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1981. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators. How to use this tool: Use the Communication Assessment Guid…

1982. How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
      September 08, 2015 - How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for chil…

1983. Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
      January 01, 2024 - Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network Risk Assessment of the Testing Processes of Access Community Health Network Milton “Mickey” Eder, Ph.D., PI John Hickner, M.D., M.Sc., Co-Investigator Nancy Elder, M.D., Co-Investigator Sandy Smith, Ph.D., Co-Inve…

1984. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
      January 01, 2024 - Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care Title of Project: Prescribing Errors in Ambulatory Pediatric Care Principal Investigator and Team Members: Basco, William T. = PI Simpson, Kit = Mentor Hulsey, Thomas = Mentor, Director of Masters Degree Program Ebeling, Myla = Co-investig…

1985. A Tale of Three Practices: How Medical Groups are Improving the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
      July 01, 2011 - A Tale of Three Practices: How Medical Groups are Improving the Patient Experience 1 CASE STUDY A Tale of Three Practices: How Medical Groups are Improving the Patient Experience July 2011 Introduction Medical practices are facing increasing pressure to improve their patient experience survey scores…

1986. Preventing CAUTI in the ICU Setting: Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
      September 01, 2015 - Preventing CAUTI in the ICU Setting: Transcript Preventing CAUTI in the ICU Setting Transcript AHRQ Safety Program for Reducing CAUTI in Hospitals AHRQ Pub No. 15-0073-4-EF September 2015 Contents Module 1: Overview .............................................................................................…

1987. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…

1988. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
      July 01, 2023 - Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and …

1989. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
      July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation Implementing the  SPPC-II Teamwork Toolkit Module 7 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork Toolkit. In this module, we’ll discuss tactics and plannin…

1990. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary…

1991. Video-Transcript-Spanish (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
      June 02, 2025 - ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud ) Módulo 3: Potenciación del personal . Transcri…

1992. 0129Table8 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
      January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…

1993. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 2. ST-PRA Development Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-…

1994. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
      January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children 213 Methodological Challenges in Describing Medication Dosing Errors in Children Heather McPhillips, Christopher Stille, David Smith, John Pearson, John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis Abstract Alth…

1995. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors 333 Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino, Sandra A. McDougal, Joann M. Pilliod…

1996. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

1997. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…

1998. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
      January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…

1999. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - Savage University of Missouri Columbia, Missouri R03 HS16789 [Grant] Workarounds: Developing Definitions … anesthesia providers’ decision making, the impact of flow disruptions during neonatal resuscitation, definitions

2000. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 6. Horizon Hospital—Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Centra…