, 2017 - based on pilot testing and the following findings: · While both pilot sites reported using many of the best … Clarifier to the respondent: These could be lessons learned about best practices in using the toolkit

3336. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
      December 01, 2017 - on pilot testing and the following findings: ■ While both pilot sites reported using many of the best … Clarifier to the respondent: These could be lessons learned about best practices in using the toolkit

3337. Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf
      January 01, 2024 - This probably works best for the management of patients with one or only a few health conditions. … Annual Health Research Forum (April 16th, Waco, TX). 3) Personalized Health Risk Assessment - The Best

3338. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - Understanding the context is best done through observations of normal work flow in the environment where … Communication ■ Did all caregivers have access to all pertinent information needed to make the best

3339. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - We used absolute rather than relative rating scales: ratings were based on the observers’ best-trained … 0.9 8.4 ± 0.7 7.1 ± 1.9 8.0 ± 1.1 8.1 ± 1.0 8.1 ± 1.1 Ratings on a 10-point scale from 0=worst to 9=best

3340. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - A JAMA article described a systematic evidence review of the best evidence available on maternal outcomes … Our goal was to refocus attention on routine episiotomy by systematically reviewing the best evidence