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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 - Partnerships that involve knowledge broker organizations (e.g., Institute for
Healthcare Improvement
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Building partnerships to improve quality of children’s health care
Previous Page Next Page
Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Introdu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet:
Engaging Staff in MRSA Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Surgical service–based teams are the cornerstone for CUSP work in the perioperative environment. However, to be successful, CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Engaging Unit Personnel in MRSA Prevention
ICU & Non-ICU
Purpose
Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program (CUSP) work. However, to be successful, CUSP team members and leaders must actively raise awareness, motivate, engage…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Remember that all events involve multiple causes, usually of more than one type.
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www.ahrq.gov/talkingquality/plan/pay.html
November 01, 2018 - How Will You Pay for a Health Care Quality Report?
A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Also think about other leaders to involve (e.g., unit directors and nurse managers).
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www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - What Is the Environment for Reporting on Health Care Quality?
Whether working alone or in collaboration with others, report sponsors need to understand:
The circumstances in which the reporting project will take place.
The likely implications of the project for:
The sponsoring organizations,
The org…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - On-Time Pressure Ulcer Assessment
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressur…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
2.a-1 Preintervention Survey of Clinicians and Practice Staff
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Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - When appropriate, it is a great opportunity to involve the patient in her own care.
15
Severe Hypertension … debriefs will be held in the Reporting and Systems Learning stage in response to an adverse event and involve … A few points to highlight in these questions are the thoughtful ruminations about how to better involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Remember that all events involve multiple causes, usually of more than one type.
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - This would
involve development of a data collection instrument to gather information on a particular … Most identified systems involve voluntary
reporting. … This would involve development of a data collection instrument to gather
information on a particular … For example, errors resulting in patient harms may involve multiple health care
providers, systems, … This may involve passwords, data encryption, and secure severs (e.g.,
computers that can be accessed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - This would
involve development of a data collection instrument to gather information on a particular … Most identified systems involve voluntary
reporting. … This would involve development of a data collection instrument to gather
information on a particular … For example, errors resulting in patient harms may involve multiple health care
providers, systems, … This may involve passwords, data encryption, and secure severs (e.g.,
computers that can be accessed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve?
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 3: Are You Ready To Improve?
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-improve…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Section 3: Are You Ready To Improve?
July 2015
Contents
3.A. Cultivating and Supporting QI Leaders
3.B. Organizing for Quality Improvement
3.C. Training Staff in QI Concepts and Techniques
3.D. Paying Attention to Customer Service
3.E. Recognizing and Rewarding Success
References
Download Se…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences
71
A Nonpunitive, Computerized System for
Improved Reporting of Medical Occurrences
Dale A. Arroyo
Abstract
To improve the patient safety program at the Naval Hospital at Oak Harbor, the
facility instituted a new computerized s…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
August 01, 2022 - Planning Grants Final Evaluation Report
Executive Summary
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
On September 9, 2009, Presid…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
February 21, 2008 - cardiac arrests or trauma team
activations,13, 40, 41, 42, 43 almost none have reported programs that involve