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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Letter of Agreement
Date
Name
Address of Laboratory
RE:
Developing an Antibiogram for [NURSING HOME NAME]
Dear [insert name]:
For several years, antibiogram reports have been used in hospitals to address the issue of appropriate antibiotic use; nursing homes are …
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www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - Comparing Quality Scores to an Independent Standard
Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages.
Advantages of Comparing to an Independent Standard…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
January 01, 2020 - Successfully Integrating Behavioral Health in Primary Care Settings Requires Teamwork
Frank Degruy Transcript AHRQ Academy Video
A successful integrated health care model has at least three members of the team at its core. This would be a primary care clinician, a behavioral health clinician, and a care manager or a c…
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www.uspreventiveservicestaskforce.org/uspstf/announcements/ahrq-seeks-nominations-new-members-us-preventive-services-task-force-0
March 15, 2025 - AHRQ Seeks Nominations of New Members to the U.S. Preventive Services Task Force
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December 19, 2024 – The Agency for Healthcare Research and Quality (AHRQ) welcomes nomination…
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psnet.ahrq.gov/node/44779/psn-pdf
May 20, 2016 - Fifteen years after To Err Is Human: a success story to
learn from.
May 20, 2016
Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn
from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720.
https://psnet.ahrq.gov/issue/fifteen-years-after-err-human-su…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sample-agenda.pdf
June 02, 2025 - IMPLEMENT California Quality Improvement Collaborative Agenda
IMPLEMENT California Quality Improvement Collaborative Agenda
TIME TOPIC
7:30-8:00 Registration and Continental Breakfast
8:00-8:30 Welcome and Introductions
8:30-8:45 AHRQ PQMP: IMPLEMENT Project Overview
8:45-9:00 Family Perspective –…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.11. Dissemination of Results from Lean Projects Throughout the Organization
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Cas…
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psnet.ahrq.gov/node/46309/psn-pdf
December 22, 2018 - Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
December 22, 2018
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication
quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/41494/psn-pdf
June 27, 2012 - National Voluntary Consensus Standards for Patient
Safety Measures: A Consensus Report.
June 27, 2012
Washington, DC: National Quality Forum; June 2012.
https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-
report
Progress in improving patient safety has been hampe…
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - Handbook of Human Factors and Ergonomics in Health
Care and Patient Safety. 2nd ed.
February 23, 2018
Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 9781439830338
https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-
ed
Human factors principles are widely ap…
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psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - High-reliability health care: getting there from here.
January 23, 2019
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490.
doi:10.1111/1468-0009.12023.
https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
Aviation is often cited as an …
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement2.html
February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set
Background
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Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B. …
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/cost-effectiveness.html
November 01, 2018 - Evaluating the Cost-Effectiveness of a Quality Reporting Project
Report sponsors often want to know whether the reporting project was a good use of limited resources. While it is often difficult and inappropriate to try to justify the expense of an entire quality reporting project based on quantifiable results,…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh12.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 12. Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting component failure points individually
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Table of Contents
Proactive Risk A…
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
March 01, 2021 - New Ideas Lead to Big Changes in Care
Like many small- and medium-sized practices, the team at Cascades East Family Medicine is always searching for ways to improve care. For Cascades East, this meant enrolling in EvidenceNOW, which connected them with a practice facilitator, Mr. Steven Brantley.
In their wor…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tools.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
List of Tools
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Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 1. Introduction
Chapte…
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www.ahrq.gov/patient-safety/settings/esrd/resource/tool-module.html
January 01, 2015 - ESRD Toolkit Modules
Modules contain PowerPoint slides, facilitator notes, video vignettes, and tools. Each module includes teaching tools and resources to support change at the unit level, presented through facilitator notes that take you step by step through the slides, tools, and videos.
Creating a Culture…