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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…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
June 02, 2025 - ADHD Summary of Public Comments
SNAC Submission Form ADHD Measure 2: Behavior Therapy
Section 6: Scientific Soundness
Attachment 2: Summary of Public Comments
Attention Deficit Hyperactivi…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh23.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 23. Data sources for the SSI common risk factors
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh56-58.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 56 to 58
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Introducing SOPS
10
Introducing the SOPS Action
Planning Tool
Laura Gray, MPH
Senior Study Director,
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
11
AHRQ Surveys on Patient Safety Culture
Surveys of clinicians and staff about the extent to
w…
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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/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - QAPI Leadership Rounding Guide
Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.
Directions: Leadership rounding is a process where leaders (e.g., administrator, department heads, and nurse
managers) are out in the building with staff and residents, t…
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www.ahrq.gov/news/newsroom/press-releases/long-covid-funding-opportunity.html
April 01, 2023 - The awards will help existing clinics develop and implement new or improved care delivery models, expand
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Improved use of thromboprophylaxis for deep vein thrombosis following an educational intervention. … Improved inpatient use of basal insulin, reduced hypoglycemia, and improved glycemic control: effect … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Improved use of thromboprophylaxis for deep vein thrombosis following an educational intervention. … Improved inpatient use of basal insulin, reduced hypoglycemia, and improved glycemic control: effect … Impact of a venous thromboembolism (VTE) prophylaxis "smart order set": improved compliance, fewer events … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Error disclosure, teamwork, and safety culture all improved over a 3-year period during which disclosure … Self‑reported likelihood to disclose errors also improved. … increases for any of the institutions or overall (58 percent and 56 percent, respectively), safety culture improved … overall from 50 percent to 63 percent (p < .05), and teamwork culture improved from 62 percent to 73 … While we cannot infer from these results that training caused the improved perceptions of culture, it
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - teams that pursued goals of the National Quality Strategy's three broad aims for better health care, improved
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www.ahrq.gov/prevention/resources/depression/depsumtab5.html
April 01, 2013 - NR
7 (-9 to 23)
Lewis et al., 1996 ( 22 ) 3
Percentage of participants who had not improved
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs4.html
October 01, 2015 - Outcomes: Improved the provision of recommended care processes, reduced health care costs, and enhanced
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www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Over 5 months, compliance with the collection of a complete home medication list improved from 57 to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-brochure.pdf
March 01, 2017 - prefer-
ences and needs (e.g., what activi-
ties are offered, the time when you
must wake up)
• Improved
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T2-Prescribing_clinician_survey_Phase_1_final.pdf
May 01, 2014 - q Yes q No
How could communication of antibiograms be improved?
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Courage
Adopt an Engaging Style
Discover a Common Purpose
25
Good Patient Outcomes
Improved … Evaluate (technical)
How do we know we improved safety? … addition to data submission, this work requires unit team members to ask themselves, “How do we know we improved … purpose
46
Evidence Boost: A review of research highlighting how patient engagement contributes to improved
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Dependent on clear communication between patient and the medical team
Slide 5
Why is Improved … Environment 284
Physical Environment 309
Information Management 203
Slide 9
Why is Improved … insertion and maintenance
Why they need to come out as soon as possible
Slide 10
Why is Improved
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
January 01, 2007 - Using the standards of effective communication, list three or four ways in which communication could be improved … of stay
Higher quality of care
Better patient outcomes
Greater ability to meet family member needs
Improved