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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Introduction
The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052
June 2023
&G
Audit Tool
Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Determining the Scope of the Project
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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cdsic.ahrq.gov/cdsic/patient-engagement-measurements-inventory
August 15, 2025 - :
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/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review
Executive Summary
Our Nation's health service delivery systems face growing challenges to enhance quality while reducing costs. Lean/Toyota Production Systems (TPS) is a process redesign strategy develo…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-empower.pdf
January 01, 2025 - Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study
Empowering Women and Providers
for Improved Care of Urinary
Incontinence: EMPOWER Study
Project Overview
The EMPOWER project assesses the effectiveness of treatment for urinary
incontinence (UI) among women. Three arms are…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-section-5-table-3.pdf
August 01, 2014 - Section 5, Table 3
Table 3: Evidence for Having a Protocol to Identify and Treat Children with Sepsis Syndrome in
the Emergency Department
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinical
guidelines
Recommendation: Performance
improvement efforts in severe sepsis
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - Section 5, Table 3
Table 3: Evidence for Obtaining a Blood Culture for Treatment of Children with Sepsis Syndrome
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinical
guidelines
Pediatric considerations in severe sepsis: Empiric
antibiotics should be administered with…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchcare-measures.html
June 01, 2018 - Chartbook on Healthy Living
Maternal and Child Health Care: Care Coordination Measures
Previous Page Next Page
Table of Contents
Chartbook on Healthy Living
Acknowledgments
Healthy Living
Summary
Healthy Living Measures
Maternal and Child Health Care
Maternal and Child Health Care: Eff…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - Module 2: Urinary Catheter Maintenance Facilitator Notes
Preventing CAUTI in the ICU Setting
Slide 1
Say:
In Module 1, we discussed the indications for an indwelling urinary catheter, the causes of catheter-associated urinary tract infections or CAUTI in the intensive care unit or ICU, as well as metho…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Performing SSI Investigations: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Performing an SSI Investigation
Slide 2: Learning Objectives
After this session, you will be able to–
Explain the difference between process and outcome data.
D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact3.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
History of EHR Documentation Legislation
Previous Page Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that “A…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
October 01, 2014 - New Mexico Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots
Search All Impact Case Studies
May 2012
Five New Mexico hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), the New Mexico Medical Review Ass…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-4.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Directions for Future Research
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive S…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
February 20, 2020 - Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone
1
Blacks Experiencing
Fast-Rising Rates of
Overdose Deaths
Involving Synthetic
Opioids Other
Than Methadone
To understand the current opioid epidemic, it is critical to know…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/research-meeting-agenda-prems-proms-91724.pdf
September 17, 2024 - Agenda: Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice
AGENDA
1 08/09/2024
Patient-Reported Experience and Outcome Measures (PREMs and PROMs)
in Research and Clinical Practice
A Virtual Research Meeting
Sponsored by the U.S. Agency for…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - Use of Data and Measurement in Improving Diagnostic Safety
AHRQ Research Summit, September 28, 2016
Use of Data and Measurement in
Improving Diagnostic Safety
David E. Newman-Toker, MD PhD
Associate Professor of Neurology
Johns Hopkins University School of Medicine
Johns Hopkins Bloomberg School of Public Heal…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/bindman-summit2016.pdf
May 01, 2016 - Improving Diagnosis in Health Care: From Concept to Action
Improving Diagnosis in Health Care:
From Concept to Action
Andy Bindman, M.D.
Director
Agency for Healthcare Research and Quality
My Story
• Became Director May 2016
• Primary care physician
• Academic medicine background
► San Francisco General Hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/u-washington-grantee-profile.pdf
January 01, 2023 - Improving Access to Multidisciplinary Care for Patients With Long COVID
Geographic Service Area
Washington, Wyoming, Alaska,
Montana, and Idaho (WWAMI)
region
The UW Medicine Long COVID Clinic offers a range of rehabilitation
services, including individual therapy and a group-based symptom self-
management intervent…