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1381. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
      June 02, 2025 - We have been educated and acculturated to recognize our personal responsibility to master the knowledge

1382. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
      July 01, 2018 - Guidelines ADA guidelines for diabetes care state that any diabetes management plan: ... should recognize

1383. Helping Primary Care Teams Rediscover the Joy of Medicine | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/virginia.html
      March 01, 2021 - Helping Primary Care Teams Rediscover the Joy of Medicine A former military intelligence officer and undercover policeman, Mr. Mike Talley seems an unlikely candidate to coach primary care practices on ways to improve care. But by adding a master's degree in counseling and on-the-ground experience assisting cli…

1384. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Introduction Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagnosis in Hea…

1385. Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety.html
      September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Introduction Nurses’ Roles…

1386. NAC Member Biography: Elizabeth Mort | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/organization/nac/mort.html
      February 01, 2025 - NAC Member Biography: Elizabeth Mort Elizabeth Mort, M.D., M.P.H.  Massachusetts General Hospital and Massachusetts General Physicians Organization  Former Senior Vice President Quality and Safety  Chief Quality Officer  Primary Care Physician  Beacon Hill Primary Care  Division of General Internal Medicine  De…

1387. New Clinical Processes and Improving Workflows for Opioid Management in a Geriatric Clinic: Using Input from The Team Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
      June 02, 2025 - New Clinical Processes and Improving Workflows for Opioid Management in a Geriatric Clinic: Using Input from The Team Case Study Focus on High Levera…

1388. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
      April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction …

1389. Module 2: Senior Leader Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
      March 01, 2017 - Module 2: Senior Leader Engagement: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 2: Senior Leader Engagement Say: The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior l…

1390. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
      August 01, 2022 - Once these successes are identified, it is important to recognize and reward people who contributed to

1391. Preface (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
      February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…

1392. Preface (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
      February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…

1393. Preface (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
      February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…

1394. Preface (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
      February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…

1395. We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
      March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers DEC 5 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. The recent shootings in a Colorado nightclub and a Virginia store are …

1396. Building on Innovation to Become a Champion | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
      March 01, 2021 - Building on Innovation to Become a Champion Plymouth Family Physicians has always been on the cutting edge of primary care improvement. Since founding Plymouth Family Physicians in 1985, the husband-and-wife team of Dr. Mary Arenberg and Dr. George Schroeder have focused on quality improvement activities to pro…

1397. Modifying and Naming Your CAHPS Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/helpful-resources/modifying/index.html
      May 01, 2020 - Modifying and Naming Your CAHPS Survey To maintain comparability and consistency across CAHPS ® surveys, the Agency for Healthcare Research and Quality (AHRQ) offers the following guidelines regarding what changes you can make to a CAHPS survey and how to give proper attribution to the CAHPS program. If you …

1398. Subcommittee Member: Jay Himmelstein | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/himmelstein.html
      November 01, 2022 - Subcommittee Member: Jay Himmelstein Jay Himmelstein, M.D., M.P.H. Professor Population and Quantitative Health Sciences and Family Medicine and Community Health Chief Health Policy Strategist CommonWealth Medicine UMass Chan Medical School Jay Himmelstein, M.D., M.P.H., is a professor of Population an…

1399. Supplemental Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
      December 01, 2017 - Supplemental Tools Surgical Care Audit Tools Surgical Site Infection Investigation Tool ( Word , 1.8 MB) This tool will help your safety program team understand lapses in infection prevention processes that may have contributed to the surgical site infection case. It can help your team identify practice …

1400. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - • Recognize the limitations of representatives. … It is important that you recognize that any protected health information can only be used and disclosed