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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
April 01, 2025 - The 4 Es framework identifies four important elements when implementing patient safety interventions: Engage, Educate, Execute, and Evaluate. This framework integrates well with the Comprehensive Unit-based Safety Program (CUSP) and addresses both the technical objectives of improving practices and the adaptive objecti…
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www.ahrq.gov/ncepcr/reports/cost-guide/methodology-references.html
February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix C. Methodological References Cited by Grantees
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Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical…
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www.ahrq.gov/evidencenow/model/profiles/valada.html
March 01, 2021 - Running a Small Practice in the Big Apple
Dr. Vidya Valada is a proud New Yorker. Born and raised in India, Vidya moved to New York City in the 1990s to complete her residency in internal medicine. She speaks briskly and enthusiastically about practicing medicine, and it quickly becomes apparent that she feels …
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-agenda/breakout2-video.html
August 01, 2017 - Breakout 2 (afternoon): Use of Data and Measurement in Reducing Error (video)
YouTube embedded video: https://www.youtube-nocookie.com/embed/tvY0Ja1WZHU
This video series includes the general and breakout sessions from the 2016 AHRQ Research Summit on Improving Diagnosis in Health Care.
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-agenda/breakout1-video.html
August 01, 2017 - Breakout 1 (morning): Use of Data and Measurement in Reducing Error (video)
YouTube embedded video: https://www.youtube-nocookie.com/embed/rYhf107OKes
This video series includes the general and breakout sessions from the 2016 AHRQ Research Summit on Improving Diagnosis in Health Care.
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www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - The Spread Problem
Slide Presentation by Joe McCannon
On February 17, Joe McCannon made this slide presentation at the AHRQ Expert Meeting on the Challenge and Promise of Delivery System Research.
Sign up: Quality Measure Tools Email updates
Slide 1
The Spread Problem
The Challenge and Promise of …
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment Worksheet for Pressure Ulcer Healing 1
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer
Healing
Self-Assessment Worksheet for Pressure Ulcer Healing
This self-assessment tool is an im…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.pdf
January 01, 2012 - National Evaluation of the CHIPRA Quality Demonstration Grant Proram, Evaluation Highlights, Supplement to Issue 1
1
Four States’ Approaches to Practice-Level Quality Measurement and Reporting
Supplement to Evaluation Highlight No. 1: How are CHIPRA demonstration
States approaching practice-level quality measur…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
June 01, 2021 - Bacterial Pneumonia in Long-Term Care
Diagnosis
Pneumonia is lung inflammation described as infiltrates on chest x ray
Signs and symptoms of pneumonia include:
• New or worsening shortness of breath or cough, often with sputum production1
• Fever (temperature >100°F or repeated temperatures above resident’…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/spot-coaching.pdf
April 01, 2022 - Making It Work Tip Sheet: Spot Coaching To Support Behavior Change
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Spot Coaching To Support Behavior Change
This “Making It Work” tip sheet provides additional information to help intensive care unit (ICU…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapitab1c.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table I-1. Subcommittee Template: Comparison of Spoken Language Categories and Coding (continued)
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Qual…
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Implementation
Toolkit for Reducing CAUTI in Hospitals
The Implementation module of the Toolkit for Reducing CAUTI in Hospitals discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care. It takes users step by step through execution of clinical and cul…
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www.ahrq.gov/sdm/measures-data-funding/index.html
February 01, 2025 - Measures, Data, and Funding for Shared Decision Making Research
New research on shared decision making (SDM) is needed to further describe the impact of SDM on patient and provider experience and health outcomes. Research is also needed to evaluate the most effective methods for implementing SDM and engaging pa…
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www.ahrq.gov/nursing-home/resources/huddle-tool.html
July 01, 2021 - Huddle Tool
Resource: Huddle Tool
This tool provides guidance for implementing a daily huddle.
Source: Institute for Healthcare Improvement
Topic(s): Safe Operations
Audience(s): Nursing Assistants; Nursing Technicians; Support staff; Clinicians; Clinical Leaders; Managers
Format: PDF
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Core Principles for the PCA Diagnostic Team
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Table of Contents
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduc…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
July 01, 2019 - Case Example #4: Foresight Family Physicians
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - Translating Patient Safety Research into Clinical Practice
163
Translating Patient Safety Research
into Clinical Practice
David J. Magid, Paul A. Estabrooks, David W. Brand,
Marsha A. Raebel, Ted E. Palen, John F. Steiner,
Eli J. Korner, David W. Bates, Richard Platt, Russell E. Glasgow
Abstract
There is…