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  1. www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    May 01, 2025 - Making Healthcare Safer IV A Continuous Updating of Patient Safety Harms and Practices Making Healthcare Safer reports I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors. However, threats to patient safety are still emerging and evolving in a dynamic wor…
  2. www.ahrq.gov/news/blog/ahrqviews/35-year-history.html
    May 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Continuing a 35-Year History, AHRQ Pursues Vital Pathways to Improve Patient Care MAY 16 2024 By Robert Otto Valdez, Ph.D., M.H.S.A. Not long ago, Health and Human Services (HHS) Deputy Secretary Andrea Palm visited AHRQ to update …
  3. www.ahrq.gov/news/newsletters/e-newsletter/921.html
    July 01, 2024 - AHRQ Views: Feeling Energized After Another Successful AcademyHealth Annual Research Meeting Issue Number 921 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. July 16, 2024 AHRQ Stats: Disorders Associated With Public Insurance Readmissions In 2020, adult hosp…
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Diagnostic Safety Research Priorities and Opportunities Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safe…
  5. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/introduction.html
    September 01, 2021 - Primary Care Practice Facilitation Curriculum Introduction Previous Page Next Page Table of Contents Primary Care Practice Facilitation Curriculum Preface Introduction Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies Part 2: Introduction to Practice Facilitation Pa…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
    June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care The NYP Patient Narrative Demonstration Project Tara Servati, M.P.H. Patient Experience Specialist for the Ambulatory Care Network, New York-Presbyterian New York, NY NYP Demonstration Project Overview  Overall Aim: – Asses…
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence4.html
    April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Integration Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowle…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
    August 20, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 8: Organizational Learning and Sustainability Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CAND…
  9. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
    March 01, 2017 - Continued senior leader engagement will also improve as leaders see the return on investment and routinely
  10. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
    June 01, 2017 - Sample “Plan-Do-Study-Act” Form Use this form to help you plan your introduction of daily huddles. It includes sections to help you plan and manage all the tasks necessary to introduce huddles. You can also use it to gauge the success of your initial attempt at introducing a huddle. Purpose:  Deve…
  11. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
    March 01, 2017 - Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Accelerating Change and Transformation in Organizations and Networks II Contract No. HHSA2902010…
  12. Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles Material Use Guide Learning Objectives: · Describe the purpose of the Long-Term Care (LTC) Safety Modules · Explain how the LTC Safety Modules…
  13. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
    March 01, 2017 - Continued senior leader engagement will also improve as leaders see the return on investment and routinely
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - dedicated team of Clinical Process Managers facilitates all of the RCAs in conjunction with a team leader … The assigned Clinical Process Manager then recruits a physician or nurse team leader with expertise
  15. Module 2: Example (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
    May 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 2: Daily Huddles Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, you lay out the specifications of you…
  16. www.ahrq.gov/diagnostic-safety/tools/calibrate-dx.html
    March 01, 2023 - Calibrate Dx: A Resource To Improve Diagnostic Decisions Delayed, wrong, and missed diagnoses are major contributors to patient harm. Lifelong learning is essential for achieving and maintaining diagnostic excellence. Diagnostic excellence involves not just making a correct and timely diagnosis but …
  17. www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/index.html
    October 01, 2014 - Improving the Quality of Asthma Care New Tools for States The Agency for Healthcare Research and Quality (AHRQ) has developed Asthma Care Quality Improvement: A Resource Guide for State Action and its companion workbook, Asthma Care Quality Improvement: A Workbook for State Action. These materials were design…
  18. www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
    February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Build a Business Case for Quality Improvement Say: This slide set introduces building a business case for quality improvement. Slide 2: Learning Objectives Say: Afte…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
    June 01, 2015 - Hospital A is working with consultants formerly with a national leader in Lean redesign within health … improvement groups reporting separately to the chief medical officer, senior nurse leadership, and a senior leader … While they feel there is “strength in unity,” especially under a strong and respected leader, they recognize … for the organization, while the site with leadership turnover has spent time waiting for each new leader … He is unrelenting in pushing the hospital to become a market leader rather than just a safety-net hospital
  20. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
    March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane …

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