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3821. Clinical Inertia and Outpatient Medical Errors (pdf file)
      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 - Regulating the financial incentives facing physicians in managed care plans. … The cost to health plans of poor glycemic control. Diabetes Care 1997;20(12):1847–53. 68.

3822. Module-6-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
      June 02, 2025 - TAKEheart Care Coordination Implementation Guide – Part 1 -- Module 6 Laying the Groundwork for Effective Care Coordination Purpose and Overview The overall goal of TAKEheart is to increase the enrollment and successful completion of cardiac rehabilitation (CR) by eligible patients. The evidence demonstrate…

3823. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
      April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

3824. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/grants-2022.html
      July 01, 2025 - The center plans to assemble a diverse, multidisciplinary team to provide formal input about standards

3825. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…

3826. Building on Innovation to Become a Champion | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
      March 01, 2021 - Building on Innovation to Become a Champion Plymouth Family Physicians has always been on the cutting edge of primary care improvement. Since founding Plymouth Family Physicians in 1985, the husband-and-wife team of Dr. Mary Arenberg and Dr. George Schroeder have focused on quality improvement activities to pro…

3827. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html?page=5
      December 01, 2017 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

3828. Job Aid: “Last 10 Patients” Chart Audit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
      June 02, 2025 - Job Aid: “Last 10 Patients” Chart Audit Primary Care Practice Facilitator Training Series 1 Job Aid: “Last 10 Patients” Chart Audit Overview For a “last 10 patients” chart audit, look at the records of the last 10 patients the practice saw, who should have received care or a service. Use a “last 10 …

3829. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
      June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams Primary Care Practice Facilitator Training Series 1 Job Aid: 5 Whys and Fishbone Diagrams Overview The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and what causes them. They can also be used to identify the factors contribut…

3830. Engaging-Staff-Stories-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/engaging-staff-stories-transcript.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Engaging Staff With Stories: Transcript Carol Culbertson, Director of Nursing Audubon Surgery Center, CO Carol: Well, sharing stories with not only my team but with other involved facilities, such as the conference calls that we have done, has been…

3831. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/index.html
      June 01, 2021 - Transitioning Newborns from NICU to Home Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet Coaching in the Hospital Appendix A: Family Information Packet Appendix A: Fam…

3832. Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
      June 02, 2025 - Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Algorithm for observing patient after discontinuing urinary catheter Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Below is an example of a nurse-driven protocol to evaluate and discontinue unnecessary urinary catheters and to …

3833. A National Academic Detailing Resource to Adapt and Disseminate CER findings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/fischer.pdf
      December 19, 2014 - A National Academic Detailing Resource to Adapt and Disseminate CER findings Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products A National Academic Detailing Resource to Adapt and Disseminate CER findings Description Academic det…

3834. Choosing a Stewardship Intervention and Measuring Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/intervention-worksheet.pdf
      June 01, 2021 - Choosing a Stewardship Intervention and Measuring Change Choosing a Stewardship Intervention and Measuring Change • Antibiotic stewardship interventions can occur before antibiotics are prescribed (pre-prescription interventions) and after antibiotics have been started (post-prescription interventions). • M…

3835. Appendix C1: Falls Assessment Sample | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt1.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C1: Falls Assessment Sample Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview …

3836. Table 2-2. Selected Characteristics of the Hispanic/Latino/Spanish Population in the United States | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldatatab2-2.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 2-2. Selected Characteristics of the Hispanic/Latino/Spanish Population in the United States Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qua…

3837. Appendix, Assembling a Medication Reconciliation Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-2.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Assembling a Medication Reconciliation Team Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction…

3838. Infection Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
      May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Infection Prevention Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (C…

3839. Table F-1. Granular Ethnicities That Cannot Be Rolled Up to an OMB Race Category with Greater Than 90 Percent Certainty | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataaptabf1.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table F-1. Granular Ethnicities That Cannot Be Rolled Up to an OMB Race Category with Greater Than 90 Percent Certainty Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardizatio…

3840. Table 4.11. CRC Screening Rates by Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-11.html
      April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.11. CRC Screening Rates by Practice Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. …