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3521. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
      July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Matern Child Health J (2017) 21:187–198 DOI 10.1007/s10995-016-2108-8 What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study Anna L. Christe…

3522. AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
      March 01, 2025 - AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide SURVEYS ON PATIENT SAFETY CULTURE NURSING HOME SURVEY 2.0: USER'S GUIDE PATIENT SAFETY SURVEYS ON PATIENT SAFETY CULTURE NURSING HOME SURVEY 2.0: USER’S GUIDE AHRQ Surveys on Patient Safety Culture Nursing Home Survey V…

3523. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
      October 01, 2019 - Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid Section 1. Basic Measure Information 1.A. Measure Name …

3524. CHIPRA 209 Report: Neonatal Intensive Care Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
      June 01, 2019 - CHIPRA 209 Report: Neonatal Intensive Care Outcomes 1 Neonatal Intensive Care Outcomes Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care Outcomes 1.B. Measure Number 0209 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it meas…

3525. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
      January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I e SURVEYS ON PATIENT SAFETY CULTURE®(SOPS)® Nursing Home Survey: 2025 User Database Report Surveys on Patient Safety Culture® PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety Cultu…

3526. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
      January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I e PATIENT SAFETY Ambulatory Surgery Center Survey: 2023 User Database Report SURVEYS ON PATIENT SAFETY CULTURE® (SOPS)® Surveys on Patient Safety Culture® [This page is intentionally left blank] S…

3527. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - You may want to use tool 1B, Key Stakeholder Analysis, to identify individuals and departments that

3528. 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 - Improving Healthcare Safety by Enhancing Medication Safety AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Medication Safety Overview Medication safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse drug events (ADEs) i…

3529. Webinar Lean Redesigns-Slides
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
      March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Presenter: Dorothy Hung, Ph.D., Associate Scientist Palo Alto Medical Foundation Research Institute Moderator: Michael Harrison, Ph.D., Senior Social Scientist Center for Delivery, Organization, and Markets, AHRQ Discussant: Arlene Bierman…

3530. HHOI Team Leader Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-hhoi-team-leader-survey.pdf
      May 13, 2022 - HHOI Team Leader Survey Page 1 HHOI Team Leader Survey Please complete the survey below. Thank you! The purpose of this survey is to evaluate clinic level characteristics among teams participating in the Heart Healthy Ohio quality improvement initiative. Participation in this survey is voluntary and it is free…

3531. Quality Improvement Change Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/qica-healthy-hearts.pdf
      June 02, 2025 - Quality Improvement Change Assessment Quality Improvement Change Assessment © 2016 Healthy Hearts Northwest. This project is supported by grant number R18HS023908 from the Agency for Healthcare Research and Quality. This is an abbreviated version of the Safety Net Medical Home Initiative, Patient-Centered Medical H…

3532. AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
      July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable Hospital and ED Visits Reports Note: This part of the training consists of interactive exercises and does not have any associated slides. Introduction Say: Yesterday you were introduced to the compon…

3533. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…

3534. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Why Choose a CUSP Approach? ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Why Choose a CUSP Approach? SAY: Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…

3535. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science References Previous Page   Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…

3536. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
      July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Patient and Family Engagement for Perinatal Safety Say: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…

3537. AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postop-csection.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Postoperative Cesarean Section Complication In Situ Simulation Sample Scenario for Postoperative Cesarean Section Complication In Situ …

3538. AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Purpose of the tool: The Umbilical Cord Prolapse …

3539. Sample Scenario for Umbilical Cord Prolapse In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
      July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…

3540. Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
      January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from North Carolina’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (…