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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
May 01, 2017 - Module 5: Component Kit
Visual Management Board Component Kit
Contents
1. Why Have a Visual Management Board? 2
2. Tips for Using a Visual Management Board 2
3. Plan-Do-Study-Act “Ramp”: Learn To Use a Visual Management Board 2
4. Visual Management Board Example: Elements You Can Use (Figure 1) 4
5. Connections to …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. Tools and Resources (continued)
Previous Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pres…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Module 4: Component Kit
Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation? 2
Connections to Other Components 3
2. Tips 3
3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5
4. Example 6
Using the Observations 6
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
Welcome to today's educational session on The Culture of Culturing: The Importance of …
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Section 7. Tools and Resources (continued)
Previous Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pres…
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www.ahrq.gov/cahps/surveys-guidance/cg/index.html
March 01, 2025 - CAHPS Clinician & Group Survey
The CAHPS ® Clinician & Group Survey (CG-CAHPS) asks patients to report on their experiences with providers and staff in primary care and specialty care settings. Survey results can be used to: Determine the need for improvement activities and evaluate the impact of those efforts…
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www.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - Library of PCOR Resources
The Agency for Healthcare Research and Quality (AHRQ) provides this comprehensive Web library of patient-centered outcomes research (PCOR) resources to highlight the existing collection of PCOR projects conducted by public, private, nonprofit, and academic sources. The library of resou…
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www.ahrq.gov/funding/process/review/peerproc.html
July 01, 2021 - Overview
Peer Review Process
An overview of the peer review process for AHRQ grant application submissions.
Sign up: Grants Review Process Email updates
In accordance to the Public Health Service Act and the federal regulations governing "Scientific Peer Review of Research Grant Applications and Researc…
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www.ahrq.gov/news/newsletters/e-newsletter/935.html
October 01, 2024 - AHRQ Views: Healthcare’s Next Technological Frontier—21st Century Artificial Intelligence
Issue Number
935
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
October 29, 2024
AHRQ Stats: Long COVID Rates by Geographic Area As of spring 2023, 19.7 percent of adul…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-5.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
Clinic/Clinician-Community Resource Relationships
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodolog…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapc.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Appendix C. Environmental Scan Process
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships Measures Atlas Developed? …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-outpt-mhs-webcast-hargraves.pdf
August 22, 2022 - Introducing the CAHPS Outpatient Mental Health Survey Webcast - HARGRAVES
The New CAHPS Outpatient
Mental Health Survey
Lee Hargraves, Ph.D.
Director of the Center for Survey Research,
UMass Boston
What Changed in 20 Years & What Has Not?
• 20th Century health plans often limited enrollees to 8 or 10 outpatie…
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www.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
December 01, 2016 - Methods and Outcomes of Care Management Programs
Within Physician Organizations vs. Plan-Based Programs
Contents
Background
Study Methodology
Principal Findings
Takeaway Points
Research Publications
Additional Resources
Background
Americans are increasingly plagued by chronic di…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/home/about/about-cahps-home-health-care-survey-rev.pdf
September 01, 2017 - CAHPS Home Health Care Survey
Page 1 of 2
CAHPS HOME HEALTH CARE SURVEY
The CAHPS Home Health Care Survey asks patients who receive home health care services about their
experiences with home health care agencies, providers, and staff. This instrument focuses on patients
who receive skilled home health care ser…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp2.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 2: Building and Assessing the Clinic Foundation
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Forew…
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs
Reducing Risks by Engineering Resilience into HIT for EDs
Principal Investigator: Robert L. Wears, MD, MS, PhD
Team Members:
John Wreathall
Rollin (Terry) Fairbanks, MD, MS
Ann M. Bisantz, PhD
Shawna J Perry, MD
Chris Johnson,…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
SAY:
Welcome to the presentation titled “Man…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…