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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. … Improvement teams should consider defining high risk as a score ≥3, versus 4.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. … Improvement teams should consider defining high risk as a score ≥3, versus 4.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - Department of Health & Human Services was authorized to create the NPSD by the
Patient Safety and Quality Improvement … shed light on potential preventative measures and provide learning opportunities
for patient safety improvement … Examining frequent patterns of Incorrect actions can help identify
healthcare improvement opportunities
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
December 01, 2015 - Research, the Urban Institute, and AcademyHealth
• CMS released Initial Core Set of Children’s Health … Care Quality Measures in 2009
– Included developmental screening for children under age 3
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www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
January 01, 2025 - Significance
Although healthcare quality and patient safety are extensively discussed at a number of
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - Reducing patient aggression through a nonviolent patient de-escalation program: A descriptive quality improvement … Continuous
improvement should be the goal
Cultural shift and
empowering colleagues
Communication
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
References
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Chart for Impl…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
References
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Chart for Impl…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - collaborations to connect people with community resources that address these needs could improve
the quality … of care and the well-being of people living with or at risk multiple chronic conditions. … Institute for Healthcare Improvement. … drivers of health); (4)
follows the person through both high need
episodes and periods of health
improvement
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www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home
Principal Investigator: Kathleen Elizabeth Walsh, M.D., M.S., Boston Children’s Hospital, Boston, MA Co-PI: Eric Kirkendall, M.B.I., M.D., Wake Forest School of Medicine, Winston-Salem, NC AHRQ Grant No.: HS26644 Project Per…
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www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
January 01, 2024 - Likert-type items assessing patient trust and has been demonstrated to predict
self-reported health improvement
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www.ahrq.gov/ncepcr/research/health-it/opioids.html
September 01, 2022 - Increasing Access to Medication-Assisted Treatment of Opioid Abuse in Rural Primary Care Practices
An important aspect of the opioid epidemic is the lack of treatment options for millions of Americans living in rural communities. We can expand access by engaging primary care practices—the places where most rura…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - Impact of
pharmacist-operated general medicine chronic care
refill clinics on practitioner time and quality … of care.
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - We did not note
any improvement in quantitative measures. … Debriefing Interprofessional Simulation-based Team Training
more open discussions about opportunities for improvement … clinical environment, and this misalignment is thought to underlie many failed patient safety and
quality improvement … When team conflicts threaten quality of care: a
study of health care professionals' experiences and perceptions
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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - legal professions for an intense, collegial discussion to forge common goals in specific areas for
the improvement … methods so as to effectively identify and eliminate such
“bad actors” is paramount to substantive improvement … 5500
AHRQ Representative
Marge Keyes, MA (observer/non-voting participant)
Center for Quality Improvement … Patient safety and quality improvement are evolving.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - Where To Start
Meet with your antibiotic stewardship team to identify problems as opportunities for improvement … Program
13
How To Start
Start small, go for easy wins
Focus on 1–2 aspect(s) of an opportunity for improvement … The team chooses to focus on 2 post-prescriptive opportunities for improvement
Monitor for drug-drug … Developing a Program
22
Summary
23
Gather a motivated team
Brainstorm and identify opportunities for improvement … default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team_final.docx
Brainstorm and identify opportunities for improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/resources/resources.doc
June 02, 2025 - Although projects presented in this section extend beyond the focus of quality of care, they are included … in the Child Health Care Quality Toolbox as useful resources for understanding the breadth of child
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpap.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Appendix 1. Definitions of High-Performance Work Practices
Previous Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case…
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www.ahrq.gov/news/newsroom/case-studies/cquips1002.html
October 01, 2014 - Society of Hospital Medicine Uses Two AHRQ Products in Hospital Discharge Toolkit
Search All Impact Case Studies
July 2010
The Society of Hospital Medicine developed a hospital discharge toolkit based on findings from two AHRQ-funded projects—Patient Safe-D(ischarge) and Project RED (Re-Engineered Discharge…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
June 02, 2025 - Instructions
Safety Net Medical Home Initiative Do-It-Yourself Run Chart Tool
Instructions
This is a tool to create run charts for the measures sites are t…