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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/twelfth-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
January 01, 2022 - Twelfth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services
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The U.S. Preventive Services Task Force (USPSTF) has released its “12th Annu…
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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
July 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities
Project Description
Publications
Research Story
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism-update_clinician.pdf
September 01, 2014 - Developmental Delays
Autism Spectrum Disorder
Clinician Research Summary
Comparative Effectiveness of Therapies for Children With Autism
Spectrum Disorder
Key Clinical Issue
What evidence is available regarding the effectiveness, benefits, and harms of therapies used to address the core and
associated symptoms seen…
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - In Conversation With… Mark Chassin, MD, MPP, MPH
April 1, 2017
Citation Text:
In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - PowerPoint Presentation
Implementing TeamSTEPPS
Introduction
Reflecting on Day 1
Day 2 Preview
Patient safety is threatened by poor communication and teamwork.
TeamSTEPPS provides tools and a framework to improve both.
Questions or reflections on day 1.
2
2
Preparing for Day 2
Day 2 Preview
Day 1:
Int…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change
SAY:
This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Bacteremia
Acute Care
Slide Title and Commentary Slide Number and Slide
Best Pr…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-facilitating-implementation-pilot.pdf
October 01, 2019 - Facilitating the Implementation of EPC Reports_Methods Research Report
Methods Research Report
Facilitating the Implementation of EPC Reports in
Learning Health Systems Engaged in Quality
Initiatives: an EPC Pilot Project on ADHD
Methods Research Report
Facilitating the Im…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program
The Joint Commission Journal on Quality and Patient Safety 2018; 44:12–22
Perspectives on Implementing Quality Improvement
Collaboratives Effectively: Qualitative Fi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-teamstepps-webcast-bakdash.pdf
January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
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Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-bas…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Measurement
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Me…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.2. Grand Hospital Center
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
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www.ahrq.gov/sops/resources/planning-tool/index.html
August 01, 2024 - SOPS Action Planning Tool
This Action Planning Tool was designed primarily for users of the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) surveys , as well as the SOPS supplemental items. The SOPS surveys and supplemental items are an important source …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
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 2. Central Hospital
Ca…
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www.ahrq.gov/es/sops/resources/planning-tool/index.html
August 01, 2024 - SOPS Action Planning Tool
This Action Planning Tool was designed primarily for users of the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) surveys , as well as the SOPS supplemental items. The SOPS surveys and supplemental items are an important source …
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www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - University of Pittsburgh Uses AHRQ's Patient Safety Culture Survey to Help Improve Nursing Home Care
Search All Impact Case Studies
December 2006
The University of Pittsburgh School of Medicine adapted AHRQ's Hospital Survey on Patient Safety Culture to survey nursing home staff as part of ongoing researc…
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psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
May 11, 2014 - Study
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida.
Citation Text:
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…
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psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - Commentary
Human factors in patient safety as an innovation.
Citation Text:
Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
April 25, 2016 - Newspaper/Magazine Article
Strengthening the core. Middle managers play a vital role in improving safety.
Citation Text:
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70.
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Forma…
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psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
July 08, 2015 - Meeting/Conference Proceedings
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.
Citation Text:
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…