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  1. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
    April 01, 2023 - Strategy 6I: Shared Decisionmaking Contents 6.I.1. The Problem 6.I.2. The Intervention 6.I.3. Benefits of This Intervention 6.I.4. Implementation of This Intervention References   Download Strategy 6I: Shared Decisionmaking (PDF, 270 KB)         6.I.1. The Problem Although pat…
  2. www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
    April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL) Principal Investigator:  Sara Singer, Ph.D., Harvard University, Cambridge, MA AHRQ Grant No.:  HS24453 Project Period:  09/30/15–09/29/21 Description:  The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…
  3. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Patient Safety Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research …
  4. www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
    April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality Principal Investigator: Alison Stuebe, M.D., M.Sc., University of North Carolina, Chapel Hill, NC.  Co-PIs:  Kristin Tully, Ph.D., University of North Carolina, Chapel Hill, NC; Emily Patterson, Ph.D., The Oh…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
    July 01, 2015 - Low-income Hispanic patients with diabetes  Location: Los Angeles, California  Intervention: Worked
  6. www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - (L&C) worked closely with Joint Commission staff to map existing ontological concepts with PSET concepts
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
    March 01, 2009 - The expert panel created a set of key questions and systematically worked through the biological roles
  8. www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - We then worked with design firm Mad*Pow to take this content and present it visually in a way that is
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Blood Culture Practices and Stewardship ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Blood Culture Practices and Stewardship SAY: Welcome to this presentation about blood culture practices and stewardship. This presentation will help ensure that units ha…
  10. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
    October 01, 2020 - Coaching Clinical Teams Module: Facilitator Notes Slide 1: Coaching Clinical Teams Module Say: The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching mo…
  11. Coaching-Facnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Coaching Clinical Teams Module Facilitator Notes SAY: The Coaching Clinical Teams module helps an organization implement a process for coaching teams as a unit. This module is meant to augment the existing teamwork and communication tools and individual coaching module…
  12. www.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Advances in Patient Safety Next Page Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volume 3. Implementation Issues Peer Reviewers for Volume 4. Pro…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
    April 01, 2025 - Implementation Guide: MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Implementation Guide: MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Introduction Setting up or improving a methicillin-resistant Stap…
  14. www.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
    June 02, 2025 - RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) Frequentl…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals Voluntary Adverse Event Reporting in Rural Hospitals Charles P. Schade, MD, MPH; Patricia Ruddick, MSN, APRN-BC; David R. Lomely, BS; Gail Bellamy, PhD Abstract Since 2004, we have managed a voluntary Web-based medical adverse event (AE) reporting system …
  16. www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
    January 01, 2024 - Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Final Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation Principal Investigator: Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon) Team Members: Judy L. Smetzer, RN, BSN,…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
    May 13, 2019 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report Neonatal Intensive Care All-Condition Readmissions Without Gestational Age Section 1. Basic Measure Information 1.A. Measure Name Neonatal Intensive Care All-Condition Readmissions Without Gestational Age 1.B. Measure Number…
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for…
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
    July 01, 2014 - 2013 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Clinician & Group Survey Database 2013 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Da…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Final Contract Report Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers Pre…

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