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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-spanish-2.0.pdf
June 05, 2025 - SOPS Nursing Home Survey Version 2.0 Items and Composite Measures - Spanish
SOPS® Nursing Home Survey Items and
Composite Measures
Version: 2.0
Language: Spanish
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.docx
September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes
SOPS® Workplace Safety Supplemental Items for the SOPS Nursing Home Survey
Language: English
Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - Preventing CAUTIs in the ICU Setting
Preventing CAUTI in the ICU Setting
Module 1: Overview
AHRQ Safety Program for Reducing CAUTI in Hospitals
AHRQ Pub No. 15-0073-4-EF
September 2015
Learning Objectives
At the end of this educational event, the participant will be able to—
Describe the scope of catheter-associated…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - Communicating with Patients and Families around Antibiotic Decisions - Slides
Communicating With Patients and Families About Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Communicating With Patients and Families
AHRQ Safety Program for …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - Module 2: Daily Huddles - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 2: Daily Huddles
Say:
This is the second module in the series on frontline management systems to promote sustained safety standard work in ambulatory surgery centers.
Slide 2: A Frontline Management Syste…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
May 01, 2017 - Module 2: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 2: Daily Huddles
SAY: This is the second module …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Maintenance Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Maintenance
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Maintenance,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-notes-sw.pdf
June 02, 2025 - ENSW FIELD NOTE FORM
1
ENSW FIELD NOTE FORM
1. *Your role: [Check all that apply]
Facilitator
HERO
CHITA
Regional Health Connector (RHC)
Other: Specify_________________________
2. *Your Organization:
3. *Your Name:
4. *Clinic ID and Name:
5. *Date of Meeting/Contact:
6.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage an…
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
June 02, 2025 - Supporting Clinical Staff Who Prescribe Opioids to Older Adults: Providing Targeted Educational Sessions to Meet Needs Case Study
Focus on High Leverage Change: Opioi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-28-using-the-ahrq-care-model.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 28: Using the AHRQ Care Model Toolkit with Practices
Primary Care
Practice Facilitation
Curriculum
Module 28: Using the AHRQ Care Model Toolkit with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
February 01, 2018 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA
Value & Efficiency Survey Item
Development and Pilot Test Results
Joann Sorra, PhD
Project Director
User Network for Surveys on Patient Safety
Culture™ (SOPS™)
Westat, Rockville, MD
11
AHRQ Surveys on Patient Safety Culture
Surve…
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www.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
December 01, 2020 - Advancing Methods of Implementing and Evaluating Patient Experience Improvement Using CAHPS® Surveys: Summary of Presentations
Summary of Meeting Highlights
On October 7, 2020, the Agency for Healthcare Research and Quality (AHRQ) convened an invitation-only research meeting to discuss improving patient exper…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
June 02, 2025 - C1 Prioritization Matrix
Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Prioritization Worksheet Example
Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange
Own Rate and National Benchmark Estima…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4l
Selected Best Practices and Suggestions for Improvement
PSI 15: Accidental Puncture or Laceration
Why Focus on Accidental Puncture and Laceration?
• A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4t
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
December 01, 2015 - Case Study of Using the QI Toolkit for Pediatric Quality Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Pediatric Quality Improvement
What is the purpose of this tool? This tool provides a case study from a children’s ho…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…