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4721. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects Introduction Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning …

4722. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
      January 01, 2024 - English-speaking patients and focused on California and may not be generalizable to other language groups

4723. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
      June 02, 2025 - programs provide, at no cost to families: – Family education and counseling, home visits, parent support groups

4724. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - can also be considered errors of commission; for example, when brought about by the exclusion of groups

4725. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.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 …

4726. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
      January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…

4727. Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
      January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative AHRQ Grant Final Progress Report Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative GRANT NUMBER: R18 HS18645-03 PRINCIPAL INVE…

4728. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
      October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems New Models of Primary Care Workforce and Financing Case Example Cherokee Health Systems 7 New Models of Primary Care Workforce and Financing Case Example #7: Cherokee Health Systems …

4729. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
      August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

4730. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

4731. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Facilitator Notes SAY: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…

4732. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections Acute Care Acute …

4733. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

4734. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue Brief Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Executive Summary Health care delivery systems throughout the United States are employing…

4735. Appendix G. References for Fault Tree Model Probability Estimates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
      October 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix G. References for Fault Tree Model Probability Estimates Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…

4736. Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/prevention/stakeholder-report_0824.pdf
      August 01, 2024 - Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities Technical Report Prepared by Robin M. Weinick, PhD Resonant, LLC Laura L. Sessums, JD, MD Agency …

4737. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…

4738. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals Pilot Study Results From the 2017 AHRQ Surveys on Patient Safety Culture (SOPSTM) Health Information Technology Patient Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthca…

4739. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Care Management Issue Brief Contents: Executive Summary Care Management: a Fundamental Vehicle for Managing the Health of Populations Overview Strategy: Identify Populations with Modifia…

4740. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - Challenges to Real-Time Decision Support in Health Care Challenges to Real-Time Decision Support in Health Care Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care); Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD; Colin F. Mackenzie, MBChB, FRCA, FCCM Abstract This …