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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
    January 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide Prepared by the RESET Investigators Version 2.0: September 2019 Funded by …
  2. www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
    January 01, 2024 - patient satisfaction, and reduce medical malpractice. [1-7] Ten years ago, the Institute of Medicine recommended
  3. www.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - malpractice claims risk, generally those in the top 3-8 percent of a medical group’s members 4 —are recommended
  4. www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
    June 01, 2018 - For example, clinical recommendations often set new target levels or recommended frequencies for specific
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - Our TEP recommended a “hybrid” approach, in which some topics would be reviewed in depth, whereas other
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - For example, reported inconsistencies in communication and recommended followup for abnormal Pap
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - One example of ongoing work to clarify practices that should be recommended is a planned Cochrane systematic … non-pharmacological interventions in reducing incidence and duration of delirium in critically ill patients” and recommended … for disseminating ACE Unit principles to non- ACE Units and may lead to increased adherence to recommended … The 1-hour educational intervention, based on nationally recommended standards, improved the nurses
  8. www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
    June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Executive Summary This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…
  9. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
    March 01, 2017 - Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Accelerating Change and Transformation in Organizations and Networks II Contract No. HHSA2902010…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: On-Time Falls High-Risk Report . Quarterly Summar…
  11. www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
    January 01, 2024 - Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference 1. TITLE PAGE Pediatric Quality Improvement Methods, Research, and Evaluation Conference Jonathan Finkelstein, MD, MPH, Principal Investigator Team Members: Denise Dougherty, PhD Alex Kemper, MD, MPH, MS Lawrence K…
  12. www.ahrq.gov/funding/training-grants/hsrguide/hsrguide3.html
    October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Step 3: Planning the Infrastructure Support Previous Page Next Page Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilit…
  13. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
    February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? Evaluation Highlight No. 7 Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes…
  14. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …
  15. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
    March 01, 2016 - Applying the AHRQ Pediatric Quality Indicators to Hospital Data Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool B.1 Applying the AHRQ Pediatric Quality Indicators to Hospital Data What is the purpose of this tool? This tool provides guidance on how to c…
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
    September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation National Center for Excellence in Primary Care Research Presents Innovative Use of Technology in Primary Care Delivery September 14, 2023 Presented by: Anjana Estelle Sharma, MD, MAS Adrian Aguilera, PhD Ryan J Coller, MD, MPH Nicole…
  18. www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix C. Site Visit Protocol Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. S…
  19. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…
  20. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
    April 01, 2023 - Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions Contents 6.F.1. The Problem 6.F.2. The Intervention 6.F.3. Benefits 6.F.4. Implementation References   Download Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (PDF, 350 KB…

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