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1801. Tool 12: Cross Continuum Collaboration Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
      June 02, 2025 - Tool 12: Cross Continuum Collaboration Tool Tool 12: Cross-continuum collaboration tool Purpose This tool helps teams develop specific effective and timely linkages to services with cross-continuum clinical, behavioral, and social services providers. Description Hospital readmission reduction teams need to identify…

1802. Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
      February 01, 2005 - Workflow Workflow Ann Lefebvre MSW, CPHQ Associate Director, NC AHEC North Carolina Area Health Education Centers North Carolina Area Health Education Centers “Every system is perfectly designed to get the results that it gets.” Paul Batalden, MD North Carolina Area Health Education CentersNorth Carolina…

1803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38350/psn-pdf
      March 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. March 1, 2011 Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards…

1804. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…

1805. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…

1806. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
      December 31, 2022 - Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care Getting Started Laying the Groundwork for Implementing Automatic Referral & Effective Care Coordination This presentation is designed to help you understand the steps required for laying the necessary foundati…

1807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39102/psn-pdf
      January 04, 2010 - Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. January 4, 2010 Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.…

1808. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
      May 17, 2017 - The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 4: Ways to Approach the Quality Improvement Process Visit the AHRQ Website for the full Guide. May 2017 (upda…

1809. Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
      July 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Project Description Publications Research Story Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with…

1810. Utilization of ISO 9001 Principles as a Model for Community Cooperation in Establishing an Anticoagulation Clinic (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Levett_051711comp.pdf
      June 16, 2021 - Utilization of ISO 9001 Principles as a Model for Community Cooperation in Establishing an Anticoagulation Clinic Kirkwood Community College Lead Organization James M. Levett, M.D. Principal Investigator Physicians’ Clinic of Iowa Cedar Rapids, Iowa Utilization of ISO 9001 Principles as a Model for Community Coope…

1811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60005/psn-pdf
      March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…

1812. Exhibit 1.18. Major Factors that Facilitate Lean Success at LHC | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-18.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.18. Major Factors that Facilitate Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthca…

1813. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/start.html
      July 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Getting Started With Patient and Family Engagement in Primary Care Implementing the strategies will be like any quality or process improvement project. It requires commitment, leadership, and planning. The Agency for…

1814. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Appendix C: "Long List" of Delivery System Research Areas Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References…

1815. 17-Engaging-Stakeholders-Data (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
      June 01, 2023 - Engaging Frontline Staff With ISCR Process and Outcome DataAHRQ Safety Program for Improving Surgical Care and Recovery Purpose of tool: To engage frontline staff in the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) by showing process and outcomes data…

1816. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…

1817. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…

1818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46941/psn-pdf
      August 01, 2018 - Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. August 1, 2018 O?Connell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety in the Emergency De…

1819. Shojania K et al. 2009 "The effects of on-screen, point of care computer reminders on processes and outcomes of care." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shojania-k-et-al-2009
      January 01, 2009 - Shojania K et al. 2009 "The effects of on-screen, point of care computer reminders on processes and outcomes of care." Reference Shojania K, Jennings, A, Mayhew, A, Ramsay, CR, Eccles, MP, and Grimshaw, J. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Co…

1820. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…