Demonstration of the health literacy universal precautions toolkit lessons for quality improvement

Natabhona M. Mabachi, Maribel Cifuentes, Juliana Barnard, Angela G. Brega, Karen Albright, Barry D. Weiss, Cindy Brach, David West

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)199-208
Number of pages10
JournalJournal of Ambulatory Care Management
Issue number3
StatePublished - 2016


  • Health literacy
  • Primary care
  • Qualitative
  • Quality improvement
  • Toolkit
  • Universal precautions

ASJC Scopus subject areas

  • Health Policy


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