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41. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

42. Information to Help Hospitals Get Started | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/howtogetstarted/index.html
    December 01, 2017 - Strategy 3: Nurse Bedside Shift Report Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning Page last reviewed December 2017 Page originally created

43. Re-Engineered Discharge (RED) Toolkit | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
    April 01, 2023 - Cut Readmissions, Promote Patient Self-Management Case Study: AHRQ's RED Toolkit Inspires Improved Patient … Discharge at Nacogdoches Memorial Hospital Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions

44. Information to Help Hospitals Get Started (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
    May 21, 2013 - Available at: http://www.caretransitions.org/ Your Discharge Planning Checklist This checklist from the

45. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
    December 01, 2017 - Strategy 4: IDEAL Discharge Planning helps reduce preventable readmissions by engaging patients and

46. Practice Improvement | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/coronavirus/practice-improvement.html
    July 01, 2022 - SHARE: More topics in this section AHRQ COVID-19 Resources Long COVID Practice Improvement Health Systems Research Data and Analytics Research Grant Awards Publications and Resources What's New Practice…

47. Strategy 3: Nurse Bedside Shift Report | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
    December 01, 2017 - Strategy 2: Communicating to Improve Quality Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning Information to Help Hospitals Get Started Page last reviewed

48. The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model. Table 17 | PCMH Resource Center
    pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model-table-17
    March 01, 2013 - team meetings HBPC team coordinates patient care across all settings, and is involved in hospital discharge … planning 24-hour contact for patients Mandatory annual performance improvement plan; quarterly medical

49. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
    October 01, 2014 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

50. RED Discharge Preparation Workbook (pdf file)
    pcmh.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
    February 14, 2013 - RED Discharge Preparation Workbook 1 RED Discharge Preparation Workbook Patient Name _________________________ MRN ________________ DOB ______________ Room # ______________ Date of admission ______________ Language preference Interpreter/Translation Needed (Y/N) Spoken communication Writt…

51. Staff Training Classroom Slides | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepslstafftrain.html
    July 01, 2018 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

52. Designing and Delivering Whole-Person Transitional Care | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/resource/guide/index.html
    June 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

53. Strategy 1: Working With Patients and Families as Advisors | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
    December 01, 2017 - Strategy 3: Nurse Bedside Shift Report Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning Information to Help Hospitals Get Started Page last reviewed

54. Citations Database Definitions | PCMH Resource Center
    pcmh.ahrq.gov/page/citations-database-definitions
    care organizations, medical neighborhoods, incentivizing specialists, and hospital transitions and discharge … planning.

55. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - In addition, the network helps provide social services such as discharge planning.

56. Strategy 2: Communicating to Improve Quality | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
    December 01, 2017 - Strategy 3: Nurse Bedside Shift Report Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning Information to Help Hospitals Get Started Page last reviewed

57. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

58. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2013 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

59. Patient Safety Tools | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - quality, implementing nursing bedside change of shift report, and engaging patients and families in discharge … planning.

60. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/diagnostic-safety/tools/index.html
    March 01, 2024 - Engage patients and families in discharge planning throughout the hospital stay.