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1501. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - Led by the American Institutes for Research, the team included the Institute for Patient and Family-Centered … Many hospitals use a process called root-cause analysis to illuminate the events and decisions that led

1502. Chartbook on Black Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
      November 01, 2020 - Produced with the help of an Interagency Work Group led by the Agency for Healthcare Research and Quality … This reduction, in turn, led to significant cost savings. Slide 77 References Arias E. … Also led to significant cost savings for participants.

1503. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - session, give the participants the reading assignment— simulated change team Self-Assessment meeting led

1504. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - When a system issue led to the care plan not being followed, we fixed the system.

1505. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3.

1506. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
      January 01, 2024 - deliberation group when the participants realized that diagnosis is a process rather than a one-time event led

1507. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - This is notable because had the facilitator, who seemed to have some formal power in the group, led

1508. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
      October 01, 2019 - Disclosing data collected as part of the Health Plan Employer Data and Information Set (HEDIS) led to

1509. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
      March 01, 2016 - The AMA-convened PCPI™ is a national, physician-led initiative dedicated to improving patient health

1510. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

1511. Behavioral Health Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0085-fullreport.pdf
      December 31, 2015 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

1512. Episiotomy (Overuse) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
      March 01, 2016 - The AMA-convened Physician Consortium for Performance Improvement® (PCPI™) is a national, physician-led

1513. CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
      April 01, 2016 - And that’s led to a really strong organizational focus on cultural competence among staff.

1514. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - At CSHS, which led the original development, there was support for a dedicated, paid time for training

1515. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 - Focus Groups A focus group is a moderator-led discussion among staff and/or patients that is designed

1516. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - The reports are produced with the help of an Interagency Work Group led by the Agency for Healthcare … This practice of compounding has led to a variety of medication concentrations in use.

1517. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
      February 21, 2016 - Nonetheless, our efforts to do so led to three positive developments. … Partnership Learning Network hosted by AcademyHealth, (3) the National Improvement Partnership Network led

1518. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
      January 28, 2011 - Led by the American Institutes for Research, the team included the Institute for Patient and Family-Centered … Many hospitals use a process called root-cause analysis to illuminate the events and decisions that led

1519. AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
      January 01, 2021 - The Dartmouth-led team created claims databases using Medicare claims. … They found that the program led a significant portion of organizations to invest in primary care redesign

1520. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - members of the Society for Pediatric Sedation (SPS) and the PI for an AHRQ grant awarded in 1999 which led