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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/index.html
September 01, 2015 - Primary Care Transformation
AHRQ recognizes that revitalizing the Nation’s primary care system is foundational to achieving high-quality, accessible, and efficient health care for all Americans. The patient-centered medical home (PCMH) (also referred to as the primary care medical home, advanced primary care, o…
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www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - Patient Safety Awareness Week 2024
As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
June 02, 2025 - Prologue: Culture and Redesign for Improved Patient Safety
Prologue
Culture and Redesign for Improved Patient Safety
James B. Battles, PhD
The articles in this volume explore issues of culture and the redesign of organizations and
clinical practices to improve patient safety. Within this broad theme are f…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
April 13, 2016 - Strategies for Improving CAHPS Health Plan Survey Scores
Strategies for Improving CAHPS
Health Plan Survey Scores
A Webcast Presented by the AHRQ CAHPS User Network
April 13, 2016
12:00 – 1:00 pm ET
www.cahps.ahrq.gov
CAHPS Webcast Series
• Consumer Assessment of Healthcare Providers
and Systems (CAHPS®…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
April 01, 2022 - CAUTI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Catheter-Associated Urinary Tract Infection (CAUTI)
This worksheet is designed to be used near the bedside and is the shortened version of the CAUTI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happened,…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream Infection (CLABSI)
This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…
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www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
June 02, 2025 - Section 7.B, Tables 13 and 14
Indicator Indicator Does not live Lives in
ID in MSA MSA
(N=217) (n=625)
Care Coordination Services
Has care coordinator FECC-1 73.5 69.8
Access to care coordinator FECC-2 97.5 96.1
Care coordinator helped to obtain
community services
FECC-3
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-15-16.pdf
June 02, 2025 - Section 7.E, Tables 15 and 16
Indicator Indicator
ID
English
proficient
(n=1094)
LEP
(n=154)
Care Coordination Services
Has care coordinator
Access to care coordinator
Care coordinator helped to obtain community
services
Care coordinator contact in the last 3 months
Care coo…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Labor and Delivery Unit Safety
Say:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
SAY:
Establishing a Program of In Situ Simulations
is a pillar of the AHRQ Safety Program for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - ■ It is important to minimize cross-sharing of interview responses from one group to another. … Does disclosure to patients and families include the sharing of facts not otherwise known or knowable … Does disclosure to patients and families include the
sharing of facts not otherwise known or knowable
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
December 01, 2017 - Barriers to Team Performance
Inconsistency in team membership
Lack of time
Lack of information sharing
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www.ahrq.gov/evidencenow/tools/keydrivers/create-care-teams.html
November 01, 2018 - Sharing performance data with care teams also creates opportunities for practices to celebrate improvement
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/magill.html
October 01, 2015 - care team was also intended to increase quality of care through improved communication and information sharing
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/fetters.html
October 01, 2015 - Payers, purchasers, and providers should explore methods for sharing cost savings derived from PCMH implementation
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas2.html
March 01, 2013 - characteristics (e.g., time commitments, levels of trust, access to resources), and levels of resource sharing