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www.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
February 01, 2024 - Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety
We stand for a healthcare delivery system that is free from preventable harm, inspires continuous improvement in the delivery of care across the continuum, and promotes a culture of safety in an …
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www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
August 01, 2024 - Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions
The Agency for Healthcare Research and Quality supports research on the quality and safety of the hospital discharge process and care transitions. Improvements in these areas can lead to reductions in potentially avoidable …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.10. Project Team Composition: Door-to-Balloon Project
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthca…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.5. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.6. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_X.pdf
August 26, 2014 - Attachment 10.1 References
1. American Academy of Pediatrics. Developmental screening in early childhood systems: summary
report. Accessed on August 26, 2014. Retrieved from
http://www.healthychildcare.org/pdf/DSECSreport.pdf
2. American Academy of Pediatrics. National Center for Medical Home Implementation: …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix H
Hierarchy of Solutions
Do solutions meet the following criteria:
Address the root cause/contributing factor.
Are specific and concrete.
Can be understood and implemented by a reader unfamiliar with the situation.
Will be tested or simulated prior to…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - The measures a State chooses should be appropriate to the interventions it plans to implement.
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www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
January 01, 2024 - programs of all sizes
through the sharing of data, outcomes analysis, and process improvement;
and
• implement
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - AHRQ Safety Program for MRSA Prevention
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
ICU & Non-ICU
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist.
Us…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.pdf
February 01, 2014 - Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluati…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
February 01, 2014 - Supplement to Evaluation Highlight No. 7
How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluation Highlight No. 7 is the seventh in a series of reports that present descriptive and analytic findings from the national evaluation of the …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.html
May 01, 2017 - Material Use Guide - Improving Communication and Teamwork in the Surgical Environment Module
Overview
Communication and Teamwork Defined
Slides 4-11
Improving Surgical Team Communication With Briefings *
Slides 12-17
Example Briefing * (2 min 14)
Improving Surgical…
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www.ahrq.gov/pcor/healthcare-extension-services/index.html
February 01, 2025 - AHRQ's Healthcare Extension Service: State-Based Solutions to Healthcare Improvement
Applications Currently Being Reviewed for Healthcare Extension Cooperatives, National Coordinating Center, and National Evaluation Center Applications have closed and are currently being reviewed for applicants seeking to join …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Emergency Department Workflow Diagrams
Emergency Department
Workflow Diagrams
Ambulatory patient
arrives.
Provider assigns
patient to self and
evaluates patient.
Diagnostic testing
including labwork and
chest x-ray. Diagnosis
CAP?
Pursue other
diagnoses.
Inpatient treatment
warranted? Based on
clin…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/part-5.html
February 01, 2022 - Primary Care Practice Facilitation Curriculum
Part 5: Implementing the Care Model and Patient-Centered Medical Home
Previous Page
Table of Contents
Primary Care Practice Facilitation Curriculum
Preface
Introduction
Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies
P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - SAY:
The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program