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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
June 02, 2025 - of the organization at both the
macro and micro levels will limit the effectiveness of improvement efforts … Targeting improvement efforts on specific clinical processes as a change strategy seems to be an
effective … have shown us a powerful way for reinforcing and sustaining patient safety
and quality improvement efforts … can and do share success stories
and improvement strategies—as well as stories about unsuccessful efforts—so
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psnet.ahrq.gov/issue/catheter-associated-urinary-tract-infection-reduction-pediatric-safety-engagement-network
July 14, 2021 - the implementation and results of catheter-associated urinary tract infection (CAUTI) prevention efforts … Prevention efforts included catheter insertion and maintenance bundles. … catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-scholle.pdf
April 01, 2015 - Health Partners Research
Foundation
AHRQ Grant Number: R18 HS019162
Overview of Transformation Efforts … Almost 70 percent of surveyed practices involved front-line
staff in improvement efforts, but only 15 … Supporting patient self-management was a key focus area
for transformation efforts across practices. … Services
• Quality & Safety
• Health Information Technology
Results of Transformation Efforts … Results of Transformation Efforts
Key Impacts of Transformation
Challenges to Transformation
Lessons
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psnet.ahrq.gov/node/50742/psn-pdf
December 18, 2019 - Prioritizing patient safety efforts in office practice settings
December 18, 2019
Kravet SJ, Bhatnagar … Prioritizing Patient Safety Efforts in Office Practice Settings. … https://psnet.ahrq.gov/issue/prioritizing-patient-safety-efforts-office-practice-settings
Few models … https://psnet.ahrq.gov/issue/prioritizing-patient-safety-efforts-office-practice-settings
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study. … Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. … https://psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study … https://psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
https
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
April 01, 2025 - Helps CUSP Facilitator and their teams develop strategies for successful patient safety improvement efforts … areas in need of performance improvement and work to engage other providers to participate in change efforts … · How can I ensure accountability to support the CUSP team to excel in improvement efforts? … need of performance improvement, prioritize safety initiatives, identify resources for improvement efforts … hinder CUSP work.
· Help the team understand the organization’s strategic goals and to align their efforts
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 02, 2025 - Helps CUSP Facilitator and their teams develop strategies for successful patient safety improvement efforts … areas in need of performance improvement and work to engage other providers to participate in change efforts … · How can I ensure accountability to support the CUSP team to excel in improvement efforts? … need of performance improvement, prioritize safety initiatives, identify resources for improvement efforts … hinder CUSP work.
· Help the team understand the organization’s strategic goals and to align their efforts
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
March 01, 2020 - For the past decade, payer and provider efforts to reduce readmissions have proliferated. … It is possible that broader PCMH-guided transformation efforts may provide an anchor for
effectively … Similarly, care transition efforts may synergize with more general
efforts aimed at promoting continuity … Several articles examined in the section about readmission reduction efforts led by payers show
the … Promising practices and efforts in smaller, independent practices.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - For the past decade, payer and provider efforts to reduce readmissions have proliferated. … It is possible that broader PCMH-guided transformation efforts may provide an anchor for
effectively … Similarly, care transition efforts may synergize with more general
efforts aimed at promoting continuity … Several articles examined in the section about readmission reduction efforts led by payers show
the … Promising practices and efforts in smaller, independent practices.
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. … What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15. … https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the … professionalism, regulation, and market forces played in shaping an
organization's patient safety efforts … https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
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www.ahrq.gov/news/newsroom/case-studies/201601.html
January 01, 2018 - "After focused efforts in 2010, CAUTIs dropped to 31 events in 96,299 patient days and rose slightly … the CAUTI rate and the catheter utilization rate have seen a steady decline since focused improvement efforts … updates for about a year to management staff about their unit's catheter use to support CAUTI prevention efforts … Efforts are also made to raise general awareness about the need to remove catheters as soon as possible … All the team efforts to improve patient safety—the daily rounding, emails, huddles, nurse-driven protocol
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/index.html
September 01, 2015 - the field:
Short profiles summarizing each project, including an overview of the transformation efforts … that were studied, summaries of the key impacts and challenges of those efforts, and the main lessons … the 14 grants, and a joint article about the importance of context in primary care transformation efforts … worked together to build a support system to assist primary care practices with their transformation efforts … The following materials have been developed to describe these efforts:
Short profiles summarizing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - The transformation efforts studied by the TPC grants varied considerably in terms of the size,
type, … Contextual factors play an important role in the success of transformation efforts. … Our team also described key outcomes of the primary care transformation efforts across the
studies, … Approaches to Transformation
The practice transformation efforts studied by the TPC investigators … Practices also used plan-do-study-act (or plan-do-
check-act) cycles for quality improvement efforts.
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psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
December 06, 2017 - Book/Report
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce … Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk … Citation
Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts … May 4, 2016
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess … July 25, 2018
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess
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psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection
September 15, 2010 - How active resisters and organizational constipators affect health care–acquired infection prevention efforts … How active resisters and organizational constipators affect health care-acquired infection prevention efforts … How active resisters and organizational constipators affect health care-acquired infection prevention efforts … 2010
The influence of organizational context on quality improvement and patient safety efforts … Resources
The influence of organizational context on quality improvement and patient safety efforts
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen5.html
April 01, 2018 - End users: The intended targets of our dissemination efforts; those whom we will target to adopt and … Content
Our dissemination efforts have two components: a SATIS-PHI/CRC intervention implementation … toolkit and material and efforts beyond the toolkit. … In particular, as part of our efforts beyond the toolkit, we will disseminate our analytical findings … They are the principal target of our dissemination efforts beyond the toolkit.
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www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
January 01, 2024 - On the private side, these interventions include efforts
to collect and report physician-level clinical … data and patient experiences, incentive programs
(including pay for reporting/performance), and efforts … areas as well, and the
Affordable Care Act expanded more upon existing federal physician-directed efforts … Motivation can be intrinsic or extrinsic,
and efforts to shape physicians’ choices through financial … At the same time, he and other commenters
supported moving forward with efforts to promote organized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-rittenhouse.pdf
April 01, 2015 - University of California, San Francisco
AHRQ Grant Number: R18 HS019139
Overview of Transformation Efforts … Services
• Comprehensive Care
• Coordinated Care
• Quality & Safety
Results of Transformation Efforts … Additionally, medical school–
affiliated clinics had to balance transformation efforts with their mission … were observed in these areas when clinics were no longer eligible for bonus payments for
redesign efforts … Results of Transformation Efforts
Key Impacts of Transformation
Challenges to Transformation
Lessons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
April 01, 2022 - directly recognize the value of patient safety or
more specifically your patient safety program’s efforts … Make it meaningful so they recognize the
importance of your efforts and provide buy-in and support. … As you
communicate the plan to improve CLABSI and CAUTI reduction efforts to the team, intentionally … Ensure that the senior leader knows of their efforts in order to show gratitude for their role. … Conversation Starters
To engage a senior leader in efforts to reduce CLABSI and CAUTI, gather all the
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - The project seeks to
coordinate cardiovascular risk reduction efforts across the state to create efficiency … ,
synergy and reduce duplicative efforts, with a particular focus on Alabama’s most
underserved areas … changes in hypertension control and rates
of tobacco screening and counseling/referral for cessation
efforts … things that excites me most about this project is that it provides an opportunity to leverage ongoing efforts