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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Affordable Care
AHRQ Publication No. 23(24)-0091-EF
December 2023
2023 National Healthcare Quality and Disparities Report
Appendix B. Quality Trends and Disparities Tables: Affordable Care
The goal of t…
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www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care
Title: Medication Reconciliation: Bridging Communications Across the Continuum of
Care
Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh,
Melissa Blanchard, MP, Amy Caster-Winegeart, …
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digital.ahrq.gov/program-overview/research-stories/engaging-empowering-patients
January 01, 2023 - Engaging and Empowering Patients
2023 Research Stories
Advancing Patient-Centered Clinical Decision Support Working closely with patients to design and implement clinical decision support is important. The uptake of evidence into clinical practice depends on trust, intero…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - Highlights from CAHPS Work
HIGHLIGHTS FROM RECENT
CAHPS WORK
Caren Ginsberg, Ph.D.
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
29
CAHPS V Accomplishments
• Survey and Item Set Development and Revision:
► Incorporating Teleh…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
June 02, 2025 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance the understanding,
measu…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.19. Major Factors that Inhibit Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case …
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digital.ahrq.gov/program-overview/research-stories/engaging-empowering-patients-caregivers
January 01, 2023 - Engaging and Empowering Patients and Caregivers
2023 Research Stories
Advancing Patient-Centered Clinical Decision Support Working closely with patients to design and implement clinical decision support is important. The uptake of evidence into clinical practice depends o…
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www.ahrq.gov/ncepcr/research/index.html
January 01, 2024 - Research Initiatives
For more than a decade, AHRQ has made major investments in research initiatives to better understand the challenges primary care practices face as they work to provide higher quality care and better health outcomes. Even during the fraught environment of the COVID pandemic, these investme…
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www.ahrq.gov/ncepcr/tools/confid-report/remarks.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Concluding Remarks
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Funda…
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www.ahrq.gov/pqmp/grantees/coe-2-0.html
September 01, 2021 - PQMP 2.0 Centers of Excellence
In October 2016, the Pediatric Quality Measures Program (PQMP) embarked on a new phase of work seeking to improve and refine quality measures that were developed across diverse areas during the initial phase of the PQMP.
In accordance with Title III, Sec. 304(b) of the Medicare…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnostic Errors
Previous Page Next Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnost…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology3.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Definitions of Diagnosis
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
Definitions of Diag…
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psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - Taking the heat or taking the temperature? A qualitative
study of a large-scale exercise in seeking to measure for
improvement, not blame.
January 23, 2019
Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of
a large-scale exercise in seeking to measure for i…
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psnet.ahrq.gov/node/41669/psn-pdf
November 26, 2014 - Patient safety perceptions of primary care providers after
implementation of an electronic medical record system.
November 26, 2014
McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after
implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18…
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psnet.ahrq.gov/node/43766/psn-pdf
September 26, 2016 - Driven to distraction: a prospective controlled study of a
simulated ward round experience to improve patient
safety teaching for medical students.
September 26, 2016
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward
round experience to improve patient saf…
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/47727/psn-pdf
January 23, 2019 - Improving resident and fellow engagement in patient
safety through a graduate medical education incentive
program.
January 23, 2019
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through
a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
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psnet.ahrq.gov/node/41413/psn-pdf
September 26, 2012 - The effects of a 'discharge time-out' on the quality of
hospital discharge summaries.
September 26, 2012
Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital
discharge summaries. BMJ Qual Saf. 2012;21(10):885-90.
https://psnet.ahrq.gov/issue/effects-discharge-time-…
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psnet.ahrq.gov/node/837028/psn-pdf
May 04, 2022 - What is needed to sustain improvements in hospital
practices post-COVID-19? A qualitative study of
interprofessional dissonance in hospital infection
prevention and control.
May 4, 2022
Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a
qualitative study of inter…
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - Organizational response to known medical errors: does
peer review protection impede improvement?
October 13, 2018
Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection
Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429.
https://psnet.ahrq.…