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3361. Teach-back: Interactive Module Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
      January 01, 2013 - Info Point 8: Foster an office culture around teach-back that helps patients and their families feel

3362. Voluntary Hospital Coalitions 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/vol3/Rask.pdf
      January 01, 2004 - hospital in a rural area of the State, implemented executive walkarounds, which focused on creating a culture

3363. 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.

3364. 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

3365. 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.

3366. 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

3367. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - in Hospital Quality and Safety Preventing Falls in Hospitals Hospital Survey on Patient Safety Culture

3368. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - Safety culture probably remains a problem without resolution, in which case the investigation should

3369. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - Ultimately, the success of any protocol depends on the culture of safety that surrounds it.

3370. 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…

3371. 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…

3372. 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…

3373. 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

3374. 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].

3375. 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

3376. 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

3377. 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

3378. 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.

3379. 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

3380. 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