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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
    June 02, 2025 - Action Planning for the SOPS Surveys-Overview 6 Overview of AHRQ’s Patient Safety Priorities Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Service AHRQ’s Core Compet…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36768/psn-pdf
    July 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846161/psn-pdf
    March 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. March 15, 2023 Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-…
  4. digital.ahrq.gov/medical-condition/xerostomia
    January 01, 2023 - Xerostomia Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report Citation Fricton, J. Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report. (Prepared by HealthPartners Research Foundation under Grant No. …
  5. digital.ahrq.gov/principal-investigator/matthews-karen
    January 01, 2023 - Matthews, Karen The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - Final Report Citation Fox K. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes O…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38079/psn-pdf
    February 15, 2011 - Development and evaluation of the Institute for Healthcare Improvement global trigger tool. February 15, 2011 Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318183a475. https://psne…
  7. www.ahrq.gov/evidencenow/tools/pdsa-form.html
    November 01, 2018 - Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI) Resource: Plan Do Study Act (PDSA) Form  (PDF, 971 KB, 2 pages) Practices can use this fillable Plan Do Study Act (PDSA) tool to design and test changes to improve health care quality. Using this form can be helpful to primary c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46221/psn-pdf
    July 02, 2017 - Tools and methods for quality improvement and patient safety in perinatal care. July 2, 2017 Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. https://psnet.ahrq.gov/issue/tools-and-methods-q…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838925/psn-pdf
    March 03, 2025 - Improving Quality and Safety in Healthcare. March 3, 2025 Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare Improvement activities are complex initiatives that require synergistic actions by organizations to be s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39047/psn-pdf
    October 28, 2009 - ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. October 28, 2009 Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. doi:10.1136/qshc.2007.025056. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44848/psn-pdf
    April 22, 2016 - Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. April 22, 2016 Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41862/psn-pdf
    January 18, 2013 - Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. January 18, 2013 McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. J Am Coll Surg. 2013;216(1):…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42277/psn-pdf
    July 02, 2014 - Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. July 2, 2014 Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013;88(6):824-30. doi:10.1097/ACM.0b013…
  14. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
    May 01, 2018 - Maintaining and improving functional status, such as patients' ability to ambulate, improves quality
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
    January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement 1 Issue Brief How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement This brief shares the experiences of two provider groups using the 12-Month version of the CAHPS Clinician & …
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
    September 01, 2022 - Implementation Guide for Ambulatory Care Antibiotic Stewardship AHRQ Safety Program for Improving Antibiotic Use Introduction Developing or improving antibiotic stewardship activities in ambulatory practices can take time. If you are just starting to implement antibiotic stewardship activities in your practice, …
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
    January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement 1 Issue Brief How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement This brief shares the experiences of two provider groups using the 12-Month version of the CAHPS Clinician & …
  18. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - Module 8: Organizational Learning and Sustainability AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CANDO…
  19. digital.ahrq.gov/organization/university-massachusetts-medical-school
    January 01, 2023 - University of Massachusetts Medical School Open & Act: Tracking Health Care Team Response to EHR Asynchronous Alerts Description This project analyzed secondary data to identify factors associated with timely opening of electronic health record-based asynchronous alerts, timel…
  20. psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
    July 15, 2010 - Commentary ACOG Committee Opinion #320: partnering with patients to improve safety. Citation Text: ACOG Committee Opinion #320: partnering with patients to improve safety. ACOG Committee on Quality Improvement and Patient Safety. Copy Citation Save Save to you…