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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ut.html
March 01, 2019 - State at a Glance: Utah
Learn more about the CHIPRA quality demonstration projects being implemented in Utah.
Utah is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Gr…
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Toolkit 1. Working With Your Lab To Improve Antibiotic Prescribing
Overview of the Toolkit
How can a lab help improve antibiotic prescribing at your nursing home?
Laboratories can use culture results from the nursing home to create a specialized annual report called an antibiogram. The antibiogram report sh…
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - How To Manage Change
How To Manage Change
ADD Hospital Name
Module 2
QI Change Process
Change process strategies can be applied to other quality improvement (QI) efforts:
Hospital falls
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism after knee and hip replacement
Blood inco…
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide5.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
Step 5: Evaluating the Infrastructure Support Initiative
Previous Page Next Page
Table of Contents
An Organizational Guide to Building Health Services Research Capacity
Introduction
Step 1: Assessing Your Organization's Needs …
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
July 01, 2018 - Guide to Patient and Family Engagement
Introduction
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft Key Informa…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/enabling-real-time.pdf
January 01, 2023 - Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices
Enabling Real-Time Identification of Burnout Risk
Among Clinicians in Primary Care Practices
AHRQ Impact: Researchers have developed a
prediction tool to identify primary care practices
at high-risk of clinician burnout…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 2-A. Suggested Slides for Module 2
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - Surgical Site Infection Investigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured appr…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-overview.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
ICU-to-Ward Transitions
Previous Page Next Page
Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Intr…
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www.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
Long COVID is a Case Study of Our Fractured Healthcare System
MAR
21
2023
By
Edmondo
Robinson,
M.D., M.B.A., M.S. Chair, AHRQ’s National Advisory Council
Edmondo Robinson, M.D. M.B.A., M.S.
Editor’s Note: This blog post…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Design Options for a Self-Management Support Program (continued)
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
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www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
January 01, 2016 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund
Dissemination and Implementation
The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development and dissemination and implementation
AHRQ uses some of…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare
Creating and Maintaining a Culture of Safety Series
(Session 3)
Measuring and Responding to Safety Culture Across Healthcare
NATIONAL WEBINAR SERIES
April 15, 2025
Housekeeping Instructi…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Describe the rationale for the use of c…
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary
Executive Summary
Spreading Lean: Taking Efficiency
Interventions in Health Services Delivery to
Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
January 01, 2018 - Developing an Effective Care Coordination System Implementation Guide
Enhancing Care Coordination for Cardiac Rehabilitation
1
The PowerPoint presentation (PPT) is designed to serve as a roadmap, along with the Implementation Guide (IG), for enhancing care coordination processes for facilitating enrollment a…