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5421. Meeting Minutes, April 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
      August 01, 2016 - Meeting Minutes, April 2016 National Advisory Council Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 3, 2015, Summary Report Acting Director's Update AHRQ’S Work in Primar…

5422. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates TITLE PAGE Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates Principal Investigator: Daniel Joseph France, PhD, MPH Team Members: Key Pe…

5423. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…

5424. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders 299 Creating a Curriculum for Training Health Profession Faculty Leaders Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad Abstract Objectives: An interprofessional, collaborative group of educators, patient safety officers, and Federal …

5425. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
      September 03, 2014 - PowerPoint Presentation Using Checklists and Audit Tools To Improve Care in Hemodialysis Facilities 1 Objectives Describe the importance of using data in the Quality Assurance and Performance Improvement (QAPI) process Describe methods for using the National Opportunity to Improve Care in End Stage Renal Disease (…

5426. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…

5427. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
      May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …

5428. Chapter 6. Measure Maps and Profiles (continued, 25) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 25) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

5429. Chapter 6. Measure Maps and Profiles (continued, 24) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 24) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

5430. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…

5431. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
      December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Introduction and Methods 2019 NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2019 Introduction and Methods This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested c…

5432. CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
      April 01, 2016 - CAHPS Transcript: Strategies for Improving CAHPS Health Plan Survey Scores Strategies for Improving CAHPS Health Plan Survey Scores April 2016  Webcast Speakers Karen Posey, VP, Enterprise Strategy & Consumer Experience, CareSource Graham Bouldin, MSW, Manager, Data Analytics & Quality Improvement, Health Share…

5433. Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
      January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Principal Investigator: Scott D. Halpern, M.D., Ph.D. Perelman School of Medicine, University of Pennsylvania Other key team …

5434. Checklist: Creating a Medicine List When Patient Does NOT Bring Medicines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-nomeds-final508.pdf
      June 02, 2025 - Checklist: Creating a Medicine List When Patient Does NOT Bring Medicines The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Checklist: Creating a Medicine List When patient does NOT bring medicines Starting the Process � Use the word “medicine” instead of medication.…

5435. Vermont Health Clinics Promote AHRQ’s Medication Safety Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202003.html
      June 01, 2020 - Vermont Health Clinics Promote AHRQ’s Medication Safety Guide Search All Impact Case Studies June 2020 A Vermont-based based trio of Federally Qualified Health Centers (FQHC) has improved medication use and safety for approximately 8,000 patients by adapting an evidence-based strategy from AHRQ's Guide to …

5436. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
      June 02, 2025 - Creating a Safe Medicine List: Patient Information/Reminder Flyer Please Bring ALL Your Medicines to Your Next Appointment To keep you safe, we need to know about all the medicine you take from all your doctors. Please make sure you bring (in the original container)... � Prescription medicines. � Medicines you …

5437. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
      June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…

5438. Talking Points for Nasal Mupirocin (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-mupirocin.pdf
      March 01, 2022 - Talking Points for Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Section 14-9 – Talking Points for Nasal Mupirocin Patients may have questions or comments regarding nasal mupirocin. Below are some suggested responses to common patient questions. REMEMBER: Your enthusiasm and encourag…

5439. Talking Points for Nasal Iodophor (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-iodophor.pdf
      March 01, 2022 - Talking Points for Nasal Iodophor Decolonization of Non-ICU Patients With Devices Section 14-10 – Talking Points for Nasal Iodophor Patients may have questions regarding nasal iodophor. Below are some suggested responses to common patient questions. REMEMBER: Your enthusiasm and encouragement will be …

5440. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …