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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary
Executive Summary
Spreading Lean: Taking Efficiency
Interventions in Health Services Delivery to
Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
References
Previous Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Adverse Drug Events
Aspden P, Wolcott J, Bootman JL, et al. P…
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www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/building-state2.html
October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary
Meeting Sessions and Takeaways
Previous Page Next Page
Table of Contents
Building State Cooperatives for Healthcare Improvement: Meeting Summary
Introduction
Meeting Sessions and Takeaways
Appendix A: Meeting Agenda
Appe…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 4. Results and Key Findings
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapt…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Making the Case That Improving Antibiotic Use Is a Patient Safety Issue
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making the Case That Improving Antibiotic Use Is a Patient
Safety Issue
Acute Care
Slide Title and Commentary Slide Number …
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Assessment of the Resident With a Suspected Respiratory Tract Infection
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Assessment of the Resident With a Suspected Respiratory Tract Infection
Long-Term Care
SAY:
Thank you for joining us. This…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Describe the rationale for the use of c…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features
Evaluation Highlight No. 8
Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children?
Evaluation Highlight No. 11
Authors: Grace Anglin and Mynti Hossain
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Qua…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
3. Building and Maintaining a Network of Primary Care Practices
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
November 01, 2023 - Recovering After Emergency Gallbladder Surgery
Recovering After
Emergency Gallbladder
Surgery
e
Recovering After Emergency
Gallbladder Surgery
Patient Name __________________________________________________________________
Surgeon Name _________________________________________________________________
…