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psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
February 29, 2012 - Commentary
Implementing a perioperative handoff tool to improve postprocedural patient transfers.
Citation Text:
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
…
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psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
September 06, 2017 - Commentary
What we know about designing an effective improvement intervention (but too often fail to put into practice).
Citation Text:
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…
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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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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nemeth-ls-et-al-2007
January 01, 2007 - Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records."
Reference
Nemeth LS, Wessell AM, Jenkins RG, et al. Strategies to accelerate translation of research into primary care within practices using electronic medical…
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - When seeking to improve worker well-being, job satisfaction can be improved by
considering workers’
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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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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/patient-safety/settings/long-term-care/index.html
September 01, 2021 - AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care
CAHPS ® Nursing Home Survey was developed by AHRQ and designed to measure patients’ experiences of their care, including communication with doctors and nurses, responsiveness of staff, and other indicators of safe, high-quality care. The su…
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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/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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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/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/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/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity.
May 4, 2022
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
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psnet.ahrq.gov/node/838625/psn-pdf
October 19, 2022 - Improving communication and response to clinical
deterioration to increase patient safety in the intensive
care unit.
October 19, 2022
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase
patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…
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psnet.ahrq.gov/node/46230/psn-pdf
September 24, 2017 - Challenges and opportunities from the Agency for
Healthcare Research and Quality (AHRQ) research
summit on improving diagnosis: a proceedings review.
September 24, 2017
Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for Healthcare
Research and Quality (AHRQ) research summit …
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psnet.ahrq.gov/node/844543/psn-pdf
February 15, 2023 - The evolving curriculum in quality improvement and
patient safety in undergraduate and graduate medical
education: a scoping review.
February 15, 2023
Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and
graduate medical education: a scoping review. Am J Med Qual. …
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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…