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pcmh.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
May 17, 2021 - Job Aid: 5 Whys and Fishbone Diagrams
Primary Care Practice Facilitator
Training Series
1
Job Aid: 5 Whys and Fishbone Diagrams
Overview
The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and
what causes them. They can also be used to identify the factors contribut…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency wo…
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - consciousness)
___ Possible, at time of this evaluation major injury is suspected but not yet confirmed by tests
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pcmh.ahrq.gov/sites/default/files/attachments/logic-model-brief.pdf
March 01, 2013 - If the intervention was implemented fully,
the evaluation also tests the program theory linking a well-implemented … remind practice staff in advance of the scheduled visit to review the patient’s record
and order needed tests
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pcmh.ahrq.gov/sites/default/files/attachments/StatisticalProcess_032513comp.pdf
March 01, 2013 - positive intentional special cause variation would be adding a care manager to bring in
patients for tests … which could increase the percentage of patients with diabetes who have received
appropriate blood tests
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pcmh.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 2014 - He has received 15 requests for blood tests, 7 urine specimens, a throat culture, and 1 stool sample. … the magnitude of the workload, approaches the two technicians and assigns one of them to the blood tests
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
September 20, 2017 - · What fall prevention practices go beyond the unit (e.g., when patients are transferred for tests)? … Consider implementing small tests of change, whereby one staff nurse tries out the new practice for 1
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - What fall prevention practices go beyond the unit (e.g., when patients are transferred for tests)? … Consider implementing small tests of change, whereby one staff nurse tries out the new practice for 1
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pcmh.ahrq.gov/cahps/surveys-guidance/echo/about/Development-ECHO-Survey.html
May 01, 2018 - SHARE:
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Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
About CAHPS
Surveys and Guidance
American Indian
Cancer Care
Clinician & Group
Dental Plan
Emergency Department
Health…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
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pcmh.ahrq.gov/research/findings/factsheets/translating/action4/index.html
February 01, 2021 - SHARE:
More topics in this section
Research
Publications & Products
Research Findings & Reports
Grantee Final Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors and Patient Safety
Minor…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
January 01, 2017 - Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician & Group Survey
Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician &
Group Survey
January 2017 Webcast
Speakers
Mark Schlesinger, PhD, Professor of Health Policy, Yale School of Public Health
Lise Rybo…
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-hsu.html
May 01, 2023 - SHARE:
More topics in this section
Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
June 01, 2020 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work
Patie…
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pcmh.ahrq.gov/talkingquality/resources/design/additional-tips/index.html
December 01, 2022 - SHARE:
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Talking Quality
Plan Your Reporting Project
Select Measures To Report
Translate Data Into Information
Explain and Motivate Use
Distribute Your Quality Report
Promote Your Quality Report
Ass…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
March 20, 2017 - In field tests, the results for these measures were
reliable when hospitals used the recommended sample
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pcmh.ahrq.gov/health-literacy/research/index.html
January 01, 2024 - SHARE:
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Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pcmh.ahrq.gov/sops/surveys/medical-office/supplemental-items/diagnostic-safety.html
March 01, 2024 - SHARE:
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SOPS®
About SOPS
SOPS Surveys
Hospital
Medical Office
Nursing Home
Community Pharmacy
Ambulatory Surgery Center
Supplemental Item Sets
Hospital Health IT Patient Safety
Ho…