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www.ahrq.gov/evidencenow/tools/reduce-disparities.html
February 01, 2025 - Using Data to Reduce Disparities and Improve Quality
Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/action-planning-tool-infographic-sops.pdf
March 01, 2024 - Surveys on Patient Safety Culture Action Planning Steps
ACTION PLANNING FOR
THE SOPS SURVEYS
The AHRQ Surveys on Patient Safety
Culture® (SOPS®) Action Planning Tool
consists of a three-step process to
guide teams as they work to improve
patient safety culture.
1
Identify Areas
To Improve
• What areas do you…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation.html
May 01, 2017 - Implementation
The Implementation Guide takes users step by step through the execution of technical and cultural interventions surrounding the safe surgery checklist. The tools referenced throughout the guide include items such as checklist templates, quality improvement study frameworks, and coaching materials…
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psnet.ahrq.gov/node/44807/psn-pdf
September 29, 2017 - Legal and policy interventions to improve patient safety.
September 29, 2017
Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety.
Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880.
https://psnet.ahrq.gov/issue/legal-and-policy-interventions-impro…
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psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills
performance improvement.
March 4, 2020
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance
Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
https://psnet.ahrq.gov/issue/enotss-platform-s…
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psnet.ahrq.gov/node/44781/psn-pdf
January 13, 2016 - Improving Pediatric Surgery Quality and Outcomes in the
21st Century.
January 13, 2016
Heiss K, ed. Semin Pediatr Surg. 2015;24:265-326.
https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
Articles in this special issue introduce quality improvement principles, such as system…
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psnet.ahrq.gov/node/50808/psn-pdf
January 15, 2020 - Health Services Research Priorities for Improving
Diagnostic Safety and Quality. Special Emphasis Notice
(SEN).
January 15, 2020
Rockville, MD: Agency for Healthcare Research and Quality. December 27, 2019. Publication No. NOT-
HS-20-004.
https://psnet.ahrq.gov/issue/health-services-research-priorities-improving-…
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psnet.ahrq.gov/node/837695/psn-pdf
July 20, 2022 - Narrowing the mindware gap in medicine.
July 20, 2022
Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183.
doi:10.1515/dx-2020-0128.
https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52.
doi:10.1136/bmjqs-2015-005076.
https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been embraced as an approach t…
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psnet.ahrq.gov/node/74858/psn-pdf
February 23, 2022 - Improving responses to safety incidents: we need to talk
about justice.
February 23, 2022
Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ
Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333.
https://psnet.ahrq.gov/issue/improving-responses-safety-in…
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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - Medical errors kill thousands of people each year. But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023.
https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
The semi-annual Leapfrog Hospital Safety Grades are recognized across…
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psnet.ahrq.gov/node/47555/psn-pdf
November 14, 2018 - How one hospital improved patient safety in 10 minutes a
day.
November 14, 2018
van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
Aviation continues to provide inspiration for patient safety innovation. This commentar…
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digital.ahrq.gov/organization/academyhealth
January 01, 2023 - AcademyHealth
Improving Technology Innovation in Medicaid Programs
Description
This effort will convene a workshop entitled “Workshop to Inform Technology Innovation and Research for Medicaid Programs” to identify challenges faced by Medicaid beneficiaries and programs that ar…
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digital.ahrq.gov/location/usa-ny-buffalo
January 01, 2023 - USA, NY, Buffalo
Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes
Description
This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and…
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/final-report
January 01, 2023 - Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Interface - Final Report
Citation
Bell DS, Straus SG, Wu S, et al. Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Interface - Final Report. (Prepared by RAND Corporation under C…
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digital.ahrq.gov/ahrq-funded-projects/improving-health-care-through-hit-morgan-county/final-report
January 01, 2023 - Improving Health Care through Health Information Technology in Morgan County, Indiana - Final Report
Citation
Aders D. Improving Health Care through Health Information Technology in Morgan County, Indiana - Final Report. (Prepared by Morgan Hospital and Medical Center under Grant No. UC1 HS015258). Ro…
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digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/final-report
January 01, 2023 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management - Final Report
Citation
Williams AE, Vogt TM. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management - Final Report. (Prepared by the Kaiser Permanente Center for Health Researc…
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digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/final-report
January 01, 2023 - eHealth Records to Improve Dental Care for Patients with Chronic Illness - Final Report
Citation
Fricton J. eHealth Records to Improve Dental Care for Patients with Chronic Illness - Final Report. (Prepared by HealthPartners Research Foundation under Grant No. R18 HS017270). Rockville, MD: Agency for …
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digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement/final-report
January 01, 2023 - Perception and Use of a Patient Care Window to Improve Care and Family Engagement - Final Report.
Citation
Asan O. Perception and Use of a Patient Care Window to Improve Care and Family Engagement - Final Report. (Prepared by the Medical College of Wisconsin under Grant No. R21 HS023626). Rockville, M…
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digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/final-report
January 01, 2023 - Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report
Citation
Arora S. Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report. (Prepared by the University…