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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - And finally, as workflow changes and
coordination improves over time, increased information availability
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children…
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www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics
1. TITLE PAGE
Reducing Diagnostic Errors in Primary Care Pediatrics
Principal Investigator: Michael L. Rinke, MD, PhD
Co-Investigators: David G. Bundy, MD, Hardeep Singh, MD, MPH, MPH, Moonseong Heo, PhD,
Jason S. Adelman, MD, MS, Heathe…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur
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C H E A L T H C A R E S Y S T E M
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C H E A L T H C A R E
Implementation of an Event Reporting and
Learning System Leads to Improvements in
Patient …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
March 01, 2019 - State at a Glance: North Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in North Carolina.
North Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 1 : How are CHIPRA demonstration States approaching practice-level qu…
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www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
January 01, 2014 - St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
January 2014
St. Jude Children's Research Hospital, an institution focused on pediatric cancer and other catastrophic diseases, treats nearly 8,000 patients annually and has used AHRQ's "Hospital Survey on Pat…
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digital.ahrq.gov/principal-investigator/lakes-kimberley
October 11, 2023 - Lakes, Kimberley
Digital assessments for children and adolescents with ADHD: A scoping review.
Citation
Cibrian FL, Monteiro EM, Lakes KD. Digital assessments for children and adolescents with ADHD: A scoping review. Front Digit Health. 2024 Oct 8;6:1440701. doi: 10.3389/fdgth…
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digital.ahrq.gov/ahrq-funded-projects/implementation-health-improvement-collaboration-cherokee-county-ok
January 01, 2023 - Implementation of Health Improvement Collaboration in Cherokee County, OK
Project Final Report ( PDF , 114.4 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok
January 01, 2023 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Project Final Report ( PDF , 2.85 MB)
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Project Description
Annual Summari…
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices/annual-summary/2010
January 01, 2010 - Bringing High Performing Systems to Small Practices - 2010
Project Name
Bringing High Performing Systems to Small Practices
Principal Investigator
Parsons, Amanda
Organization
New York City Health and Mental Hygiene
Funding Mechanism
PAR: HS08-270: Utilizing Health …
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink
January 01, 2023 - Improving Pediatric Cancer Survivorship Care Through SurvivorLink
Project Final Report ( PDF , 296.72 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the vi…
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digital.ahrq.gov/ahrq-funded-projects/improving-adolescent-primary-care-through-interactive-behavioral-health-module
January 01, 2023 - Improving Adolescent Primary Care Through An Interactive Behavioral Health Module
Project Final Report ( PDF , 191.52 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Why Should Your Practice Focus on Imp…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned,
and outcomes from Georgia’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Medicaid
Service…
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - National Patient Safety Goals
Citation Text:
Shaikh U. National Patient Safety Goals. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - Antibiotic Stewardship Program Development: Part 1
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Antibiotic Stewardship Program
Development: Part 1
Acute Care
Slide Title and Commentary Slide Number and Slide
Antibiotic Stewardship Pr…
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www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 5. Preparing to Launch
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Rural Healthcare Quality Network (RHQN) - Final Report
Grant Final Report
Grant ID: R01 HS 015188
Rural Healthcare Quality Network (RHQN)
Inclusive dates: 09/17/04 - 08/31/08
Principal Investigator:
Jacqueline Huck
Performing …