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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - The Evolution of Patient Safety in Surgery
December 1, 2017
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
Perspective
In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…
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cdsic.ahrq.gov/sites/default/files/2024-02/2_OY1%20Innovation%20Center%20Operational%20Framework.pdf
January 01, 2024 - OY1 Innovation Center Operational Framework
Innovation Center:
Operational Framework –
Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
November 2023
https://www.ahrq.g…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook
June 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
January 01, 2023 - ParentLink: Better and Safer Emergency Care for Children
Project Final Report ( PDF , 84.92 KB) Disclaimer
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 AHR…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Monitoring Progress for Sustainable Impro…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Competencies To Improve Diagnosis in Health Professions Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing
Decolonization of
on-ICU Patients With Devices N
Section 14-1 – Addressing Questions Asked by Staff:
Chlorhexidine for Bathing
Why does the hospital use special soap for bathing and showering in patients
with medical devices?
This hospital i…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-template-appendix1.pdf
June 05, 2025 - University of Iowa Stead Family Children’s Hospital: Written Family Discharge Instructions Template Example
Tobacco and Nicotine Education
Note Information about this visit will be available to members of your care team.
Patient/caregiver and understanding verbalized. Copy Provided.
Homecare Instructions
After F…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
June 02, 2025 - Surgical Patient Experience of Care Survey Design Project
Surgical Patient Experience of Surgical Patient Experience of
Care Survey Design ProjectCare Survey Design Project
Elizabeth W. Hoy, MHA
Assistant Director, Regulatory Affairs
and Quality Improvement Programs
American College of Surgeons
OverviewOvervie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
June 02, 2025 - Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
An Introduction to Safe Transitions for Patients to New Appointments
Ambulatory Care Facility
Team Presentation
Overview
Purpose and Benefits
Toolkit Components
Team Member Roles and Responsibilities
Implementation Steps
Resourc…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Why Should Your Practice Focus on Imp…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
April 01, 2022 - Building an Engaged CUSP Team Slides
Building an Engaged Comprehensive Unit-based Safety Program Team
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Objectives
Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
June 02, 2025 - TeamSTEPPS Team Leadership Module 2
Team Leadership
Module 2
1
Understanding Teams and Team Structure
2
Objectives: Team Structure
Team Leadership
Understand the benefits of teamwork and clear team structure.
Define a “team.”
Identify the roles of patients and family caregivers within the care team.
Desc…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
June 02, 2025 - Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership
Implementation Guide - Module 2
System Change: Laying the Foundation and Leadership
Module Purpose
Following the call to action in Module 1, the purpose of this module is to lay the foundation for
systems change. Topics i…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
February 23, 2018 - Practice Member Survey
Dear Survey Respondent,
You are receiving this survey because your practice is participating in the Heart of Virginia Healthcare (HVH)
project. Now in its third and final year, the HVH project is asking staff and clinicians in each practice to
complete …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/use-roll-ups-20111001-transcript.pdf
June 02, 2025 - Use of "Roll-ups" to Report CAHPS Survey Results and Other Quality Measures
Transcript release date 10/1/11 www.talkingquality.ahrq.gov
Use of “Roll-ups” to Report CAHPS
Survey Results and Other Quality Measures
Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group
Speakers: …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism-update_disposition-comments.pdf
August 06, 2014 - Disposition of Comments Report for Comparative Effectiveness Review No. 137
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Therapies for Children With Autism Spectrum Disorder—Behavioral
Interventions Update
Draft review available for public comment from January…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
March 28, 2019 - CER 215 Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Adverse Effects of Pharmacologic Treatments of Major Depression
in Older Adults
Draft review available for public comment from May 13, 201…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
January 01, 2023 - 2023 CAHPS Health Plan Survey Database Chartbook
The Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Health Plan Survey Database
2023 Medicaid and Children’s Health
Insurance Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans and Medical Care
Authors…