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  1. www.ahrq.gov/action-alliance/resources/foundational-area.html
    March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…
  2. www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
    April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL) Principal Investigator:  Sara Singer, Ph.D., Harvard University, Cambridge, MA AHRQ Grant No.:  HS24453 Project Period:  09/30/15–09/29/21 Description:  The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - Results: The outcome indicates that voluntary use of the PDA results in substantial reductions in errors
  4. www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
    January 01, 2020 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Final Contract Report Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Prepared for: Agency for Healthcare Research and …
  5. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
    March 01, 2015 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Engaging Primary Care Practices in Quality Improvement Strategies for Practice Facilitators W H IT E P A P E R National Center for Excellence I N P R I M A R Y C A R E R E S E A R C H National Center for Ex…
  6. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
    May 01, 2025 - Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan May 1, 2025 1 AHRQ Action IV Task Order #16 Person-Centered Care Plannin…
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 2: Trends in Priorities of the Heckler Report National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 Report of the Secretary’s Task Force on Black and…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sms.pdf
    March 29, 2016 - Patient Self-Management Support: A Chronic Conditions Practice Improvement Activity Advancing Excellence in Health Care–•–www.ahrq.gov Patient Self­Management Support A Chronic Conditions Practice Improvement Activity User Guide Resources To use a screen reader application with this module, please change your …
  9. www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
    April 01, 2018 - Source: Centers for Medicare & Medicaid Services, Outcome and Assessment Information Set, 2010-2013. … Source: Centers for Medicare & Medicaid Services, Outcome and Assessment Information Set (OASIS), 2010
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
    March 01, 2016 - Resources for Advanced Practices Resources for Advanced Practices The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents Introduction ......................................................................1 Shared Decisionmaking .................…
  11. www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
    January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Assessing Environmental Cleaning Effectiveness ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Assessing Environmental Cleaning Effectiveness SAY: Welcome to this presentation on Assessing Environmental Cleaning (EVC) Effectiveness and incorporating effective…
  13. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 3. Building and Maintaining a Network of Primary Care Practices Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement …
  14. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…
  15. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
    September 08, 2015 - Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of h…
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
    July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation Introduction to the SPPC-II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in the Safety Prog…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
  18. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 4. Results and Key Findings Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapt…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
    February 01, 2020 - brief description of the evidence base for valid relationship(s) among the structure, process, and/or outcome … comorbidity [diabetes, hypertension, or hyperlipidemia]) that, if followed, results in a desirable clinical outcome

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