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monahrq.ahrq.gov/evidencenow/projects/heart-health/research-results/results/webinars/index.html
March 01, 2021 - EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer Report
National … National Healthcare Quality and Disparities Report
Latest available findings … About AHRQ
AHRQ's 35th Anniversary
Profile
Mission and Budget
AHRQ's Core Competencies
National … Agency for Healthcare Research and Quality, Rockville, MD. … Accessibility
Disclaimers
EEO
Electronic Policies
FOIA
HHS Digital Strategy
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monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Rethink the Role of
Primary Care
Final Report
Prepared for:
Agency for Healthcare Research and Quality … Rockville, MD: Agency for
Healthcare Research and Quality; March 2020. … Many of these national programs have been informed or guided by evidence-based toolkits and
guides. … The
technical approach combined formative qualitative research with quality improvement
techniques … to identify key principles for a conceptual framework on the role of primary care to
improve quality
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
November 18, 2015 - to patient engagement, including
AHRQ, the DoD Patient Safety Program, the Joint Commission,
the National … multi-team
system is responsible for various parts of patient care, but all must
act in concert to ensure quality
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monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
November 01, 2017 - The initiative also includes an independent
national evaluation designed to determine if and how quality … Data courtesy of ESCALATES, the EvidenceNOW independent national
evaluator under AHRQ grant number … Components
Support Strategy
The Virginia Cooperative offers practice facilitation in an
intensive … Quality Forum (NQF). … Primary Care: A Heart of Virginia Healthcare
Report [NAPCRG, 2017]
• Joy in practice as an enabling strategy
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - new demands, here are four
ways healthcare HR can inspire a culture that values teamwork in their strategy … National Action Plan To Advance Patient Safety
https://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient … /Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx
https://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient-Safety … Quality Improvement Savings Tracker Worksheet
9. … National Action Plan To Advance Patient Safety
5. TeamSTEPPS®
VII.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - ■ Prepare strategy for ongoing communication with key stakeholders and patient/family. … ■ Prepare interview strategy, questions, and materials based on document review and event
review … ■ Develop investigation strategy. … ■ Use the following as guidance: Joint Commission’s National Patient Safety Goals; National
Quality
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Rockville, MD: Agency for
Healthcare Research and Quality; May 2016. … It has allowed a more precise strategy to
communicate with patients and appears to improve satisfaction … In addition, preliminary quality improvement initiatives are underway to
improve the quality of death … In 2007, the Joint Commission published
National Patient Safety Goals that acknowledged four components … Prepared for the Agency for Healthcare
Research and Quality.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - College of
Medicine, Iowa City, Iowa, USA
2School of Biomedical
Informatics, Center for
Healthcare Quality … ,
University of Texas Health
Science Center, Houston, Texas,
USA
3Center for Innovations in
Quality … to deepen mutual trust;
communication between clinicians can potentially be incorporated into a
quality … )12
No clear guidelines as to content and manner of providing feedback, resulting in
14 variable quality … IIR17-127)
and the Presidential Early Career Award for Scientists and
Engineers (USA 14-274), the VA National
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
January 01, 2015 - Hickson, MD
Senior Vice President for Quality, Safety, and Risk
Prevention
Assistant Vice Chancellor … Crossing the Quality Chasm: A New Health System for the 21st Century. … Washington,
DC: National Academies Press; 2001; Nolan et al. … conduct
Lessened trust, lessened task performance
(always monitoring disruptive person)
Threatened quality … In: National Patient Safety Foundation Stand Up for Patient Safety Resource Guide, 2008;
Pichert JW
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - Health Systems
Prepared for:
Agency for Healthcare Research and Quality … Bailit Health Purchasing, Cambridge, MA, under contract
to the Agency for Healthcare Research and Quality … Rockville,
MD: Agency for Healthcare Research and Quality; October 2016. … conducted a literature
review, explored extant data sources, convened a Technical Expert Workgroup of national … Systems is a Federally Qualified Health Center (FQHC) and a Community
Mental Health Center, and is a national
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - page 21
Module 3: Communication
‹#› of 39
A check-back is a closed loop communication strategy … This strategy involves the sender initiating a message, the receiver accepting the message and confirming … The hand-off strategy is designed to enhance information exchange at critical times, such as transitions … The Joint Commission National Patient Safety Goal, NPSG 2E, which relates to communication, mandates … hand-offs are a good time to review and have a new pair of eyes evaluate the situation for both safety and quality
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
February 09, 2006 - It is the glue that holds together an effective strategy for ensuring patient safety and reducing medical … Baum is not only a practicing hospitalist, but is also the Associate Chair for Quality and the Director … Effective strategy examples might include bedside rounding, which we do at University of Minnesota, and … engagement, including AHRQ, the Department of Defense Patient Safety Program, the Joint Commission, the National
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
5 Tool D … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
7 Tool D … Hospital Quality and Safety
9 Tool D.4y
Program-Information/By-Topics/Quality-of-Care/Downloads … Hospital: 2016 National Patient Safety Goals. … Rockville,
MD: Agency for Healthcare Research and Quality; March 2013.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
January 01, 2013 - The VA’s National Center for Patient Safety database shows similar results with communication failure … program on the Jewish Home Transitional Care Unit will lead to:
Improved CNA empowerment
Improved quality … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
TeamSTEPPS in
Long-Term Care
The QWL Survey
QWL=Quality … of Work Life
45-items, Likert scale responses
Used in several studies to examine perceived quality of
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - How To Improve Hospital Quality and Safety
Tool B.4 i
Documentation and Coding for the AHRQ Quality … American Health Information Management Association, Centers for Medicare &
Medicaid Services, and National … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
2 Tool B … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
3 Tool B … Centers for Medicare & Medicaid Services and National Center for Health Statistics.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - Case Example #1: Stanford Coordinated Care
Prepared for:
Agency for Healthcare Research and Quality … Rockville,
MD: Agency for Healthcare Research and Quality; October 2016. … conducted a literature
review, explored extant data sources, convened a Technical Expert Workgroup of national … Team members are trained to use quality improvement
(QI) methodology and collect QI data. … Training is ongoing and mostly on-the-job, a strategy that
aims to build trust between team members.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Facilitator Notes - Grand Rounds Presentation
Say:
All of us in health care want to provide excellent, high-quality … Organizations have quality and safety programs, but many struggle to ensure
that solutions to errors … providers
as they see that this entire process is core to everyone’s mission, which is to
improve quality … 35
Say:
In addition to the organization Medically Induced Trauma Support Services (or
MITSS), the National … Quality Forum has published guidance in a “safe practice”
on caring for caregivers after an adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - Pressure Injury Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar
· National … The AHRQ Patient Safety Network (PSNET) is a national Web-based resource for staying current on tested … The wound nurses, Quality Department, and nurse managers audited the use of the annotated image. … Slide 29
SAY: Planning care is essential to quality.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - When your hospital invests in a new program, quality improvement intervention, or technology, leaders … AHRQ QI Toolkit
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Clinical and other staff (e.g., quality and patient safety staff at the hospital) running the quality … Measures of health care quality likely to be affected by the intervention. … Costs of quality improvement: a survey of four acute care hospitals.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - Return on Investment Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool F … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
3 Tool F … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
4 Tool F … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
5 Tool F