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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence2.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Center of Excellence Operations
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Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
C…
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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-Prologue_Grady_Vol4.pdf
June 02, 2025 - Prologue: Technology and Medication Safety
Prologue
Technology and Medication Safety
Mary L. Grady, BS
This volume comprises papers devoted to the development and use of technology—
principally health information technology (health IT)—and strategies to enhance
medication safety, both of which are critical …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
October 01, 2014 - Module 3: Falls Prevention and Management
Learning and Performance Objectives
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Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Know…
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www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
September 01, 2021 - Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Resource: Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs)…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Clinical Inertia and Outpatient Medical Errors
293
Clinical Inertia and Outpatient Medical Errors
Patrick J. O’Connor, JoAnn M. Sperl-Hillen,
Paul E. Johnson, William A. Rush, George Biltz
Abstract
Clinical inertia is defined as lack of treatment intensification in a patient not at
evidence-based goals for …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement
109
A Process-centered Tool for Evaluating
Patient Safety Performance and Guiding
Strategic Improvement
R. B. Akins
Abstract
This paper presents a patient safety applicator tool for implementing and
assessin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback_webinar_slides.pdf
November 08, 2016 - Teach-back
1
Teach-Back
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient
Safety in Primary Care Settings by Engaging
Patients and Families
kell…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab1.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 1: Availability of Medicaid State Plan Home and Community-Based Services, by State, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
June 01, 2020 - Choosing Quality Measures
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Choosing the most useful quality measures is one critical step toward success, no matter what your planned uses.
This section:
…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/key-driver.html
September 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Key Driver Diagram
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Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the M…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp5.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 5: Crossing the Bridge and Returning
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Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
Orego…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Intensive Care Unit (ICU) Daily Goals Checklist
ICU & Non-ICU
Problem statement:
Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
October 01, 2011 - An Organizational Guide to Building Health Services Research Capacity
Contract Final Report
An Organizational Guide to Building
Health Services Research Capacity
Contract Final Report
An Organizational Guide to Building Health Services
Research Capacity
Prepared for:
Agency for Healthcare Rese…
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www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
October 01, 2011 - An Organizational Guide to Building Health Services Research Capacity
Contract Final Report
An Organizational Guide to Building
Health Services Research Capacity
Contract Final Report
An Organizational Guide to Building Health Services
Research Capacity
Prepared for:
Agency for Healthcare Rese…
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - Investigator and Team Members:
Jason S Shapiro Role: Principal Investigator
Cindy Clesca Role: Project Manager
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www.ahrq.gov/nursing-home/resources/clinical-questions-COVID-19.html
January 01, 2021 - Clinical Questions about COVID-19: Questions & Answers for Healthcare Providers
Resource: Clinical Questions about COVID-19: Questions & Answers for Healthcare Providers
This website provides frequently updated information from the CDC on the following topics:
COVID-19 Risk.
Infection Control.
…
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www.ahrq.gov/evidencenow/projects/urinary/resources/interactive-pathway-flowchart.html
January 01, 2023 - Back to MUI Resources
Interactive Urinary Incontinence Care Pathway Flowchart
Resource
This document is available on the AHRQ website (PDF, 173 KB)
Summary
This UI care pathway flowchart was created using draw.io by the EMPOWER study team to aid practices participating in the…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
May 01, 2024 - resources and commitment to quality improvement, and an actively engaged lead clinician and office manager
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.11. Project Team Composition—Bed Flow Project at Each Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/index.html
March 01, 2017 - Home and Community-based Services
Home and community resources
Assessing the Health and Welfare of the HCBS Population
Report on developing outcome indicators to assess the 'health and welfare' of recipients of Medicaid home- and community-based services (HCBS).
Environmental Scan of Measures …