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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
June 02, 2025 - Quality Improvement Study Framework
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
· Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed.
· Speculating about the cause of a problem before a th…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
July 01, 2024 - Grantee Profile
Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions
Li Zhou, M.D., Ph.D. Professor of Medicine, Harvard Medical School Lead investigator, Brigham and Women’s Hospital Li Zhou, M.D., Ph.D. “I really appreciate how AHRQ looks for ways to use technology to improve patie…
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www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
Search All Impact Case Studies
April 2008
Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
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cdsic.ahrq.gov/cdsic/lifecycle-framework-publication-resource
July 06, 2023 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
May 01, 2025 - Healthcare Safety Competencies Affinity Group
Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery. …
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www.ahrq.gov/es/tools/index.html?page=0
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care
DEC
15
2022
By
Members of AHRQ’s National Advisory Council:
Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …
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www.ahrq.gov/es/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
June 02, 2025 - Job Aid: Standardized Quality Measures
Primary Care Practice Facilitator
Training Series
1
Job Aid: Standardized Quality Measures
Familiarity with the standardized quality measures that payers and regulatory groups use is an
important part of a practice facilitator's core knowledge.
Standar…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Parast
Introducing the Emergency
Department (ED) CAHPS Survey
12
Layla Parast, Ph.D.,
Senior Statistician,
RAND
Acknowledgements:
ED CAHPS Research Team
13
RAND Corporation
Peggy Chen
Jessica Phillips
Marc Elliott
Dan Waxman
Megan Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
June 02, 2025 - Available Comprehensive Quality Improvement Guides
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on oth…
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psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - Study
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals.
Citation Text:
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…
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psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
December 19, 2014 - Commentary
Medication event huddles: a tool for reducing adverse drug events.
Citation Text:
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45.
Copy Citation
Format:
Google S…
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
November 03, 2015 - Study
Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety.
Citation Text:
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - Study
Classic
Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
Citation Text:
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…
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psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
October 19, 2022 - Study
The effect of a rapid response team on major clinical outcome measures in a community hospital.
Citation Text:
Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82.
…
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
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Format:
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psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Study
Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.
Citation Text:
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…
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psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
June 02, 2010 - Study
Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.
Citation Text:
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…