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www.ahrq.gov/evidencenow/tools/keydrivers/seek-evidence.html
November 01, 2018 - individual clinicians to recognize all of a patient’s needs and remember all recommendations leads to gaps
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - process, the entire improvement team is responsible for creating a cohesive plan to address performance gaps
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - selected quality measures,
• developing an approach for identifying preventive service needs and gaps … specific diseases, immunizations, preventive health, and procedures)
to facilitate identification of gaps … to “have a better way to look at our entire population and look at specific disease
conditions and gaps … were entered accurately into structured fields to create accurate reports on
quality and identify gaps … care, all of which had to be done before changing work
processes to improve care and address those gaps
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www.ahrq.gov/news/blog/ahrqviews/consumer-experience-measurement.html
September 01, 2023 - Feedback is essential about what patients did or did not experience related to delays or gaps in care
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Facilitator Guide for Frontline Provider Education Presentation Template
Slide Title and Commentary
Slide Number and Slide
Frontline Provider Education
Title slide for the tool – delete this slide from the presentation to your frontline staff.
Slide 1…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
December 01, 2024 - Seeking Solutions: Identifying and Filling Critical Research Gaps 2020 Summit on Transforming Care for
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
March 18, 2025 - Other: Nursing concerns 41
Next Steps You Can Take
• Identify gaps in strategies to improve safety … • Close Gaps
► Implements a process to learn from defects
► Implement interdisciplinary rounds to improve
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www.ahrq.gov/chsp/about-chsp/centers/index.html
July 01, 2019 - data and performance measures, types of evidence that will be most useful to stakeholders, research gaps
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/improvement-data.html
July 01, 2021 - The State of New York is working separately from QMETRIC to address identified gaps in care.
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www.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
April 01, 2022 - implemented. 4
Another intervention is “Nutrition Goal-Based Rounding,” a new feeding protocol to fill gaps
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
August 01, 2022 - Therefore, nurses often fill the gaps and translate jargon into terms the patient can comprehend. 29
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
March 01, 2019 - The State will test the model by assessing three attributes: (1) adequacy in addressing gaps in current
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www.ahrq.gov/funding/grantee-profiles/grtprofile-anger.html
January 01, 2025 - Grantee Profile
Improving the Quality of Care for Women With Urinary Incontinence
Jennifer Anger, M.D., M.P.H. Professor and Vice Chair of Research, Department of Urology University of California San Diego Health Jennifer Anger, M.D., M.P.H. “Even when patients were very bothered by incontinence, neither th…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Gaps related to race/ethnicity were getting smaller over time. … Gaps in rates of uninsurance between people who were poor and those who were not poor and between people … Gaps related to race/ethnicity were getting smaller over time.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - Determining communication breakdowns that affect underserved populations would help to
alleviate the gaps … No racial differences in self-reported gaps in care
coordination were found. … In particular, a deeper understanding of how
communication gaps lead to preventable events among Black … A
deeper understanding of how gaps in communication among providers may lead to preventable events
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
November 01, 2017 - intended to help identify the current processes and structures the nursing home is using and to identify gaps
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - Organizational Self-Assessment: An organization's recordkeeping of its identifiable strengths and noticeable gaps
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - PowerPoint Presentation
Frontline Provider Education
Presentation Template
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
Purpose and Use of This Frontline Provider Education Tool
Purpose of tool: An important first step to gain buy-in for change is to educate teams abo…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - topic in patient safety research. 5 A narrative review of MDOs in pediatrics highlighted persistent gaps
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - interventions over time
Conduct internal and external benchmarking,
Meet regulatory requirements
Identify gaps … results that describe perceptions of beliefs and behaviors
Finally, at the item level, we can identify gaps … Finally, are there large gaps between beliefs and behaviors or between less structured and more structured … Reason’s Components (12 composites – 4 components)
Gaps between beliefs/behaviors within composites