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1961. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - Sustainability of Cultural Changes Change is not easy, but when a culture embraces a common shared mental

1962. 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 - It also enables all to have a shared mental model while delivering care. 5 Hospital AIM Team

1963. 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 - - did your doctor talk to you about anything personal, or any family problems, any substance use, mental

1964. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
      March 01, 2020 - providers play increasingly important roles; these include nurses, pharmacists and pharmacy technicians, mental … providers; and • Inadequate communication with providers from other setting such as home care, community mental

1965. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - If disagreement is high, efforts should be made to build a shared mental model and resolve the underlying … Exemplar cases can be used to build a shared mental model and also as reference standards to train future

1966. 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 - patients with lumbar fusion, hip and knee osteoarthritis, diabetes, and cardiovascular and comorbid mental … Engagement in ACO Practices and Patient- Reported Outcomes in Adults With Co-Occurring Chronic Disease and Mental

1967. Patient Self-Management Support Programs: An Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
      November 01, 2007 - These include social workers, pharmacists, dieticians, behavioral or mental health specialists, licensed … functional status, complications such as organ damage or lower extremity amputations, physical and mental

1968. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
      January 01, 2024 - Assessing primary nursing in mental health. Nursing Standard, 12(21), 35- 38. 30.

1969. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - include nurse practitioners, physician assistants, and nurse midwives and often include dentists, mental

1970. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - Individual staff factors (knowledge and skill, motivation, physical and mental health). 6.

1971. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
      July 01, 2016 - care—behavioral health risk assessmentc EHR Behavioral health Follow-up after hospitalization for mental

1972. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
      December 01, 2016 - they believed they or their community were ill-equipped to address, such as adolescent or maternal mental

1973. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
      January 01, 2023 - a diverse population that includes people with multiple chronic conditions, physical disabilities, mental

1974. Imp-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
      June 02, 2025 - for evaluating all residents with chronic conditions like CHF or when there has been a change, like mental

1975. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
      June 01, 2020 - research to address the lack of specialists in the pediatrics workforce and optimal staffing for emergency mental

1976. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - minutes early due to multiple conversations, some participants needing to leave, and a general sense of mental

1977. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
      January 01, 2024 - Participants’ noted that they had a previous mental model associated with the color red that alerted

1978. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles 1 Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality Implementation Programs Society of Critical Care Medicine William S. Miles, MD, FACS, FCCM, FAPWCA Director of Surgical Critical Care and the …

1979. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program For Surgery – Implementation This module focuses on the process of Learning from Defects throug…

1980. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
      January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) Final Progress Report Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) PI: Sarwat I. Chaudhry Yale University Inclusive Dates: 9/30/2014-9/29/2019 Agency for Healthcare Research and Qua…