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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - Quality improvement as a primary approach to change in
healthcare: a precarious, self-limiting choice?
December 7, 2022
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious,
self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447.
https:…
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psnet.ahrq.gov/node/861774/psn-pdf
January 31, 2024 - Grand rounds in methodology: key considerations for
implementing machine learning solutions in quality
improvement initiatives.
January 31, 2024
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for
implementing machine learning solutions in quality improvement initiatives. …
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/talkingquality/measures/resources.html
April 01, 2019 - Resources for Health Care Quality Measurement
Several organizations and resources provide information on measures used in different health care settings. Refer to the Key Initiatives section to read about other initiatives that have contributed to understanding and improving the nation's health care quality. …
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psnet.ahrq.gov/node/37878/psn-pdf
February 03, 2011 - Electromagnetic interference from radio frequency
identification inducing potentially hazardous incidents in
critical care medical equipment.
February 3, 2011
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency
identification inducing potentially hazardous incide…
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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/837343/psn-pdf
June 08, 2022 - Determining the skills needed by frontline NHS staff to
deliver quality improvement: findings from six case
studies.
June 8, 2022
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality
improvement: findings from six case studies. BMJ Qual Saf. 2022;31(6):450-461. doi…
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psnet.ahrq.gov/node/857452/psn-pdf
December 06, 2023 - Improving patient safety governance and systems
through learning from successes and failures: qualitative
surveys and interviews with international experts.
December 6, 2023
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning
from successes and failures: qualita…
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psnet.ahrq.gov/node/74701/psn-pdf
January 26, 2022 - Non-conveyance of older adult patients and association
with subsequent clinical and adverse events after initial
assessment by ambulance clinicians: a cohort analysis.
January 26, 2022
Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with
subsequent clinical and ad…
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psnet.ahrq.gov/node/36102/psn-pdf
March 04, 2011 - Struggling to invent high-reliability organizations in
health care settings: insights from the field.
March 4, 2011
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from
the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.
https://psnet.ahrq.gov/issue/strugg…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
June 02, 2025 - The Single IRB Plan Elements
The Single IRB Plan Elements
The single IRB plan should include the following elements:
• Describe how you will comply with the requirement for single IRB review
under the revised common rule at 45 CFR 46.114.
• If available, provide the name of the IRB that you anticipate wi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide155.html
October 01, 2014 - 155. Treatment Recommendations: Medications-Nortriptyline (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Nortriptyline HCl —Prescription only.
Prescribing instructions
Initiate— Therapy is initiated 10-28 days bef…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures1
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibio…
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integrationacademy.ahrq.gov/products/topic-briefs/oud-low-threshold-treatment
February 01, 2025 - AHRQ Initiatives
EvidenceNOW: Managing Unhealthy Alcohol Use
Opioid Initiative … Older Adult Opioid Initiative
Other HHS Initiatives
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017067-kaushal-final-report-2011.pdf
January 01, 2011 - The first two aims also took place in the context of an ambitious initiative by New York State,
which … Technology Evaluation Collaborative, or HITEC) established to evaluate the impact of New
York State’s initiative … Doctor’s Office Quality Information Technology (DOQIT) measures, the Physician Quality
Reporting Initiative … Information
Technology, NCQA = National Committee on Quality Assurance, PQRI = Physician Quality Reporting Initiative … Information
Technology, NCQA = National Committee on Quality Assurance, PQRI = Physician Quality Reporting Initiative
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015328-coleman-final-report-2007.pdf
January 01, 2007 - These would no doubt be similar to those being
faced in implementing an HIE initiative in such facilities … MaineHealth, Maine Medical Center (MMC), and other health care
providers developed the Consolidated Imaging Initiative … and ultrasound.
7
Methods
Implementation
Implementation of the Consolidated Imaging Initiative … Washington, D.C.: eHealth Initiative; 2006.
3. Ibid, 2006
4. … Washington, D.C.: eHealth Initiative; 2006.
5. White, K, Berbaum, K, Smith, WL.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - Participation in two federal initiatives—the Beacon Consortium and the Comprehensive
Primary Care (CPC) Initiative—helped … in predominantly
rural counties.4 Two years later, the practice became a participant in CMS’s CPC initiative … In this initiative, Medicare works with
commercial and state-funded health insurance plans to provide … information on CPC is available at http://innovation.cms.gov/initiatives/Comprehensive-Primary-Care-
Initiative … As demonstrated
through UMHS’s experience with the LIGHT2 initiative, patient engagement via health
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Title: Improve Patient Safety and Reform Medical Liability by Planning the Implementation of the Initiative … Recognizing the lack of systematic studies in this area, the project team developed and piloted the Initiative … The Initiative to Reduce Inpatient Suicide—Medical Liability Reform was also developed to explore issues … Improve Patient Safety and Reform Medical Liability by Planning the Implementation of the Initiative … Award: $278,212
Goals
In a joint initiative with the leadership of the Massachusetts Medical Society
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/primary-care-research-funding-tips.pdf
May 09, 2025 - For example, several rural hospitals fundraised from hospital systems across their state to fund an
initiative