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  1. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
    April 01, 2022 - • Learn From Defects: All defects (including near misses or precursors) can be used as learning opportunities

  2. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
    January 01, 2004 - Furthermore, there is a need to learn more about the barriers to adoption and implementation of IT in … those steps was to develop systems to collect information on errors that have occurred in order to learn … and compared those systems to ones that were principally designed to enhance providers’ ability to learn

  3. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
    April 07, 2008 - appropriate training strategies for teams, how to reliably measure teamwork, and what health care could learn … The progress that has been made since the IOM report is tremendous, but there is still much to learn

  4. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
    May 08, 2008 - Working in interdisciplinary teams, health professionals from across the United States learn what is

  5. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - 10.21019/9781582122304.ch1 (abstract; account required for full access) This guidebook helps pharmacists learn

  6. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - complexity of the differential diagnostic process, and the need for residents to make some mistakes to learn … Implementing safety cultures in medicine: what we learn by watching physicians.

  7. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
    December 01, 2014 - What did you learn from participating in this exercise? … What did you learn about the Facilitator role?

  8. Appendix D to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixD.pdf
    October 31, 2013 - We are here to learn from you, and we want to hear from everyone and learn what each of you thinks.

  9. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
    July 01, 2023 - What did we learn? What do we need to improve or change for next time?

  10. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 SAY: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for…

  11. CDSiC Innovation Center Quarterly Report (pdf file)

    cdsic.ahrq.gov/sites/default/files/2023-05/InnovationCenterQ4ProgressReportFinalForDTPFINAL.pdf
    January 01, 2023 - Learn Health Syst. 2019;4(2):e10208.

  12. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
    February 01, 2017 - What did you learn? What are your next steps?

  13. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Slide Presentation Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospi…

  14. CDSiC Innovation Center Quarterly Report (pdf file)

    digital.ahrq.gov/sites/default/files/InnovationCenterQ4ProgressReportFinalForDTPFINAL.pdf
    January 01, 2024 - Learn Health Syst. 2019;4(2):e10208.

  15. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
    September 01, 2015 - What did you learn about your partner from this exercise? b. … Learn the names and roles of practice staff and clinicians. … Shadowing a patient through a visit should be a habit you develop as a PF, as it allows you to learn … This will help them learn from your experience and help them feel supported as they work with their

  16. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
    June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study Focus on High Leverage Change: Risk Assessment Creating a Work-Aro…

  17. HIV/AIDS | Digital Healthcare Research

    digital.ahrq.gov/medical-condition/hivaids
    January 01, 2024 - HIV/AIDS The social, mental, and physical health impacts of the COVID-19 pandemic on people with HIV: Protocol of an observational international multisite study. Citation Cuca YP, Horvat Davey C, Corless IB, Phillips JC, Sierra-Perez ÁJ, Solís Báez S, Iwu E, Sabone M, Mulaudzi…

  18. A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/novel-patient-facing-mobile-platform-collect-and-implement-patient-reported
    April 01, 2023 - A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma Project Description Research Story The ASTHMAXcel Voice mobile platform has the potential to improve self-management, s…

  19. Electronic Health Record Implementation for Continuum of Care in Rural Iowa | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa
    January 01, 2023 - Electronic Health Record Implementation for Continuum of Care in Rural Iowa Project Final Report ( PDF , 333.71 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…

  20. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/theory-based-patient-portal-elearning-program-older-adults-chronic-illnesses
    January 01, 2023 - A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses Project Final Report ( PDF , 410.68 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necess…
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