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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
    February 01, 2007 - Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Tejal K. Gandhi, MD, MPH; Nancy L. Keating, MD, MPH; Matthew Ditmore; David Kiernan; Robin Johnson; Elisabeth Burdick, MS; Claus Ham…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
    December 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
    July 01, 2023 - Include patient/family responsibilities • Next: What will happen next? Anticipated changes?
  6. www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - If this does not happen, further data would need to be collected (e.g., through additional interviews
  7. www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - This can happen when: • There is no assessment by the appropriate discipline (typically nursing), •
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - training sessions may be part of planning and program development while other training sessions may happen
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
    January 01, 2013 - training sessions may be part of planning and program development while other training sessions may happen
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - result in any changes being made. 13 I did not have the time. 12 I did not want anything negative to happen
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
    January 01, 2003 - Improving quality, minimizing error: making it happen. Health Aff 2001;20(3):68–81. 16.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - If this does not happen, efforts to reduce medical errors and injuries will continue to encounter
  13. www.ahrq.gov/patient-safety/reports/liability/baker.html
    August 01, 2017 - would still be able to bring their case to court; however, research found that this was less likely to happen
  14. www.ahrq.gov/sites/default/files/publications/files/pfcases.pdf
    August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs c Case Studies of EXEMPLARY PRIMARY CARE PRACTICE FACILITATION TRAINING PROGRAMS Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov The PCM Portf…
  15. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
    April 01, 2024 - Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services Prepared for Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Prepared by RTI I…
  16. www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
    March 01, 2014 - translatable to any community resource and any practice willing to take the extra step to make it happen … implementation of the project, he or she provides the support needed for the project champion to make it happen … translatable to any community resource and any practice willing to take the extra step to make it happen
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
    April 10, 2017 - Targeted implementation of prevention strategies cannot happen if at-risk patients have not been identified … Targeted implementation of prevention strategies cannot happen if at-risk patients have not been identified
  18. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
    March 01, 2015 - already adopted EHRs and with only one exception, it was an exceptional office manager that made it happen … Ideally, you are going in and working with a physician champion and then an office manager to make it happen
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…

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