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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
In…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
…
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix C. Sample Search Strategies
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Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introductio…
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www.ahrq.gov/news/newsroom/case-studies/202302.html
September 01, 2023 - American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research
Search All Impact Case Studies
September 2023
The American College of Obstetricians and Gynecologists (ACOG) relies on AHRQ’s Effective Health Care Program systematic reviews…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting
Community-Acquired Pneumonia in the
Primary Care Setting
Background on Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately
6 million cases are reported annually, resulting i…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/part-5.html
February 01, 2022 - Primary Care Practice Facilitation Curriculum
Part 5: Implementing the Care Model and Patient-Centered Medical Home
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Table of Contents
Primary Care Practice Facilitation Curriculum
Preface
Introduction
Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies
P…
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www.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - Label Health Care Quality Measures in Plain English
The public does not speak the same language as health professionals. To reach the public, you will have to translate many terms that are common in the health world into the language of lay people. This includes not only medical terms but also those that po…
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www.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Clinical Practice Guidelines Archive
The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding though AHRQ was no longer available to support them. Please visit AHRQ's Guidelines and Measures (GAM) microsite to find information about its legacy guidelines and measures cleari…
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www.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D.
Chief Quality and Clinical Transformation Officer, University Hospitals
Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing
Case Western Reserve University
Peter Pronovost, M.D., Ph.D., is a patient safety cha…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-30-teams.pdf
September 01, 2015 - For example, in proactively manage the work of population
health and to discuss high-risk patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - In Situ Simulation: Challenges and Results
In Situ Simulation: Challenges and Results
Mary D. Patterson, MD; George T. Blike, MD; Vinay M. Nadkarni, MD
Abstract
In situ simulation, simulation that is physically integrated into the clinical environment, provides
a method to improve reliability and safety in h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
· On-Time Falls High-Risk Report.
· Quarterly Summary of Falls Risk Facto…
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange
Title Page
Title: Advancing Quality Measurement and Care Improvement with Health Information
Exchange
Principal Investigator and Team Members:
Jason S Shapiro Role: Principal Investigator
Cindy Clesca…
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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-Raebel_53.pdf
May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety
Imbedding Research in Practice to
Improve Medication Safety
Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH;
David J. Magid, MD, MPH
Abstract
Objective: The objective of this project was to improve medication saf…
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www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient Safety and IT Integration
Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient
Care
Team Members:
Northeast Health and Partner Organizations
Donna Deblois, MS, RN – Executive Dire…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - for these patients to receive appropriate preparation for their return home so that they can properly manage
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www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - value stream (i.e., process) mapping and 5S (an organizing tool); Kaizen events (weeklong events to manage
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
December 01, 2017 - What specific actions can you take to avoid or manage these issues?
4.