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  1. 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…
  2. 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…
  3. 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
  4. 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
  5. 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
  6. 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
  7. pcmh.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
    February 01, 2021 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
  8. pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 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…
  9. 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
  10. 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
  11. pcmh.ahrq.gov/cahps/surveys-guidance/echo/about/Development-ECHO-Survey.html
    May 01, 2018 - SHARE: More topics in this section Consumer Assessment of Healthcare Providers and Systems (CAHPS®) About CAHPS Surveys and Guidance American Indian Cancer Care Clinician & Group Dental Plan Emergency Department Health…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. pcmh.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
    June 01, 2020 - SHARE: More topics in this section 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…
  17. pcmh.ahrq.gov/talkingquality/resources/design/additional-tips/index.html
    December 01, 2022 - SHARE: More topics in this section 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…
  18. 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
  19. pcmh.ahrq.gov/health-literacy/research/index.html
    January 01, 2024 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
  20. pcmh.ahrq.gov/sops/surveys/medical-office/supplemental-items/diagnostic-safety.html
    March 01, 2024 - SHARE: More topics in this section SOPS® About SOPS SOPS Surveys Hospital Medical Office Nursing Home Community Pharmacy Ambulatory Surgery Center Supplemental Item Sets Hospital Health IT Patient Safety Ho…

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