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3301. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
      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 & …

3302. Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
      April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Discussion Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Intro…

3303. AHRQ's Safety Program for Nursing Homes | Agency for Healthcare Research and Quality
      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…

3304. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
      October 01, 2017 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Slide Presentation Slide 1: How To Implement the Pressure Injury Prevention Program in Your Organization ADD Hospital Name here Module 4 Slide 2: What We Have Done Thus Far Up to this point, you have: Look…

3305. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
      July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…

3306. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Evaluation of Measures in the Scan Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Met…

3307. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=4
      June 12, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

3308. Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
      January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork Agency for Healthcare Research and Quality Modeling Risk and Reducing Liability through Better Communication and Teamwork FINAL REPORT April 2012 Presented to: James Battles Agency for Healthcare Research and Quality …

3309. 162-Example-Completed-Learning-Defects-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool - Example ICU & Non-ICU Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed. What is a defect? A defect is any cli…

3310. Pelvic Floor Therapy Exercise Handout (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pelvic-floor-therapy-handout.pdf
      June 02, 2025 - Pelvic Floor Therapy Exercise Handout ``` Pelvic Floor Therapy Exercise Handout EMPOWER Team – University Hospitals of Cleveland This project was funded under grant numbe…

3311. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide-references.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement References Previous Page   Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Background and Introduction 2. Deve…

3312. Competencies To Improve Diagnosis in Health Professions Education  | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Competencies To Improve Diagnosis in Health Professions Education  Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosi…

3313. Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
      June 01, 2017 - Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program Amplify Your Impact on Child Health Care Quality: Webinar Learning from the CHIPRA Quality Demonstration Grant Program February 11, 2016 22 Agenda • Welcome and introductions: Renee Fox, CMS, and…

3314. Associations Between Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Christensen-presentation.pdf
      June 16, 2015 - Associations Between Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children Associations Between Practice- Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children Presentation at the AcademyHealth Annual Research Meeting Minneapolis, MN …

3315. 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 - Note:  "Ambulatory care" includes visits to office-based physicians, hospital outpatient departments, … and hospital emergency departments Importance: Adverse effects of medical care can arise from medical … treating adverse events in outpatient settings may include office-based physicians, hospital outpatient departments … , and hospital emergency departments. … their asthma is controlled with routine care and education, they are less likely to visit emergency departments

3316. ICU Assessment Response Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
      April 01, 2022 - In addition, guidelines recommend that senior management assure adequate staffing of departments that … Are those departments inserting urinary catheters using the most updated evidence? … If not, CUSP teams need to consider sharing this evidence with those departments and engaging them in

3317. Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
      July 07, 2023 - Clinical Assistant Professor, Departments of Internal Medicine, Pediatrics, and Learning Health Sciences … Assistant Professor, Departments of Learning Health Sciences, Internal Medicine, Urology, and Information … access to primary care) or when in need (e.g., urgent care that may result in overuse of emergency departments

3318. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - They can be used to assess individual units or departments or can be administered organization wide. … Is the SOPS Ambulatory Surgery Center Survey applicable to hospital outpatient departments? … affiliated with a hospital and the  SOPS Hospital Survey  may best suit the needs of hospital outpatient departments

3319. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - These settings include practitioner offices, clinics, outpatient departments of hospitals, large or small … group practices, community health centers (CHCs), emergency departments, diagnostic imaging centers, … Focus Area(s): ADEs for pediatric patients in ambulatory settings, emergency departments, and transitions

3320. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - Initial pilot testing of huddles occurred within two departments: radiology and laboratory services. … specific units served as pilot areas for pre- and post-data collection, it was necessary to involve all departments … In addition, we integrated the perspectives of other disciplines/departments by eliciting their participation