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3541. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

3542. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …

3543. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

3544. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …

3545. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: 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 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care L&D Unit Safety 2 L&D Unit Safety Tools The Labor and Delivery…

3546. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

3547. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…

3548. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…

3549. Redesigning Primary Health Care Teams for Population Health and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
      November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement Executive Summary Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…

3550. Wrap-Around Observation Manual—Second Version | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
      March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Wrap-Around Observation Manual—Second Version Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relationships Measures Atlas Deve…

3551. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…

3552. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
      October 23, 2013 - References References 1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY, Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission prevalence and variability across hospitals. JAMA. 2013;309(4):372–380. 2. Pelletier AJ, Mansbach JM, …

3553. Additional References for PMCoE Perinatal CHIPRA Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-addtl-refs.pdf
      August 14, 2012 - Additional References for PMCoE Perinatal CHIPRA Project Additional References for PMCoE Perinatal CHIPRA Project 1. National Committee for Quality Assurance. HEDIS 2009 Technical Specifications for Physician Measurement. Washington, D.C.: National Committee for Quality Assurance, 2009. 2. National Committee …

3554. Research on Improving Patient Experience | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/research/index.html
      March 01, 2025 - Research on Improving Patient Experience Many researchers study the feasibility and value of using CAHPS surveys to support efforts to improve patient experience in various healthcare settings. This page summarizes current and recent research funded under AHRQ’s CAHPS grants related to: Improving patient experi…

3555. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
      January 01, 2016 - 2016 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2016 CAHPS Health Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Man…

3556. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers Adaptation and pilot implementation of a validated, electronic real-time clinical decision support tool for the care of pne…

3557. Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
      January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) Contents On Page 1 of 2: 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle On Page 2 of 2: 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives Re…

3558. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
      February 01, 2018 - The facility determines the best source of data elements for this section of the report, unless indicated

3559. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
      November 11, 2019 - Not provided Protocol indicated that discontinuation was recommended for 311 medications in 64 patients

3560. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training On-Time Falls Prevention: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1 AHRQ’s Safety Program for Nursing Homes: On- Time Falls Prevention Training Handout 1: Implementation Scripted Exer…