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psnet.ahrq.gov/node/39551/psn-pdf
May 26, 2010 - Simulation-based training improves physicians'
performance in patient care in high-stakes clinical setting
of cardiac surgery.
May 26, 2010
Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance
in patient care in high-stakes clinical setting of cardiac surgery. Anest…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-riverside-handoffs-webcast-huddleston.pdf
June 02, 2025 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Huddleston
SOPS® Action Planning Tool
Lisa Huddleston, Ph.D.
Westat
Action Planning Tool
Assists in the
development of an
action plan
Applicable to all
survey settings
Includes an Action
Plan Template
38
Acti…
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psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.html
July 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Previous Page Next Page
Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the Measure…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-webcast-ginsberg.pdf
June 02, 2025 - AHRQ Webcast Recent Insights into CAHPS Survey Modes and Response Rates - Ginsberg
AHRQ’S CAHPS® Program
Caren Ginsberg, Ph.D., CPXP
Center for Quality Improvement & Patient Safety, AHRQ
7
AHRQ’s Core Competencies
• Health Systems Research: Invest in research and evidence to
make healthcare safer and improve q…
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
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psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - Improving health care quality and patient safety through
peer-to-peer assessment: demonstration project in two
academic medical centers.
October 11, 2017
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-
Peer Assessment: Demonstration Project in Two Academic Med…
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digital.ahrq.gov/2018-year-review/research-spotlights
January 01, 2018 - Research Spotlights
AHRQ Health IT Safety Investigators are Using Health IT to Make a Real Difference in Improving Patient Safety
Research on Health IT Safety Special Emphasis Notice ( NOT-HS-16-009 ):
AHRQ continues to fund research on safe health IT practices related to the design,…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
January 01, 2024 - Improved outcomes in hypertension after
physician tutorials. A controlled trial.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
October 01, 2020 - What We Learned
The CHIPRA quality demonstration States are pursuing innovative strategies to improve health care for children.
Learn about the CHIPRA quality demonstration States' strategies, lessons learned, and outcomes from these National Evaluation products:
Final Summary
Final Project Report
Spe…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
January 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
November Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change
Say:
In this module, you’ll learn about using data as part of your team’s improve…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.xls
January 01, 2012 - Value Set Export
Disclaimer
Copyright 2012 American Medical Association and National Committee for Quality Assurance. All Rights Reserved.
Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Perfor…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - Resources by National Action Plan Foundational Area
Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
May 01, 2018 - The subcommittee examined state Medicaid and CHIP application forms and found improved standardization
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-fac-notes.html
June 01, 2017 - Module 4: Observation and Integration - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 4: Observation and Integration
Say:
“The aim of supervision should be to help people and machines and gadgets to do a better job.” 1 This quote comes from W.E. Deming, one of the fathers of t…
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psnet.ahrq.gov/node/42656/psn-pdf
April 21, 2015 - Improving quality and safety of care using
"technovigilance": an ethnographic case study of
secondary use of data from an electronic prescribing and
decision support system.
April 21, 2015
Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "technovigilance":
an ethnographic case…