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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/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - Lessons from the Field: Identifying Measurement Challenges and Successes
Lessons from the Field: Identifying
Measurement Challenges and Successes
Prepared for the Agency for Healthcare Research and Quality by L&M
Policy Research, LLC with guidance from the Pediatric Quality Measure
Program (PQMP) Grantees
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
1
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Hospital
Associate Clinical Professor of Medicine
University of Co…
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
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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/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles
Slide Presentation
Slide 1
CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality I…
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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/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
2
L&D Unit Safety Tools
The Labor and Delivery…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Magnesium Sulfate
Safe Medication Administration—Magnesium Sulfate
Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
October 23, 2013 - References
References
1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY,
Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission
prevalence and variability across hospitals. JAMA. 2013;309(4):372–380.
2. Pelletier AJ, Mansbach JM, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - Presentation: Program Overview
Introduction to Daily Care Processes:
Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials,
and Head of Bed Elevation
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-42-EF
January 2017
Intro to Daily Care Processes ‹#›
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
January 01, 2013 - Teach-back: Interactive Module Slides
1 Teach-back Interactive Module
Teach-back
1.1 Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in
Effective Clinician-Patient Communication
2 Teach-back Interactive Module
1.2 AHRQ
Sponsored by the Agency for Heal…
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations
FINAL PROGRESS REPORT
1. TITLE PAGE
Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for
Disease Control Guideline (CDC) guideline in the primary care HIV clini…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap
2. Priority Questions and Recommendations
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Evaluation Roadmap
Executive Summary
1. Introduction and Purpose
2. Priority Questions and Recommendations
3. Conclusion
…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Executive Summary
Previous Page Next Page
Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
6. Implementation
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidence of Dispari…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4
Video-Based Simulation:
Facilitator Guide
Mutual Support
Task Assistance
TeamSTEPPS Training Curriculum
This page intentionally left blank.
3
Table of Contents
SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4
TeamSTEPPS 4
V…
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe)
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Can We Talk? Priorities for Patient Care Differed Among Health Care Providers
5
Can We Talk? Priorities for Patient Care
Differed Among Health Care Providers
Bradley Evanoff, Patricia Potter, Laurie Wolf, Deborah Grayson,
Clay Dunagan, Stuart Boxerman
Abstract
Objective: Poor communication and collabora…