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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Are We Safer Today?
February 26, 2025
Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/are-we-safer-today
In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the
National Academy of Medicine) drew on two lar…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
June 02, 2025 - ASTD Coaching Self-Assessment Form
ASTD Coaching Self-Assessment Form
Instructions
The purpose of this activity is to assist you in learning about what you need to be successful
as a coach an…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2ref.html
September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Endnotes
Previous Page Next Page
Table of Contents
Designing Care Management Entities for Youth with Complex Behavioral Health Needs
Part 1: An Introduction to Care Management Entities (CMEs)
Part 2: Assessing Stat…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Patient and Family Involvement in Care of Mechanically Ventilated Patients
Say:
This module is about patient and family involvement in patient c…
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - Dual Therapy Debacle
September 1, 2015
Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dual-therapy-debacle
The Case
An elderly man with a history of arthritis, benign prostatic hypertrophy with urinary obstruction,
hyperlipidemia, obesity, and a long history of tobacco use …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - Facilitation Instructions for Conducting In Situ Simulations
AHRQ Safety Program for Perinatal Care
Purpose of the tool: Simulation provides opportunities to practice teamwork and clinical skills and strategies in a safe learning environment and, through practice and feedback, acquire teamwork …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
Facilitation Instructions for Conducting In Situ Simulations
Purpose of the tool: Simulation provides opportunities to practice teamwork and clinical skills and strategies in a safe learning environment and, through pr…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapitab1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table I-1. Subcommittee Template: Comparison of Spoken Language Categories and Coding
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvem…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
January 01, 2017 - CAHPS Elicitation Protocol Webcast
Development and Testing of
the CAHPS Elicitation Protocol
Mark Schlesinger
Yale School of Public Health
www.ahrq.gov/cahps
Goals for narrative elicitation: specifics
We aspired to collect narratives that are:
• Complete: provide a full picture of the experiences that
matter…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 i
Introduction to the Pediatric Toolkit for Using the AHRQ Quality
Indicators: How T…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.pdf
December 26, 2018 - Explain and Motivate Complete Checklist
1
TalkingQuality
Your Project Checklist:
Explain and Motivate Use of Health Care Quality Reports
This document contains checklists for the following sections of Explain and Motivate Use of Health
Care Quality Reports:
• Communicating Key Information
• Providing Deta…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-1.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
Clinic/Clinician Element
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodology
Potential Measures
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
June 02, 2025 - Design Guide for Warm Handoff Plus
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Design Guide for
Warm Handoff Plus
Introduction
In a typical primary care visit, the patient transitions from one member of the healthcare team
to another multiple times, often wit…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-testing
April 11, 2024 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
in progress
Final Research Plan
BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing
April 11, 2024
Recommendations made by the USPSTF are indepe…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesWeissman2010.pdf
December 31, 2007 - In response to this issue and to increase patient safety, two
health plans in Massachusetts helped physicians … with the lowest cost sharing appear in
green, more expensive medications still covered by the health
plans
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - Engagement of
hospitals, health plans, employers, and primary care physicians is up considerably from … outreach through hospital systems, medical societies,
quality improvement organizations or health plans … structures and organizations, advancement in the
development and implementation of business plans … engages multiple stakeholders, including clinicians, consumer and patient groups, employers,
health plans
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Working-Group
Volunteer eHealth Initiative
Starting Points
Medicaid
Uninsured
Employers
Plans … government => Driven by Medicaid costs
The financial transaction infrastructure
Left to the market and plans … infrastructure
Modeled on a “hybrid” version of the Indianapolis work
The last mile
Left to the market and plans … initiatives
Threats to sustainability will require greater commitment from employers, other payers, and plans
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Planning Methodology (Pre- GO LIVE)
RN Objectives:
Successfully creates admission and update care plans … anonymous error reporting
Enter 1) nurse shift info, 2) patient care time
Use your submitted Care Plans … Refer to historical care plans and patient progress noted across time, explain rationale
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digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
June 06, 2006 - Engaging health plans- 74% of
respondents perceived the engagement
of health plans as a very difficult … as they get defined
June 6, 2006 Page 14
Key Take-aways
• Engaging your purchasers and health
plans