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2861. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/medlist.html
      October 01, 2022 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Create a Safe Medicine List Together "A lot of times patients come in and say, "I take a white pill or I take a purple pill or a green pill" and I have no idea what it is or how much they are taking. This strategy hel…

2862. AHRQ’s Recent Investments in Primary Care Research (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/ncepcr-at-a-glance-2024-annual.pdf
      January 01, 2024 - AHRQ’s Recent Investments in Primary Care Research Catalyze innovative primary care research Communicate important primary care findings Coordinate primary care research activities across AHRQ Curate & synthesize primary care research across HHS Cultivate a diverse primary care research workforc…

2863. Bridging Gaps and Uniting Partners to Improve Primary Care in the Commonwealth of Virginia | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/about/impact-stories/bridging-gaps.html
      April 01, 2025 - Bridging Gaps and Uniting Partners to Improve Primary Care in the Commonwealth of Virginia AHRQ Impact: The Agency for Healthcare Research and Quality’s (AHRQ’s) investment in Heart of Virginia Healthcare (a regional cooperative participating in the EvidenceNOW: Advancing Heart Health Initiative) l…

2864. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
      November 24, 2020 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study

2865. Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
      December 01, 2017 - Identify gaps—in clinician engagement. Get specific—what specifically is happening in the ED?

2866. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
      July 01, 2025 - Assessing Biases in Medical Decisions via Clinician and AI Chatbot Responses to Patient Vignettes.

2867. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
      January 01, 2004 - communication from another office, mistimed procedures, medication errors, and involvement of the treating clinician … These codes include communication problems based on language barriers, clinician judgment, and lack

2868. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
      February 01, 2017 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Say: This module introduces and provides evidence for the lung protective…

2869. Final Progress Report: Improved Patient Safety with Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
      January 01, 2024 - In turn, as several reviews have shown, reminders change clinician behavior to improve delivery of chronic

2870. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

2871. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
      January 01, 2004 - communication from another office, mistimed procedures, medication errors, and involvement of the treating clinician … These codes include communication problems based on language barriers, clinician judgment, and lack

2872. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
      January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD Abstract In October 2003, the Quality and Safety Research…

2873. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…

2874. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
      October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Slide 2: On-Time Fall…

2875. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Slide 2: On-Time Pressure Ulcer…

2876. Affinity-Details-Improving-Support-Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-improving-support-women.pdf
      May 01, 2021 - EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1 AFFINITY GROUP DETAILS AT-A-GLANCE Title Improving Support for Women that Need Cardiac Rehabilitation March 25, 2021 Purpose • To provide practical suggestions for how CR programs can better support women eligible for CR; both…

2877. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
      October 01, 2016 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making SAY: Today we are introducing you to new tools to help improve communication and help prescribing clin…

2878. CHIPRA 136: Section 2 Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-section-2-tech-specs.pdf
      January 01, 2012 - CHIPRA 136: Section 2 Technical Specifications MEASURE 1 A. Description This measure characterizes care that precedes Emergency Department (ED) visits with asthma for children ages 2-21 who can be identi…

2879. Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
      January 01, 2018 - Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from South Carolina’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (…

2880. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
      July 01, 2018 - Visit(s) to a primary care clinician with a primary or secondary diagnosis of asthma that occurred … available primary care after hours) or to family (e.g., prefer the ED over an available primary care clinician … can be interpreted as a sign of poorly managed asthma and potentially a failure of the primary care clinician … another aspect that may relate to the issue of communication and relationship between the primary care clinician … care involvement may include having an identified site of regular care, an identified primary care clinician