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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_disposition-comments.pdf
May 27, 2014 - We had discussions with key informants and
TEP members regarding what constitutes a
meaningful change
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - Initial site visits included academic detailing and interactive
discussions on the problem of medication … Small group
discussions among clinician and clinical staff liaisons were held to facilitate implementation … meeting largely involved sharing of “best practice” approaches to improve
medication safety, small group discussions
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs017995-landon-final-report-2010.pdf
January 01, 2010 - Small-group discussions
then developed a list of prioritized research questions around each topic. … leverage the strength of the three organizations to
increase the voice of academic primary care in policy discussions … Discussions are ongoing to identify next steps.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/infantile-hemangioma_disposition-comments.pdf
January 15, 2016 - Disposition of Comments for CER 168 Infantile Hemangioma
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Diagnosis and Management of Infantile Hemangioma
Draft review available for public comment from June 1, 2015 to July 10, 2015.
Research Review Citation: Ch…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/patientandfamilyengagement_slides.pptx
September 03, 2014 - Use language accessible to your patients in discussions with them regarding their care.
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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
April 15, 2021 - CDS Connect Work Group Meeting Summary 4-15-2021
CDS (Clinical Decision Support) Connect Work Group
Meeting Summary
April 15, 2021
3:00 – 4:00 pm ET
Attendees: 44 people (41 attendees + 3 call-ins)
Organization Attendee Names
AHRQ Members Steve Bernstein, Roland Gamache, Ed Lomotan, Mary Nix, Mario …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-agenda.html
November 01, 2021 - 2020 AHRQ Research Summit on Transforming Care for People Living with Multiple Chronic Conditions: Agenda
November 17-18, 2020
Day 1 – November 17, 2020
Session 1
Plenary: Welcome and Summit Description/Overview
Gopal Khanna, MBA
Director
Agency for Healthcare Research and Quality
Arlene S. Bierman,…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
May 01, 2023 - Teaching Pre-Implementation Measurement
Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives.
In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gout-diagnosis-disposition-160727.pdf
February 24, 2016 - Disposition of Comments for CER 158 Diagnosis of Gout
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Diagnosis of Gout
Draft review available for public comment from November 4, 2014 to December 2, 2014.
Research Review Citation: Newberry SJ, FitzGerald J, Maglione MA, O’…
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www.ahrq.gov/cahps/quality-improvement/index.html
October 01, 2023 - Improving Patient Experience
CAHPS ® surveys play an important role as a quality improvement (QI) tool for healthcare organizations that use the standardized data to:
Identify relative strengths and weaknesses in their performance.
Determine where they need to improve.
Track their progress over time.
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-disposition-comments.pdf
March 31, 2025 - Much of
the report includes strong discussions of confounding
and reverse causation, but this must
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digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - such as focus
groups, contextual inquiry, brainstorming, market research, internal communication, discussions … with
current customers, discussions with customers of other products, benchmarking, and developing … Use social media
networks to monitor
communications about
the product
Product
benchmarking
Discussions … customers
Observation of
human behavior
Ensure product works
as expected
Participatory
design
Discussions … prototyping and
evaluation
Ensure product is
equivalent in quality to
competitor’s product
Discussions
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psnet.ahrq.gov/node/837975/psn-pdf
August 31, 2022 - Analyzing and discussing human factors affecting
surgical patient safety using innovative technology:
creating a safer operating culture.
August 31, 2022
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors
affecting surgical patient safety using innovative technology: cre…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_disposition-comments.pdf
November 30, 2012 - As a
clinician and hospital epidemiologist, the most meaningful
portion of the results were the discussions
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/hap.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
After viewing or presenting this presentation viewers will be able to—
Discuss the approach to diagnosing hospital-acquired pneumonia (HAP)
Discuss empiric treatment recommendations for HAP
Discuss opportunities for de-escala…
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/vap.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
After viewing or presenting this presentation viewers will be able to—
Discuss the approach to diagnosing ventilator-associated pneumonia (VAP)
Discuss empiric treatment recommendations for VAP
Discuss opportunities fo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Implementation of
the Healing Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports
Note: This part of the training primarily consists of exercises …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/guide.html
March 01, 2017 - Module 2: Senior Leader Engagement: Material Use Guide
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Learning Objectives:
Identify characteristics of successful senior leaders.
List five practices of effective leaders.
Describe the responsibilities of senior leaders.
Explain the rol…