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  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  2. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Understand the Science of Safety Facilitator Notes The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
  3. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…
  4. www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
    January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events Weingart, 1 K08 HS11644 Partnering with Patients to Find Adverse Events Saul N. Weingart, MD, PhD VP for Patient Safety Dana-Farber Cancer Institute, and Associate Professor of Medicine Harvard Medical School 44 Binney St. Boston, MA 02…
  5. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
    July 01, 2023 - Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
    May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…
  7. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
    July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for the use of c…
  8. 0129References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
    October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …
  9. www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
    July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Program Evaluation Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Suppor…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
    March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
    March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…
  13. www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
    March 01, 2014 - Time Game” Clinician Instructions Patients often use “not enough time” as a reason they cannot incorporate
  14. www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - Future studies should incorporate improved training methods, including a longer period of training, and
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
    December 01, 2017 - Streamlining and standardizing documentation help incorporate best practices and provide the foundation
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
    June 01, 2017 - “Acting” means using what you learned to move to further tests or incorporate the change into daily practice
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training—Handouts: On-Time Falls Prevention Training   Implementation Scripted Exercise – Change Team Meeting for Self-Assessment Implementation Scripted Exercise – Selecting Falls Prevention Reports and Meetings in W…
  18. www.ahrq.gov/news/newsroom/case-studies/201535.html
    January 01, 2016 - New Hampshire Hospital Uses TeamSTEPPS® Every Day Search All Impact Case Studies January 2016 About 400 staff members at Exeter Hospital in Exeter, New Hampshire, had been trained in AHRQ's TeamSTEPPS by the end of 2015. TeamSTEPPS, a patient safety training program developed by AHRQ and the Department of…
  19. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section5.html
    October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 5. Conclusion and Summary Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key Findings by …
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/3_Liza_Nyeko_slides_37-40.pdf
    October 08, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement Using CG-CAHPS for Patient Experience Improvement Work at Massachusetts General Hospital Liza Nyeko Rick Evans October 8, 2013 CG-CAHPS Survey Administration • MGH has administered CG-CAHPS since 2008 • 12 month version used since i…

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