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2021. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…

2022. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…

2023. Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician & Group Survey (pdf file)
      www.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…

2024. 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
      January 01, 2022 - 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook THE CAHPS DATABASES CAHPS Health Plan Survey Database 2022 Medicaid and Children's Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care CAHPS Health Plan Survey Database …

2025. 2021 Medicaid and Children's Health Insurance Program (CHIP) Chartbook: What Enrollees Say About Their Experiences With Their Health Plans and Medical Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-hp-chartbook.pdf
      January 01, 2021 - 2021 Medicaid and Children's Health Insurance Program (CHIP) Chartbook: What Enrollees Say About Their Experiences With Their Health Plans and Medical Care THE CAHPS DATABASE CAHPS Health Plan Survey Database 2021 Medicaid and Children's Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their …

2026. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE™ Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey: 2021 User Database Report e PATIENT SAFETY [This page is intentionally left blank] Surveys o…

2027. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - Some expressed hypothetical concern raised of over-testing and over-treating patients, but no studies

2028. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults AHRQ Grant Final Progress Report Grant Award Number: R18 HS026624 Project Title: Engineering Safe Care Journeys for Vulnerable Older Adults Grantee Organization: University of Wisconsin – Madison Project Period: September 30, 2018 –…

2029. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Authors: David Rodrick, Andrea Ti…

2030. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report PATIENT SAFETY e Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Preliminary Report This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022:…

2031. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY e This page intentionally left blank. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Authors: David Rodrick, Ph.D.; Andre…

2032. Instructions for Analyzing Data from CAHPS Surveys (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
      January 01, 2020 - Instructions for Analyzing Data from CAHPS Surveys Instructions for Analyzing Data from CAHPS® Surveys in SAS®: Using the CAHPS Analysis Program Version 5.0 AHRQ Contract No.: HHSP233201500026I/HHSP23337004T Managed and prepared by: Westat, Rockville, MD Naomi Yount, Ph.D. Kayo Walsh, M.S. (Harvard Medic…

2033. Instructions for Analyzing Data from CAHPS Surveys (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
      June 01, 2025 - Instructions for Analyzing Data from CAHPS Surveys Instructions for Analyzing Data from CAHPS® Surveys in SAS®: Using the CAHPS Analysis Program Version 5.0 AHRQ Contract No.: GS-00F-009DA/75Q80123F80005 Managed and prepared by: Westat, Rockville, MD Naomi Yount, Ph.D. Kayo Walsh, M.S. (Harvard Medical …

2034. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
      August 01, 2025 - Key Findings/Impact: A toolkit, “Your Guide to Preventing and Treating Blood Clots,” was produced by

2035. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - Limiting physician liability in treating diverse patient populations.

2036. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher. Slide…

2037. Cerner-Q-A-Session (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
      June 02, 2025 - 1 EHR Q&A Sessions Introduction Prior to each EHR Q&A event, participants were asked to submit questions related to the implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians regar…

2038. Strategy 1: Working with Patients & Families as Advisors (Tool 9) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
      March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagement Patient and Family Advisor Orientation Manual Guide to Patient and Family Engagement Table of Contents About This Orientation Manual ..........................................................…

2039. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
      January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…

2040. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-survey-instructions.pdf
      July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) Care Coordination Quality Measure for Primary Care (CCQM-PC) Your Care Coordination Experience Survey Instructions Answer each question by marking the box to the left of your answer. You are sometimes told to skip over some questions in this survey…