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www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement
Executive Summary
Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
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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 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Health IT in the triage area could
trigger different decision‐making that would allow these patients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Health IT in the triage area
could trigger different decision‐making that allows these patients to be
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www.ahrq.gov/sites/default/files/2024-07/ferguson2-report.pdf
January 01, 2024 - videoconferencing would have
facilitated the triage process, provided additional information for clinical decision … making for
evacuation, and allowed the MFM Center staff to provide more support to the clinical staff
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals
Improving Patient
Safety Systems for
Patients With Limited
English Proficency
A Guide for Hospitals
The authors of this guide are responsible for its content.
The opinions expressed in this document are thos…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes
Intravenous Infusion Safety Initiative: Collaboration,
Evidence-Based Best Practices, and “Smart”
Technology Help Avert High-Risk Adverse…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
November 2018 https://www.ahrq.gov/sops/index.html 1
Understanding SOPS Surveys: A Primer for New Users
October 23, 2018 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety C…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
Overuse of Imaging for the Evaluation of Children with
Post-Traumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
1.B. Measure Num…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - consisting of 10 field-based physicians, supports the PBM and serves as
one of two national formulary decision … making committees in VHA.
-
www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Chapter 4
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Appendix. Disability Primer
Definition of Disability and Goals of Rehabilitation
The Rehabilitation Act of 1973, as amended, defines an individual with a disability as
any person who (i) has a physical or mental impairm…
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - Learn Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The ‘Learn About CUSP’ module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to pati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back
Implementation
Quick Start Guide
Teach-Back
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is Teach-Back? .....................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Identifying_Areas_to_Improve_2012_03_01_Transcript.pdf
January 01, 2012 - Identifying Areas to Improve
Identifying Areas to Improve
March 2012 Podcast
Speaker
Donna Farley, Senior Health Policy Analyst and Co-lead, RAND CAHPS Team
Moderator
Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy, Saint
Vincent College
Presentation A…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
April 01, 2025 - PowerPoint Presentation
Why Choose a CUSP Approach?
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program for MRSA Prevention |
Why Choose a CUSP Approach?
1
Educational Objectives
D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Physician and Staff Engagement
SAY:
Today, we will give you an overview of physician and staff engagement.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to identify the imp…
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www.ahrq.gov/cpi/about/mission/strategic-plan/CHStratPlan.html
December 01, 1999 - Strategic Plan: Children as a Priority Population
Describes AHRQ's Strategic Plan goals and objectives for including children in research as a priority population.
Vision
To establish the Agency for Healthcare Research and Quality (AHRQ) as one of the Nation's key public organizations for improving the qual…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013)
Webinar Transcript
Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator:
This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, December 10th, 2013, scheduled for 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding; we now have our speake…