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  1. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
    September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …
  2. www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) Contents On Page 1 of 2: 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle On Page 2 of 2: 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives Re…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
    July 01, 2016 - what you enter in the EMR will need to be complete and the vendor will need to program the reports correctly
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
    January 01, 2016 - Implementation Measurement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.7 Implementation Measurement What is the purpose of this tool? The purpose of the implementation measurement tool is to provide a format in which you can determine if best practice …
  5. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
    April 01, 2023 - Strategy 6H: Tools To Help Patients Communicate Their Needs Contents 6.H.1. The Problem 6.H.2. The Intervention    6.H.2.a. Record Sharing    6.H.2.b. Patient Question Lists (a.k.a. Doc Talk Cards)    6.H.2.c. Feed Forward    6.H.2.d. Coached Care References   Download Strategy 6H: Tools …
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes Case Studies These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program. Select for more AHRQ Impact Case Studies . Contents New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
    January 01, 2016 - Implementation Measurement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.7 Implementation Measurement What is the purpose of this tool? The purpose of the implementation measurement tool is to provide a format in which you can determine if best…
  8. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
    October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Slide Presentation Slide 1: Best Practices in Pressure Injury Prevention ADD Hospital Name Module 3 Slide 2: Best Practices Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…
  9. www.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
    March 01, 2021 - Blood Pressure Control Evidence and Resources High blood pressure is a major risk factor for heart attack, heart failure, stroke and chronic kidney disease. High blood pressure is very common, affecting about 30 percent of adults in the United States. In 2013, high blood pressure was the main or a contributing…
  10. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  11. www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…
  12. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Chapter 3. Linking With a Community Partner Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Ch…
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
    January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Appendix A—Overall Results by Community Phar…
  14. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
    July 01, 2023 - Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…
  15. 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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
    January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
    March 01, 2016 - We've got a question that I think if I understand it correctly is asking about as you increased your
  18. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare…
  19. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…

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