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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction
Final Progress Report
Validation of an Innovative Approach To Error Reduction
Principal Investigator: David Blumenthal, MD, MPP
Team Members:
Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital)
Paul D. Cleary, PhD (Yale…
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www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement
Executive Summary
Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2)
Contents
On Page 1 of 2:
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
On Page 2 of 2:
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
Re…
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Discussion of Findings
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitation…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 28, 2023 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4
Video-Based Simulation:
Facilitator Guide
Mutual Support
Task Assistance
TeamSTEPPS Training Curriculum
This page intentionally left blank.
3
Table of Contents
SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4
TeamSTEPPS 4
V…
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - Perhaps reflection of
practice combined with education on error reduction could be used as a technique
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript
Module 1: Overview
Slide 1
“Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tract infectio…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-227-fullreport.pdf
June 01, 2019 - Anticipatory Guidance for Prevention and Management of Splenic Complications in Children with Sickle Cell Disease
1
Anticipatory Guidance for Prevention and
Management of Splenic Complications in Children
with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Anticipatory Guidance f…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11093-Jones-draft-1.pdf
December 31, 2004 - Final Progress Report: Improving Pain Management in Nursing Homes
Final Report
Improving Pain Management in Nursing Homes
Principal Investigator: Katherine R. Jones
Team Members:
Investigator: Regina Fink
Investigator: Evelyn Hutt
Investigator: Ginny Pepper
Investigator: Jill Scott
Investigator: Lauren Clark
Inves…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers
Risk Assessment of Pediatric Emergency Transfers
Final Report
AHRQ P20 HS17125-01
Project Period: 09.31.07 – 02.28.09
Principal Investigator: Jane L. Holl, MD, MPH
Northwestern University Institute for Healthcare Studies
Co- Investigators: D…
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www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
-
www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
January 01, 2024 - Final Progress Report: Improving Pain Management in Nursing Homes
Final Report
Improving Pain Management in Nursing Homes
Principal Investigator: Katherine R. Jones
Team Members:
Investigator: Regina Fink
Investigator: Evelyn Hutt
Investigator: Ginny Pepper
Investigator: Jill Scott
Investigator: Lauren Clark
Inves…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
November 01, 2007 - record
- Review of log book
- Meter memory review or printout
- Self-report
- Demonstration of technique
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - These hurdles are external, and many senior
executives can be effectively engaged with the
proper technique
-
www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
January 01, 2024 - Talking with Patients, Volume 2: Clinical Technique. Cambridge MA: MIT Press.
89.
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www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
January 01, 2024 - any particular cesarean was appropriate, and they do not attempt to
assess the quality of surgical technique