Related Experiment Video
Updated: Mar 20, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Demonstration of the Health Literacy Universal Precautions Toolkit: Lessons for Quality Improvement
Natabhona M Mabachi1, Maribel Cifuentes, Juliana Barnard
1American Academy of Family Physicians, Kansas City, Kansas (Dr Mabachi); Department of Family Medicine (Drs Cifuentes, Brega, and West), Children's Outcomes Research Program, School of Medicine (Ms Barnard and Drs Albright and West), and Colorado Health Outcomes Program (Dr Brega), University of Colorado Anschutz Medical Campus, Aurora; Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (Drs Brega and Albright); Department of Family and Community Medicine, University of Arizona, Tucson (Dr Weiss); Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland (Ms Brach); and Department of Family Medicine, University of Kansas Medical Center, Kansas City (Dr Mabachi).
Abstract:
The Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit was developed to help primary care practices assess and make changes to improve communication with and support for patients. Twelve diverse primary care practices implemented assigned tools over a 6-month period. Qualitative results revealed challenges practices experienced during implementation, including competing demands, bureaucratic hurdles, technological challenges, limited quality improvement experience, and limited leadership support. Practices used the Toolkit flexibly and recognized the efficiencies of implementing tools in tandem and in coordination with other quality improvement initiatives. Practices recommended reducing Toolkit density and making specific refinements.
More Related Videos
Related Concept Videos
Health Literacy
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Preventive Healthcare Services
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

