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  1. www.ahrq.gov/teamstepps-program/evidence-base/improvement.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Safety Culture and Safety Improvement Bognàr, A., Barach, P., Johnson, J. K., et al. (2008). Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.  Annals of Thoracic Surgery  85(4) 1374-81. Select to access the…
  2. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Examples of Patient Harm Related to Invasive Devices Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Dev…
  3. www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Major Study Finds Significant National Patient Safety Improvement Press Release Date: July 12, 2022 A study published in JAMA: The Journal of the American Medical Association ( JAMA ) and funded and carried out by Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates…
  4. Implementation Plan (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d6_pdi_implementationplan.pdf
    June 02, 2025 - Implementation Plan Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.6 Implementation Plan What is the purpose of this tool? The purpose of the implementation plan is to provide a format in which to: • Define the tasks/actions required to implement …
  5. www.ahrq.gov/sdoh/health-systems-research.html
    December 01, 2022 - SDOH and Health Systems Research SDOH studies and researcher resources Current AHRQ Research Initiatives SDOH Data Integration and Analytics Grants In 2019, AHRQ awarded $6 million in grants for an initiative that uses data and analytics to support primary care and community interventions to improve chron…
  6. www.ahrq.gov/news/blog/ahrqviews/ahrq-launches-pcor-strategy.html
    July 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders With Guidance from the Field, AHRQ Launches an Ambitious Strategy for Patient-Centered Outcomes Research JUL 11 2023 By Robert Otto Valdez, Ph.D., M.H.S.A., and Karin Verlaine Rhodes, M.D., M.S. AHRQ is preparing to make new and histo…
  7. www.ahrq.gov/diagnostic-safety/ideas-project/engage-patients-toolkit.html
    July 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety – Enrollment Closed As part of the Implementing Diagnostic Excellence Across Systems (IDEAS) project, RAND recruited healthcare sites that have clinicians who can commit to using a diagnostic safety tool to improve patient engagement. The Toolkit for En…
  8. www.ahrq.gov/talkingquality/translate/scores/combine-measures.html
    September 01, 2019 - Combining Healthcare Quality Measures Into Composites or Summary Scores The more data you provide on individual measures, the more likely it is that users will be faced with information overload. Combining measures is one way to quickly reduce the number of data points included in your report. This page discuss…
  9. www.ahrq.gov/cahps/surveys-guidance/maternal-health/index.html
    March 01, 2025 - Under Development CAHPS Inpatient Maternal Health Care Survey To better understand patient experiences with inpatient maternal care, AHRQ’s Yale CAHPS® team is developing a comprehensive maternal health care survey, focusing on aspects of care that matter most to maternity care patients in hospitals and birth…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/145-cusp-tip-sheet-celebrating-success.docx
    April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet: Promoting SSI and MRSA Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Purpose Recognizing success, large and small, both early on and long term is important to sustainability. Communicating success can he…
  11. www.ahrq.gov/ncepcr/care/coordination.html
    November 01, 2024 - Care Coordination Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time and communicate…
  12. www.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation References Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Foundati…
  13. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-pursuit.pdf
    January 01, 2025 - Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment (PURSUIT) Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment (PURSUIT) Project Overview This study focuses on improving access to standard of…
  14. www.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
    November 01, 2015 - Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program* Bryan Dowd, Tami Swenson, Shriram Parashuram, Robert Coulam, Robert Kane, John Kral…
  15. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
    July 01, 2018 - Guide to Patient and Family Engagement Introduction Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informa…
  16. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p11-devoe.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P11: Identifying Ways to Improve Preventive Care for Children Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Ce…
  17. Implementation Plan (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d6_combo_implementationplan.pdf
    June 02, 2025 - Implementation Plan Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.6 Implementation Plan What is the purpose of this tool? The purpose of the implementation plan is to provide a format in which to: • Define the tasks/actions required to implement each selec…
  18. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/singh-summit2016.pdf
    September 01, 2016 - MEASUREMENT OF DIAGNOSTIC ERRORS IS THE FIRST STEP TO IMPROVEMENT MEASUREMENT OF DIAGNOSTIC ERRORS IS THE FIRST STEP TO IMPROVEMENT HARDEEP SINGH, MD, MPH HOUSTON VA CENTER FOR INNOVATIONS IN QUALITY, EFFECTIVENESS & SAFETY MICHAEL E. DEBAKEY VA MEDICAL CENTER BAYLOR COLLEGE OF MEDICINE Twitter: @HardeepSinghMD …
  19. www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
    August 01, 2024 - Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions The Agency for Healthcare Research and Quality supports research on the quality and safety of the hospital discharge process and care transitions. Improvements in these areas can lead to reductions in potentially avoidable …
  20. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p3-hysong.html
    April 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P3: Using Veterans Health Administration Data to Understand How Primary Care Team Configuration and Stability Impact Quality Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and A…

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