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  1. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/index.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resources Pedia…
  2. www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - • Share lessons learned from patient safety events with all staff to help build an institutional … Improve Reporting of Medical Errors for LEP Patients • Develop institutional strategies to empower … • Institutional culture and resistance of interpreters stepping outside of traditional role. 9 … Share lessons learned from patient safety events with all staff to help build an institutional culture … The goal of the interviews was to gather both “on the ground” and institutional perspectives on the
  3. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-pcor.pdf
    November 01, 2016 - Evidence Now Fact Sheets - Cholesterol Management Cholesterol Management Rationale for Cholesterol Management People with elevated levels of cholesterol are at increased risk of having a heart attack or stroke. Substantial PCOR evidence shows that taking a …
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - Identify institutional factors that contribute to diagnostic error, including policies and cultural … using the Safer Dx framework.16,17 Reviewing trends at a national/State level can affect care at the institutional
  5. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/index.html
    October 01, 2014 - Guide to Patient and Family Engagement Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant Interview Protocol Appen…
  6. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …
  7. www.ahrq.gov/takeheart/training/module-2/index.html
    December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans   YouTube embedded video: https://www.youtube-nocookie.com/embed/IJQC58AGQD0 Video: Systems Change: Laying the Foundation, Leadership, and Action Plans (1:05:01) Slides:  Systems Change: Laying the Foundation, Leadership, and…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
    November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested that “A…
  9. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - This inability may reflect lack of institutional support and prioritization, failure to create a protocol … performed on samples of patients to make sure that the prophylaxis being delivered is consistent with the institutional
  10. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - This inability may reflect lack of institutional support and prioritization, failure to create a protocol … performed on samples of patients to make sure that the prophylaxis being delivered is consistent with the institutional
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
    January 07, 2005 - implementation teams in the adopting organizations, helping them to identify and address specific institutional … Generally, it lasts until the innovation enters the routinization or institutional stage.
  12. www.ahrq.gov/patient-safety/settings/hospital/engage-tool.html
    July 01, 2022 - Family-Centered Rounds Toolkit Family-centered rounding (FCR) is a key patient engagement strategy for hospitalized children. FCRs have become the standard of care, despite the limited evaluation of benefits or interventions to support high-quality delivery. The FCR Toolkit was designed to increase family en…
  13. www.ahrq.gov/takeheart/training/module-3/index.html
    December 01, 2022 - Module 3: Systems Change: Understanding Your Workflow Processes To Prepare for System Change   YouTube embedded video: https://www.youtube-nocookie.com/embed/cmLLN0Kdd0w Video: Systems Change: Understanding Your Workflow Processes To Prepare for System Change (1:01:14) Slides:  Systems Change: Understa…
  14. www.ahrq.gov/patient-safety/settings/ambulatory/improve/six-building-blocks.html
    March 01, 2022 - AHRQ Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care Deaths from drug overdoses  (PDF, 429 KB) have risen steadily over the past two decades. The misuse of opioids has become widespread across the United States. Primary care providers and their clinic staff manage …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - the aviation industry where the “two-challenge rule” is practiced— is essential to the growth of an institutional
  16. www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapc.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement C. Workshop Agendas Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Dispa…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
    January 01, 2011 - Specific Tools To Support Change Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool G.2 Specific Tools To Support Change What is the purpose of this tool? This tool provides information on tools developed by other organizations that may be used instead o…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - Specific Tools To Support Change Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool G.2 Specific Tools To Support Change What is the purpose of this tool? This tool provides information on tools developed by other organizations that may be used instead of or …
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…
  20. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …

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