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www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Evidence of omission (failure to do the right thing) or commission (doing
something wrong) exists at
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Specific Tools To Support Change
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool G.2
Specific Tools To Support Change
What is the purpose of this tool? This tool provides information on tools developed by other
organizations that may be used instead of or …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - 2019 National Healthcare Quality and Disparities Report Quality Trends
2019 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT
Quality Trends
Table 1. Hospital Measures
Among the core Person-Centered Care measures, only one speaks to inpatient quality of care.
Sub-Area Measure Title (Data Source)
Baseline Rat…
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www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
June 01, 2023 - One key component of increasing uptake of evidence into practice is “making the right
thing to do the … easy thing to do.”
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
2014 National Healthcare
Quality and Disparities Report
CHARTBOOK ON
WOMEN’S HEALTH CARE
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention Handouts (continued)
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 6: Care for the Caregiver
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions
Next Page
Table of Contents
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
Contents
Background and Acknowledgments
How To Use This Guide
Why Sustainab…
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www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
January 01, 2024 - Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care
Agency for Healthcare Research and Quality
Final Progress Report
Title: Patient Advocacy Summit: Patients at the Center of Care
Principal Investigator: Jo Anne Earp
Team Members: Elizabeth French, Melissa Gilkey
Organization:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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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.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
2
L&D Unit Safety Tools
The Labor and Delivery…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - Module 2: Senior Leader Engagement: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 2: Senior Leader Engagement
Say:
The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior l…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
January 01, 2013 - Teach-back: Interactive Module Slides
1 Teach-back Interactive Module
Teach-back
1.1 Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in
Effective Clinician-Patient Communication
2 Teach-back Interactive Module
1.2 AHRQ
Sponsored by the Agency for Heal…
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www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED
A. Title Page
Project Title: Developing a Framework to Study and Improve Communication to Enhance
Diagnostic Quality in the ED
Principal Investigator Information:
PRASHANT MAHAJAN, MBA, MD, MPH …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-23-documenting-work-with-practices.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 23: Documenting Your Work With Practices
Primary Care
Practice Facilitation
Curriculum
Module 23: Documenting Your Work With Practicesith P
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care Pr…
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www.ahrq.gov/cahps/quality-improvement/research/index.html
March 01, 2025 - Research on Improving Patient Experience
Many researchers study the feasibility and value of using CAHPS surveys to support efforts to improve patient experience in various healthcare settings. This page summarizes current and recent research funded under AHRQ’s CAHPS grants related to: Improving patient experi…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
January 01, 2016 - 2016 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2016 CAHPS Health Plan Survey Database
2016 Chartbook: What Consumers Say About Their
Experiences With Their Health Plans and Medical Care
AHRQ Contract No.: HHSA290201300003C
Man…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis
323
Improving the Safety of Heparin
Administration by Implementing a
Human Factors Process Analysis
Kathleen A. Harder, John R. Bloomfield,
Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush,
Jamie S. Sinclair,…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Users should not have to
wonder whether different words, situations, or actions mean the same
thing
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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-Elder_18.pdf
February 19, 2008 - There is no such thing as an
inherently safe process or device.