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  1. www.ahrq.gov/nursing-home/learning-modules/vaccination-testing.html
    December 01, 2022 - Vaccination and Testing series This series of two learning modules focuses on considerations for when to test residents for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents. The modules are about 5 minutes long. Module 1: When to Test It is important to know the signs and s…
  2. www.ahrq.gov/npsd/data/dashboard/perinatal.html
    September 01, 2025 - Perinatal Dashboard Learn more about how the dashboards are set up . This dashboard presents the distribution of incidents by the final mode of delivery. Selecting one of the options in the top table below will display a related figure and table. This information can also be downloaded as an Excel file from t…
  3. www.ahrq.gov/talkingquality/plan/distribute-and-promote.html
    May 01, 2019 - How Will You Distribute and Promote a Health Care Quality Report? While you are in the early stages of the reporting process, it is important to plan how you will reach your audience. Pertinent decisions include: Will your report be available in print, on the Web, or both? How will you let people know i…
  4. www.ahrq.gov/nursing-home/learning-modules/post-vaccination.html
    December 01, 2022 - Post-Vaccination Practices Series This series of two learning modules features strategies to help nursing home teams minimize infection risk in their facility. Module 1: Minimizing Infection Risk: Protect The safety precautions that you take are just as important as the one-on-one care that you give to your…
  5. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/stories.html
    July 01, 2023 - Success Stories of Five Labor and Delivery Units Using the Toolkit Toolkit for Improving Perinatal Safety "AHRQ Safety Program for Perinatal Care: Experiences From the Frontline" describes the implementation experiences of five labor and delivery (L&D) units that successfully implemented the program. This r…
  6. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
    February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry AHRQ Publication No. 22-0015 TeamSTEPPS® for Diagnosis Improvement February 2022 TeamSTEPPS® for Diagnosis Improvement Reflective Practice Tool: The Spirit of Inquiry ASK Questions are the path to discovery and questions convey …
  7. www.ahrq.gov/nursing-home/resources/module-1-infection-prevention.html
    April 01, 2022 - Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course Resource: Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course This module provides an overview of infection prevention and control programs and how to imp…
  8. www.ahrq.gov/nursing-home/resources/module-11a-reprocessing-equipment.html
    May 01, 2022 - Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course Resource: Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course This module discusses recommended practices for reprocessing reusable resident…
  9. www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
    June 01, 2025 - Implementing CMS’ Patient Safety Structural Measure On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed some of the tools and resources that support implementation of the five domains of the PSSM: Leadership Commitment; Strategic Planning and Organizational Policy; Cult…
  10. Narrator V/O: (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/PSA-Audio-Script-Sample.doc
    June 02, 2025 - Narrator V/O: AUDIO PSA :30 AHRQ (8/13/07) TIPS WHEN GETTING MEDICAL TESTS  Asking Questions Consumer Campaign Talent: Kaye Lake SFX NARRATION 1. “Medical” or “Hospital” SFX in background w/ music 2. light health care background sounds throughout NARRATOR: YOU’VE JUST SEEN YOUR DOCTOR AND HE’S ORDE…
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-overall-structure.pdf
    June 02, 2025 - EvidenceNOW: Building State Capacity to Advance Equity in Heart Health EvidenceNOW: Building State Capacity to Advance Equity in Heart Health State-Level Cooperative MEDICAID & OTHER PAYERS RESEARCH INSTITUTIONS COMMUNITY ORGANIZATIONS PRIMARY CARE ORGANIZATIONS OTHER KEY STAKEHOLDERS QUALITY IMPROVEMENT O…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - selected reports for analysis, the results of both our quantitative and qualitative analyses, and what we learned … collect information about medical errors so that practitioners can learn from them and apply lessons learned
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - An important lesson learned from this near miss was that a lack of a reliable research-participant tracking … Based on lessons learned from this debriefing, a clinical research sign-out system is being developed
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - Lessons learned Reporting systems such as MEDMARX can be valuable tools for collecting and managing … Department of Defense response Centralized reporting Results Actions taken Discussion Lessons learned
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - After identifying lessons learned from the single-unit implementation, you can refine your approach … Recognize that communication is a skill that can be taught and learned but not without continual feedback
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
    May 01, 2017 - Several critical success factors are required to sustain the interventions learned and continued gains … The following examples will provide “lessons learned” to assist in sustainability in your facility.
  18. www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned … Lessons learned and processes developed during this project were incorporated into an SDM “Train-the
  19. www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
    January 01, 2025 - provided with training on clinic-level BP diagnosis steps via a day-long training webinar, when they learned
  20. www.ahrq.gov/data/apcd/backgroundrpt/review.html
    July 01, 2022 - While it is clear that there is much to be learned to maximize the potential of APCDs and to reduce the

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