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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - How are CHIPRA quality demonstration States improving perinatal care?
Evaluation Highlight No. 12
Authors: Ellen Albritton and Dana Petersen
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration Grant Program
In Feb…
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www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME)
Enhanced Patient Safety Intervention to Optimize Medical (EPITOME)
Carl A. Sirio, MD
Principal Investigator
Team Members:
Robert Weber, RPh, MS, Co-Investigator
Wishwa Kapoor, MD, Co-Investigator
Mark Roberts, MD, MRP, Co-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable
Hospital and Emergency Department Visits
Hospital Transfer Self-Assessment Worksheet
Purpose
The Hospital Transfer Self-Assessment Worksheet can help nurs…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - SAY:
The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model.
Slide 1
SAY:
This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects
The Science of Improving Patient Safety
and Identifying Defects
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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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/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/using-large-datasets-pcr-052323.pptx
May 24, 2023 - National Center for Excellence in Primary Care Research _x000b_Presents Using Large Datasets in Primary Care Research
National Center for Excellence in Primary Care Research
Presents Using Large Datasets in Primary Care Research
May 24, 2023
Presented by:
Yalda Jabbarpour, MD
Yong-Fang Kuo, PhD
Annie Elizabeth Lars…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
June 02, 2025 - Follow-up Practice Survey Codebook Including Core and Optional Items
Follow-up Practice Survey Codebook Including Core and Optional Items
This codebook contains optional items that at least one cooperative expressed intentions of collecting in follow-up survey administration, and thus
may be useful in selecting opt…
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www.ahrq.gov/cahps/quality-improvement/research/index.html
March 01, 2025 - Research on Improving Patient Experience
Many researchers study the feasibility and value of using CAHPS surveys to support efforts to improve patient experience in various healthcare settings. This page summarizes current and recent research funded under AHRQ’s CAHPS grants related to: Improving patient experi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - AHRQ-Funded Patient Safety Project Highlights
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Health Information Technology
and Health Information Exchange
Overview
Research has shown that health information technology (HIT)i and health information exchange (HIE)ii
make it p…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - Patient and Family-Centered Care (April 9, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association - Chicago
April 9, 2013
11:00AM Central Time
Operator: The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tue…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - Paul Tedrick
American Hospital Association - Chicago
April 9, 2013
11:00AM Central Time
Operator:
The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tuesday, April 9, 2013 at 11:00AM Central Time. Excuse me, ladies and gentlemen. We n…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - PowerPoint Presentation
SPPC-II
Toolkit
Obstetric Hemorrhage Scenarios
Safety Program for Perinatal Care II Teamwork Toolkit
AHRQ Pub. No. 23-0046
July 2023
Frontline
SPPC-II
SCRIPT
In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …