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  1. 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…
  2. 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 …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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 …
  8. 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…
  9. 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…
  10. References (pdf file)

    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, …
  11. 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 …
  12. 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…
  13. 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…
  14. 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 …
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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