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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.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/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/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…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An antibiotic-associated adverse event is any event or situation that you would not want to happen again because it either caused your patient harm or had the potential to cause harm. The purpose of this tool is to provi…
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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/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
June 02, 2025 - Measure 1, Section 6, Attachment 2
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 6: Scientific Soundness
Attachment 2: Summary of Public Comments
Attention Deficit Hyperact…
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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/chsp/about-chsp/index.html
May 01, 2021 - About the Comparative Health Systems Performance (CHSP) Initiative
Overview Download this fact sheet (PDF, 103 KB) AHRQ Comparative Health System Performance Initiative: Program Overview and Accomplishments, 2015-2020 (PDF, 826 KB) AHRQ created the Comparative Health System Performance Initiative to study how…
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
-
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/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A Tables from Matar (2010)
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter …
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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/cpi/about/otherwebsites/cds-connect/index.html
June 01, 2019 - CDS Connect: Using Clinical Decision Support To Move Evidence Into Practice
Project Summary
CDS Connect is a key component of AHRQ’s recently launched initiative on clinical decision support (CDS) to move evidence into practice and to make CDS more patient centered. This initiative has four components:
…
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www.ahrq.gov/news/newsroom/case-studies/202501.html
January 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program
Search All Impact Case Studies
January 2025
Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its…
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www.ahrq.gov/es/programs/index.html
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - understanding of team behavior in rapidly
formed teams and the predictors of leadership transfer, improvements
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www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - injuries, and expectations for discussing
injuries with the patients/families and planning safety improvements … metrics to track the
correlations between consumer participation in reporting and outcomes or process
improvements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - Use the PDSA Cycle for:
Testing or adapting a change
Implementing an improvement
Spreading the improvements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.pdf
June 02, 2025 - Dissemination Planning Tool
Development of a Planning
Tool to Guide Dissemination
of Research Results
Advances in Patient Safety:
From Research to Implementation.
Vol. 4, Programs, Tools, and Products.
Rockville, MD: Agency for Healthcare and
Research Quality; 2005.
Article Exhibit
Westat Authors:
Debora…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
June 02, 2025 - Teach-Back
Teach-Back
Teach-Back: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Teach-Back
Role Play Scenario 1
Facilitator Instructions
1. As facilitator, play the role of the patient.
2. Request a volunteer to play the role of the clinici…