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psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
July 05, 2008 - Book/Report
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.
Citation Text:
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…
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psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
April 16, 2008 - Study
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Citation Text:
Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…
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psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
February 17, 2011 - Review
Safety in the academic medical center: transforming challenges into ingredients for improvement.
Citation Text:
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22.
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psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
January 02, 2017 - Commentary
Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.
Citation Text:
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…
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psnet.ahrq.gov/issue/strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-gains
February 01, 2011 - Study
Strategies for sustaining a quality improvement collaborative and its patient safety gains.
Citation Text:
Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…
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psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
July 02, 2014 - Study
Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.
Citation Text:
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …
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digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Project Description
Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
Best Practices in the Diagnosis and Treatment of Bacteremia
Acute Care
AHRQ Safety Program for
Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Bacteremia
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Rev…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.html
March 01, 2017 - Appendix D. PDSA Worksheet
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of this worksheet is to develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead to improvement in areas that your team has identified.
Using PDSA To Impr…
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www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast)
December 18, 2019
Summary
Speakers and Presentation Slides
Recording
Transcript
Summary
On Wednesday, December 18, 2019, AHRQ hosted a webcast that highlighted an event reporting initiative from the Uni…
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/index.html
October 01, 2022 - Develop and Improve Antibiotic Stewardship Activities in Your Practice
Development of an infrastructure to promote antibiotic stewardship is necessary to optimize antibiotic prescribing in ambulatory practices. The presentations and tools can help practices implement antibiotic stewardship activities or improve…
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digital.ahrq.gov/principal-investigator/agha-zia
January 25, 2018 - Agha, Zia
Keystrokes, mouse clicks, and gazing at the computer: how physician interaction with the EHR affects patient participation.
Citation
Street RL Jr, Liu L, Farber NJ, et al. Keystrokes, mouse clicks, and gazing at the computer: how physician interaction with the EHR af…
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - University of Illinois at Chicago
Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care
Description
This research studied whether clinical decision support could reduce contextual errors, improve patien…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
June 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - GINSBERG
5
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP
Director, CAHPS and Surveys on Patient Safety Culture
(SOPS) Programs
Center for Quality Improvement & Patient Safety, AHRQ
6
AHRQ’s Core Competencies
• Health Systems Research: Invest in research…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/index.html
March 01, 2023 - Results
From infographics to published papers, the findings from EvidenceNOW will be shared here. Check back frequently to stay current with what we’re learning about putting evidence into practice, the experiences of small primary care practices, and the best ways to offer external support to improve primary c…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-ahrq.pdf
June 02, 2025 - Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Ginsberg
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
AHRQ’s Core Competencies
• Health Systems Research: Invest in research and
evidence to make health care safer a…
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psnet.ahrq.gov/node/50570/psn-pdf
October 23, 2019 - Does simulation training for acute care nurses improve
patient safety outcomes: a systematic review to inform
evidence-based practice.
October 23, 2019
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Improve Patient
Safety Outcomes: A Systematic Review to Inform Evidence-Based Pr…
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psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/introduction.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Previous Page Next Page
Table of Contents
Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Improvement Data
Other Re…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/action-plan-template.docx
June 02, 2025 - Action Plan Worksheet
ACTION PLAN WORKSHEET
INSTRUCTIONS:
1. Discuss with your team some improvements you’d like to make specific to the High Leverage Changes listed in the table. Use the data from the Quality Improvement Change Assessment (QICA), current patient panel data, discussions with your coach and team, or ob…