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  1. 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 …
  2. 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…
  3. 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…
  4. 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 Share to Facebook Share to X Share to WhatsApp Share to Email Print December 19, 2024 – The Agency for Healthcare Research and Quality (AHRQ) welcomes nomination…
  5. Psn-Pdf (pdf file)

    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…
  6. 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 –…
  7. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Cas…
  8. Psn-Pdf (pdf file)

    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/…
  9. Psn-Pdf (pdf file)

    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. …
  10. Psn-Pdf (pdf file)

    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. …
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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 …
  15. 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 Previous Page Next Page 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. …
  16. 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,…
  17. 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 Previous Page Next Page Table of Contents Proactive Risk A…
  18. 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…
  19. 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 Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Chapter 1. Introduction Chapte…
  20. 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…