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  1. digital.ahrq.gov/ahrq-funded-projects/service-integration/annual-summary/2008
    January 01, 2008 - Service Integration - 2008 Project Name Service Integration Principal Investigator Mathews, Craig Organization Franklin Foundation Hospital Funding Mechanism RFA: HS05-013: Limited Competition for AHRQ Transforming Health Care Quality Through Information Technology …
  2. digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoe
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  3. Impoving Diagnosis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
    April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat to patient safety. ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately 4 million. ■ Fifty-five percent of patients said diagnostic errors were a chief conce…
  4. digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
    January 01, 2010 - Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes - 2010 Project Name Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes Principal Investigator Fischer, Michael Organization Brigham and Women's Hospital Funding Mechanis…
  5. digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2010
    January 01, 2010 - A Longitudinal Telephone and Multiple Disease Management System to Improve Ambulatory Care - 2010 Project Name A Longitudinal Telephony and Multiple Disease Management System To Improve Ambulatory Care Principal Investigator Friedman, Robert Organization Boston Medical Center…
  6. digital.ahrq.gov/ahrq-funded-projects/interactive-preventive-health-record-iphr-promote-patient-centered-care/annual-summary/2011
    January 01, 2011 - An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Care - 2011 Project Name An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Care Principal Investigator Krist, Alexander H. Organization Virginia Commonwealth University …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33737/psn-pdf
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…
  8. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
    December 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case December 2005 Low on the Totem Pole Source and Credits This presentation is based on the Dec. 2005 Spotlight Case in Surgery/Anesthesia See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert Wachter, MD, …
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
    June 01, 2023 - PowerPoint Presentation AHRQ Safety Program for Improving Surgical Care and Recovery Engaging the Senior Executive Presentation Template AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Presentation Template Purpose of tool: To engage a senior leader to bridge the gap between senior management and frontline …
  10. www.ahrq.gov/news/newsroom/case-studies/cp31307.html
    May 01, 2013 - VA Provides Specialty Care in Local Offices Across the Country Search All Impact Case Studies May 2013 The U.S. Department of Veterans Affairs (VA) has launched a virtual model of medical education to deliver health care that is based on AHRQ's "Project Extension for Community Healthcare Outcomes" (Project …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/applycusp.pptx
    August 18, 2011 - (“Apply CUSP” cover slide with CUSP Toolkit logo) 1 Learning Objectives Review key steps of the CUSP Toolkit Learn how Just Culture principles can augment CUSP 2 Introduce Just Culture principles 2 Introduction to Just Culture Principles 3 3 Understand Just Culture 4 4 Just Culture1 A system t…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/134-clabsi-prevention-central-line-maintenance.docx
    October 01, 2024 - Central Line Maintenance: Maintain Awareness and Proper Care of Catheters in Place · Once a central line is inserted, it must be maintained and cared for meticulously to prevent introduction of pathogens. · Step 2 of CLABSI prevention is to maintain awareness and proper care of catheters in place. Best practices shoul…
  13. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/next-steps.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Recommendations for AHRQ’s Next Steps Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Le…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Stewardship in Action Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing…
  15. www.ahrq.gov/policymakers/chipra/demoeval/demostates/il.html
    March 01, 2019 - State at a Glance: Illinois Learn more about the CHIPRA quality demonstration projects being implemented in Illinois. Illinois is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demo…
  16. www.ahrq.gov/talkingquality/plan/environment.html
    June 01, 2016 - What Is the Environment for Reporting on Health Care Quality? Whether working alone or in collaboration with others, report sponsors need to understand: The circumstances in which the reporting project will take place. The likely implications of the project for: The sponsoring organizations, The org…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-training-final508.pdf
    June 02, 2025 - Teach-Back: How To Use the Training Toolkit The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Teach-Back How To Use the Training Toolkit What is the teach-back strategy? Teach-back is an evidence-based health literacy intervention that promotes: � Patient engagement…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
    May 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer? * * Source and Credits This presentation is based on the May 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sidney W.A. Dekker, Ph…
  19. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
    December 01, 2017 - Performing SSI Investigations: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Performing an SSI Investigation Slide 2: Learning Objectives After this session, you will be able to– Explain the difference between process and outcome data. D…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
    January 01, 2017 - SSI Investigation Tool Surgical Site Infection Investigation Tool Introduction Problem Statement Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured approach to investigate infections at …