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1501. Primary Care Practice Facilitation Curriculum Module 1: Instructor’s Guide to Using the PCPF Curriculum (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
      September 01, 2015 - Before you consider modifying any content, there are three things you should review: (1) the learning

1502. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
      January 01, 2025 - resident needs during shift changes. 3 0.84 Speaking Up Staff feel comfortable asking questions when things

1503. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - .13 If feedback becomes the norm across healthcare settings, that is, ‘this is just the way we do things

1504. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - coordinate with surgeons and other groups • Relies too much on familiarity of team for getting things

1505. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
      January 01, 2008 - Well into the first year of the project, just as things were implemented and running smoothly, we experienced

1506. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
      December 01, 2016 - Some things require multiple databases, like ERmeasures where we need to integrate outpatient and inpatient

1507. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

1508. Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
      January 01, 2016 - Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP)…

1509. The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
      May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Robert Otto Valdez, Ph.D. Director Agency for Healthcare Research & Quality April 25, 2023 Welcome and Thank-You! Presenter Notes P…

1510. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…

1511. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
      June 02, 2025 - In other words, if we knew who was at high risk or had a recent change in risk, would we do things

1512. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
      December 01, 2014 - In other words, if we knew who was at high risk or had a recent change in risk, would we do things differently

1513. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Trying to find one person who can do all these things, instead of a team, is both difficult and risky

1514. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Because the 7-factor VTE risk model includes some things (such as prolonged immobilization and critical

1515. 003-Ss-Antimicrobial-Prophylaxis-Part-2-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
      April 01, 2025 - This could include things such as pre-operative skin testing and/or oral challenge prior to surgery if

1516. 003-Clabsi-Prevention-Webinar-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
      October 01, 2024 - that just because you’ve incorporated all the best practices into your policy that the staff is doing things

1517. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Trying to find one person who can do all these things, instead of a team, is both difficult and risky

1518. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
      April 01, 2019 - expertise of the NAC members is broad and deep, and the Agency, with the NAC’s help, has achieved great things

1519. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Because the 7-factor VTE risk model includes some things (such as prolonged immobilization and critical

1520. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - Why do prescribers order the things drugs they do?