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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System
331
Post-fielding Surveillance of a Guideline-
based Decision Support System
Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B.
Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu,
Mark A. Musen, Brian B. Hoffman, …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States
1
Factors Contributing to Sustainment Outcomes in Four States
This supplementary material contains brief case studies that examine key factors influencing
decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis
Citation Text:
Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Cit…
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - SPOTLIGHT CASE
A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.
Citation Text:
Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - A Stroke of Error
December 1, 2014
Barrett KM. A Stroke of Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/stroke-error
Case Objectives
State the key clinical factors to assess in a patient with suspected stroke.
Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoporosis-bone-fracture_executive.pdf
March 01, 2012 - 1980s, two additional agents—sodium fluoride
(NaF) and the bisphosphonate (see below) etidronate—
were evaluated … The bisphosphonate alendronate was the first
nonestrogenic agent to be evaluated and approved for
treatment … In addition, we evaluated comparisons between
estrogen combined with progesterone and placebo or single … These same
factors have not been evaluated with other osteoporosis
pharmacotherapies.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Nq6dYEj2eZxLhVhBrWCD-j
July 01, 2024 - Screening for Bladder Cancer in Adults: Literature Surveillance Report
1
U.S. Preventive Services Task Force
Literature Surveillance Report
Title: Screening for Bladder Cancer in Adults
Literature Surveillance Date: July 2024
Recommendation Summary: In 2011, the Task Force concluded that the e…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sorra-conclusion.pdf
October 15, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Sorra Closing
1
1
Upcoming Comparative Database
• What is the Medical Office SOPS Comparative
Database?
o Will serve as a central repository for medical offices to
voluntarily submit their survey data
o An important resource for comparin…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Overview
6
Overview of AHRQ’s Patient Safety
Priorities
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Service
AHRQ’s Core Compet…
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www.ahrq.gov/talkingquality/translate/organize/type.html
February 01, 2016 - Organizing Quality Measures by Type
The oldest categorization of health care quality measures was created by Avedis Donabedian when he distinguished between measures of structure, process, and outcome. [1] More recently, patient experience and cost measures have been added to those being considered. Many peopl…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-ginsberg.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
AHRQ and AHRQ’s CAHPS®
Program
Caren Ginsberg, Ph.D.
Director, CAHPS Division, Center for Quality
Improvement and Patient Safety
Agency for Healthcare Research and Quality
www.ahrq.gov/cahps
AHRQ’s Core Competencies
Resea…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 2: Reporting Audit Results
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildin…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Post-Implementation Strategies to Increase and Sustain Compliance
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconci…
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www.ahrq.gov/evidencenow/projects/urinary/resources/maintenance-certification-part-4.html
October 01, 2014 - Back to MUI Resources
Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research
Resource
Full Article on PubMed
Summary
Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success…
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www.ahrq.gov/evidencenow/projects/urinary/resources/preventing-voltage-drop.html
January 01, 2014 - Back to MUI Resources
Preventing the Voltage Drop: Keeping Practice-Based Research Network (PBRN) Practices Engaged in Studies
Resource
Full Article on PubMed.
Summary
Practice-based research continues to evolve and has become a major methodology for many pragmatic studies. W…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.11. Lean Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospi…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 4: Reporting Audit Results
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildin…
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig11txt.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Figure 1-1. A Framework for Reducing Disparities in Health Care Systems (Text Description)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Imp…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Post-Implementation Strategies to Increase and Sustain Compliance
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconci…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 2: Reporting Audit Results
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildin…