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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 & …
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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…
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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
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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 …
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
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e
Issue Brief 15
Strategies for I…
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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…
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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
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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…
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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…
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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…