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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Use the four Learning From Defects questions to develop and sustain your improvement efforts. … Your frontline providers are working within a system that both helps and hurts their efforts. … Say:
Your safe surgery team will need to prioritize its efforts. … You need to know the numbers to drive your future quality efforts. … Frontline clinicians want to know if their efforts are paying off.
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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-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - A good understanding of the problem space provides the foundation upon
which all subsequent efforts … In our efforts to understand the nature and prevalence of departures from patient safety, it comes
as … no surprise that reporting systems and surveillance activities and efforts to improve them
continue … The present volume provides ample evidence
of this with papers on reporting systems and surveillance efforts … Strategies and efforts aimed at adverse event surveillance, creating useable taxonomies, and
addressing
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
August 01, 2015 - of these CLABSI reduction interventions and highlight challenges associated with CLABSI prevention efforts … These efforts were supported by robust practices for acquiring and developing talent that were designed … At the better sites, these development efforts were broader, seeking to enhance skills and commitment … results, (3) strong leadership at all levels, (4) infrastructure and resources to support improvement efforts … In contrast, several factors created challenges to CLABSI reduction efforts: (1) resource constraints
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-senior-checklist.docx
May 01, 2017 - Engage Patients and Family
Party Responsible
Notes
Assign a leader to oversee the facility’s efforts … patients and family members to specifically focus on surgical safety concerns and share the facility’s efforts … Focus on safety efforts, behaviors, and skills. … medical director, etc.) and any staff who provide care or services can use this tool to guide their efforts … Review each task to plan, implement, and enhance patient engagement efforts.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/methods.html
October 01, 2015 - Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhancement Efforts … The topics discussed during the calls included:
The history of State-level QI efforts before the … Results of implementation and spread efforts, including sustainability. … Through this process we learned that enhancement efforts within model States differed markedly from spread … efforts to partner States; thus, these two components are presented separately.
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www.ahrq.gov/ncepcr/reports/grants-impact/methods.html
February 01, 2017 - Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhancement Efforts … The topics discussed during the calls included:
The history of State-level QI efforts before the … Results of implementation and spread efforts, including sustainability. … Through this process we learned that enhancement efforts within model States differed markedly from spread … efforts to partner States; thus, these two components are presented separately.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - North Carolina
AHRQ’s IMPaCT grants were designed to support State-level
primary care improvement efforts … In 2006, formal efforts to align statewide primary care improvement efforts
began with the formation … –Darren DeWalt
Dissemination Efforts to Partner State
North Carolina IMPaCT spread efforts were facilitated … as AHEC efforts, such as community health worker training. … • Practice improvement efforts need to fit with practice realities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Consider the barriers for sustaining team efforts. … efforts with resources and protected time. … When planning to sustain your efforts, consider who is actively participating in team efforts and where … efforts have ceased. … Maybe no one has heard of your safety efforts.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/lessons.html
October 01, 2015 - Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhancement Efforts … Extension efforts require coordination. … Many States used the existing structure of primary care or community health improvement efforts. … Most of the efforts to spread transformation capacity were fairly informal. … All of the efforts to ascertain local needs found differences by site.
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www.ahrq.gov/ncepcr/reports/grants-impact/lessons.html
February 01, 2017 - Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhancement Efforts … Extension efforts require coordination. … Many States used the existing structure of primary care or community health improvement efforts. … Most of the efforts to spread transformation capacity were fairly informal. … All of the efforts to ascertain local needs found differences by site.
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www.ahrq.gov/evidencenow/projects/state/interim-reports.html
August 01, 2025 - challenges that grantees faced in setting up these cooperatives during the COVID-19 pandemic; their efforts … establishing cooperatives and recruiting primary care practices to participate in care improvement efforts … early and ongoing engagement with payers to ensure alignment of incentives with quality improvement efforts … The final evaluation report will examine the impacts of these efforts on improving heart health and reducing
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - North Carolina
AHRQ's IMPaCT grants were designed to support State-level primary care improvement efforts … In 2006, formal efforts to align statewide primary care improvement efforts began with the formation … –Darren DeWalt
Dissemination Efforts to Partner State
North Carolina IMPaCT spread efforts were facilitated … AHEC efforts, such as community health worker training. … Practice improvement efforts need to fit with practice realities.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
December 01, 2017 - Change
Say:
In this module, you’ll learn about using data as part of your team’s improvement efforts … results from your safety culture assessment during a safety culture debriefing to meaningfully inform efforts … It is a critical part of accelerating your team’s improvement efforts. … It can help engage the staff and invigorate their efforts. … It lets them know that their efforts are appreciated.
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www.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - AHRQ Accelerates Efforts To Advance Health Equity
Issue Number
907
AHRQ News Now is a weekly … Today's Headlines:
AHRQ Accelerates Efforts To Advance Health Equity . … AHRQ Accelerates Efforts To Advance Health Equity
During Minority Health Month, AHRQ is highlighting … To increase well-being among all Americans, the agency has accelerated efforts to reduce inequities and … AHRQ’s efforts have been informed by the Biden–Harris Administration’s commitment to advancing equity
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-berry.pdf
April 01, 2015 - Department of
Health and Mental Hygiene
AHRQ Grant Number: R18 HS019164
Overview of Transformation Efforts … Many of the practices also implemented QI efforts to improve patient
satisfaction. … Plan-Do-Study-
Act” model for improvement, the practices often used data to assess
the impact of QI efforts … More than one half of the practices implemented QI efforts to improve patient satisfaction and reported … using data to assess the impact of QI efforts.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - VTE prevention efforts can also be synergistic with efforts to increase patient activity, reduce central … Identifying why past efforts failed to produce desired results will help guide current efforts and avoid … a hospitalist may lead efforts on the floors or wards. … and their exploration of prior efforts. … Assess past efforts and barriers to implementation.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - VTE prevention efforts can also be synergistic with efforts to increase patient activity, reduce central … Identifying why past efforts failed to produce desired results will help guide current efforts and avoid … a hospitalist may lead efforts on the floors or wards. … and their exploration of prior efforts. … Assess past efforts and barriers to implementation.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - If no, and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that pressure … injuries are a significant safety concern for many reasons and that prevention efforts are needed? … If no, will you be able to measure the baseline rate before beginning your efforts and have the resources … to continue to measure monthly or at a minimum, quarterly, throughout your improvement efforts? … If no, will you be able to measure two process measures monthly throughout your improvement efforts?
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
August 01, 2015 - from organizations with less effective HAI reduction efforts? … and impact of HAI interventions, paying particular attention to the role of HPWPs in HAI reduction efforts … We chose this hospital because we knew that it had a strong focus on HPWPs and had made efforts in HAI … , identifying facilitators and barriers to these efforts, and drafting an initial analysis of the role … of HPWPs in CLABSI prevention efforts.
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www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
September 26, 2024 - • Learn to effectively tell the story of the state cooperative’s efforts and objectives to build … • Engage clinicians to ensure that the QI efforts address what they see as important for care. … • Center and embed equity in primary care and QI efforts. … Research the legislators’ priorities and align funding efforts along those priorities. … Aligning incentives, payment, and state-level resources with improvement efforts.