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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
August 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, April 18, 2025
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
April 18, 2025, 10 AM–Noon
1
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriation…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Past Research on Patient Perceptions of Safety and Diagnostic Mishaps
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
January 01, 2016 - Variation in Health System Characteristics Across States, 2016
1
Variation in Health System
Characteristics Across States, 2016
By the end of 2016, there were 626 health systems* in the United States.
Number of health systems with hospitals located in each State
4 to 7 systems
9 to 15 systems
16 to 22 system…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
November 17, 2021 - Executive Summary of SNAC Healthcare Quality Measurement Report
- 1 -
AHRQ NATIONAL ADVISORY COUNCIL (NAC)
DISCUSSION ON THE SUBCOMMITTEE OF THE NATIONAL ADVISORY
COUNCIL (SNAC) HEALTHCARE QUALITY MEASUREMENT REPORT
EXECUTIVE SUMMARY
- 2 -
EXECUTIVE SUMMARY
On Nov…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
March 01, 2018 - Statistical significance is greatly influenced by sample
size; as the number of observations in comparison groups
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
March 01, 2018 - Statistical significance is greatly influenced by sample
size; as the number of observations in comparison groups
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Homelessness and smoking cessation:
insights from focus groups.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
This version of the On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sli…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Facilitator Training
This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher.
Slide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes
On-Time Pressure Ulcer Healing Facilitator Training
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - Guide for Safe Transitions to New Appointments
Guide for Safe
Transitions to
New Appointments
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and
do not necessarily represent the views of AHRQ. No statement in this report should be con…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Optimizing Environmental Cleaning
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Optimizing Environmental Cleaning
SAY:
Welcome to this presentation on optimizing e…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #1: Stanford Coordinated Care
New Models of Primary Care
Workforce and Financing
Case
Example Stanford Coordinated Care1
New Models of Primary Care Workforce
and Financing
Case Example #1: Stanford Coordinated Care
Prepared for:
Agen…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
July 01, 2019 - Case Example #1: Stanford Coordinated Care
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, M…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool
Primary Care
Practice Facilitation
Curriculum
Module 16: Academic Detailing as a Quality
Improvement Tool
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Diagnostic Safety Supplemental Items for
Medical Offices
Prepared for:
Agency for Healthcare Resea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices
319
Making Information Technology a Team
Player in Safety: The Case of Infusion Devices
Christopher Nemeth, Mark Nunnally, Michael O’Connor,
P. Allan Klock, Richard Cook
Abstract
Objective: To fulfill the promise of infor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience
Improving Patient Safety Using ATHENA-Decision
Support System Technology: The Opioid Therapy for
Chronic Pain Experience
Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care
AHRQ Grant Final Progress Report
Landrigan, Christopher P.
Grant Award Number: 1R18HS023291‐01
Title Page
Title of Project: Mentored Implementation of I-PASS for Better Handoffs and Safer Care
Principal Investigator and…