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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/056-patient-instructions-chg-shower.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Patient Instructions: Showering With CHG
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is Decolonization?
Preoperative Decolonization =
Preemptive treatment to kill bacteria on your body BEFORE surgery,
to reduce …
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www.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
October 01, 2014 - Policy Projects
Research Initiative in Clinical Economics
Clinical Economics Resource Links
Policy Projects
Evaluation of the Academy for Managed Care Pharmacy Format for Formulary Submissions
Deliberative Focus Groups: Citizen Input to Health Policy
Evaluation of the Academy for Man…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-survey-admin.pdf
June 02, 2025 - Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Becker
ED CAHPS Survey Administration
22
Kirsten Becker, M.S.,
Director, RAND Survey Research Group,
Senior Survey Director,
RAND
ED CAHPS Patient Eligibility
Eligible ED patients:
Adults (18 and older)
Discharged to home
23
ED CAHPS …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
Organization
13
What are the SOPS Surveys?
• Surveys of providers and st…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - Urinary Tract Infections
Urinary Tract Infections
Diagnosis
• First, ask about symptoms
o Acute cystitis: dysuria, frequency, urgency, suprapubic pain
o Pyelonephritis: fever, flank pain
o Sending a urine culture in the absence of symptoms is indicated …
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www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-vick-wolff.pdf
November 01, 2020 - A Mixed Methods Review of Person and Family Engagement in the context of Multiple Chronic Conditions
A Mixed Methods Review of Person and Family
Engagement in the context of Multiple Chronic
Conditions
Judith B. Vick, MD MPH
Jennifer L. Wolff, PhD
Johns Hopkins Bloomberg School of Public Health
Johns Hopkins Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement
Primary Care
Practice Facilitation
Curriculum
Module 2: Practice Facilitation as a Resource
for Practice Improvement
Agency for Healthcare Research and Quality
Advancing Excellence in Healt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
January 01, 2017 - CUSP (continued)
SAY:
Fourth, teams learn from their local defects through a four-step process that guides
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - The interview guides were developed by
team members with qualitative training and expertise in HFE, … Interview guides were tailored for each setting to ensure the
questions fit the language and expertise
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-facguide.docx
January 01, 2017 - Data also provides quantifiable measures of care practices, guides patient safety conversations, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - The new guides recommend every 6 hours.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsguide.pdf
April 12, 2016 - Self-Management Support Module User Guide
Self-Management Support Module User
Guide
Reducing Barriers to Quality Assurance in Primary Care via
Maintenance of Certification Modules
http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sm…
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www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
May 01, 2009 - Your Guide to Preventing and Treating Blood Clots
Your Guide to
Preventing and
Treating Blood Clots
U.S. Department of
Health and Human Services
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
AHRQ Pub. No. 090067C
May 2009
Swelling
Clot
Vein
Blood clots can for…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - AHRQ Hospital Survey 2.0 User's Guide
PATIENT
SAFETY
HOSPITAL SURVEY ON
PATIENT SAFETY CULTURE
VERSION 2.0
USER'S GUIDE
AHRQ Hospital Survey on Patient Safety Culture
Version 2.0: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fisher…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Pressure Injury Prevention Program Implementation Guide
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No.: HHSA290201200017I Task Order No. 2
Prepared by:
AFYA, Inc.
Laurel, MD
AHRQ Publ…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/1-about/cahps-ambulatory-care-guide-section-1.pdf
May 01, 2017 - About the CAHPS Ambulatory Care Improvement Guide
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 1: About the CAHPS Ambulatory Care Improvement
Guide
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-im…