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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
    March 19, 2012 - CHIPRA 119 Section 5, Literature Review and Discussion 1 CAPQuaM Perinatal Construct Literature Review March 19, 2012 Submitted by: The Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 …
  2. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - This learning lab will use the Systems Engineering Initiative for Patient Safety (SEIPS) model to advance … MedSafeMap’s impact on Concepts for Applying Resilience Engineering (CARE) and Systems Engineering Initiative … It will be guided by two frameworks: the Systems Engineering Initiative for Patient Safety model and
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
    June 02, 2025 - I was afraid that introducing another initiative on the unit would set the staff up for frustration
  4. www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
    January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
    March 01, 2020 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
    January 01, 2004 - AHRQ’s patient safety initiative. Building foundations, reducing risk.
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
    June 01, 2019 - CHIPRA 209 Report: Neonatal Intensive Care Outcomes 1 Neonatal Intensive Care Outcomes Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care Outcomes 1.B. Measure Number 0209 1.C. Measure Description Please provide a non-technical description of the measure that conveys what it meas…
  8. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
    June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…
  9. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
    January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                   …
  10. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
    June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
    January 01, 2008 - Module 7: Putting It All Together Module 7 Putting It All Together TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator. The purpose of this summary module is…
  12. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Patient and Family Engagement Facilitator Notes The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
  13. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
    September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children…
  14. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
    June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features Evaluation Highlight No. 8 Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …
  15. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
    June 02, 2025 - THE MEDICAL HOME INDEX: Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation of the CHIPRA Quality Demonstration Grant Program. The Medical Home Index: Revised Short Form: Pediatric Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families The …
  16. www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
    February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…
  17. www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
    July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Design Options for a Self-Management Support Program (continued) Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology…
  18. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 4. Results and Key Findings Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapt…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI The Science of Safety: Principles in Practice Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this prese…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
    January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey The PeaceHealth Ambulatory Medication Safety Culture Survey Ronald Stock, MD; Eldon R. Mahoney, PhD Abstract Objective: The objective of this project was to construct a measure of medication safety culture in ambulatory settings. Methods: A 16-it…

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