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3341. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
      August 01, 2013 - We’re changing that culture and identifying and flagging.

3342. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
      January 01, 2024 - Perceptions of Patient Safety Culture: A Practical Approach to Developing Performance Improvement.

3343. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
      January 01, 2024 - coherent domains: physical environment, equipment, triage & monitoring, staffing, nursing, teamwork, culture

3344. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - This requires a culture where frontline providers feel comfortable speaking up and have confidence their

3345. Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-os-linkage-techdoc-rev.pdf
      January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Outpatient Site Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. De…

3346. Attention Deficit Hyperactivity Disorder Performance Measurement Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
      February 01, 2012 - Attention Deficit Hyperactivity Disorder Performance Measurement Set Attention Deficit Hyperactivity Disorder Performance Measurement Set Supported by AHRQ/CHIPRA-PQMP Proposed by the ADHD Expert Work Group (listed in Appendix A) In collaboration with the Pediatric Meas…

3347. Measure 1, Section 2, Attachment 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
      February 01, 2012 - Measure 1, Section 2, Attachment 1 Attention Deficit Hyperactivity Disorder Performance Measurement Set Supported by AHRQ/CHIPRA-PQMP Proposed by the ADHD Expert Work Group (listed in Appendix A) In collaboration with the Pediatric Measurement Center of Excellence (PM…

3348. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - health care safe, we need to redesign our systems to make errors difficult to commit and create a culture … The VHA emphasizes a culture of safety and focuses its patient safety initiatives and reporting on systems

3349. Case Example #2: The Health Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
      July 01, 2019 - threshold: 13% 151–200% of poverty threshold: 6% Unknown/not reported poverty threshold: 65% Cultural … backgrounds range from Scottish, Irish, and French backgrounds to Native Americans residing in Vermont

3350. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - This was not always so easy here but we have worked hard to implement TeamSTEPPS and the culture of … Facilitator: It’s wonderful to hear about such a change in facility culture, Joanie [DON].

3351. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning

3352. Impguide2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
      September 08, 2015 - The wraparound process demonstrates respect for and builds on the values, preferences, beliefs, culture

3353. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - patient safety outcomes in addition to the patient characteristics in our model, such as patient safety culture … Hypertensive patients' race, health beliefs, process of care, and medication adherence.

3354. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - By intent, this list of serious reportable events is relatively short, based on the belief that a short … Moreover, using reports to perpetuate a culture of blame will assuredly discourage reporting.12 Consumers

3355. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - patients who are hospitalized more than once in a 6-month period helps identify their perceptions and beliefs … resources issues, information management issues, environmental management issues, leadership issues – culture

3356. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - Using Patient Complaints to Promote Patient Safety Using Patient Complaints to Promote Patient Safety James W. Pichert, PhD; Gerald Hickson, MD; Ilene Moore, MD, JD, FCLM Abstract Patients can help promote safety and reduce risk in several ways. One is to make known their concerns about their health care e…

3357. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
      September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans Primary Care Practice Facilitation Curriculum Module 20: Creating Quality Improvement Teams and QI Plans Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

3358. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - To help hospitals prevent catheter-associated urinary tract infections (CAUTIs) and improve safety culture … help hospitals prevent central line-associated bloodstream infections (CLABSIs) and improve safety culture … medical offices, 2014 Source: Westat analysis of the AHRQ 2014 Medical Office Survey on Patient Safety Culture … medical offices, 2014 Source: Westat analysis of the AHRQ 2014 Medical Office Survey on Patient Safety Culture

3359. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - observed that many of the world’s intractable social problems stemmed from distorted thinking, fixed beliefs … University Extension Systems.31 Combining relative advantage, compatibility with current processes and beliefs … be sustained in an organization: (1) staff including leadership, (2) organizational structure and culture … mixed teaching methods, adequate curricular time to finish a project, and a supportive institutional culture

3360. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
      March 01, 2020 - Chartbook on Women's Health Care: Slide Presentation 2014 National Healthcare Quality & Disparities Report Contents Introduction Summary Tables Access to Health Care Patient Safety Person-and Family-Centered Care Communication and Care Coordination Effective Treatment of Leading Causes of Morbid…