- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - Not surprisingly, health care services are a part of this trend. … are increasingly seeking out online 
reviews of health care services. … Aff 2016; 35(4):688-696. 
3 Health Research Institute. … Health Services Research 
2015 December; 50:Suppl 2:2116-2154. … Health Serv Res 2016 April; 
51:1475-6773.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Results: To help prevent medical errors, TIPI-IS provided integrated, real-time decision support, concurrent … At this 
scale, this public health issue presents important opportunities to reduce medical errors. … All these data were integrated in the 
database to create TIPI-IS patient records. … moderate and high ACI-TIPI 
probabilities, and we are now exploring methods that include the use of public health … Impact Summary
To help prevent medical errors, TIPI-IS provided integrated, real-time decision support
                                     
                                                                    - 
                                        
www.ahrq.gov/diagnostic-safety/research/grants-2022.html
August 01, 2025 - Gold, Oregon Health and Science University David W. Bates, Brigham and Women's Hospital Raj M. … Ratwani, MedStar Health Research Institute Grant Number 1R18HS029345-01 Goals The goal of the DATA-EYES … to establish an infrastructure to systematically collect data on how, when, and why the electronic health … Addressing electronic health record contributions to diagnostic error. … Health Affairs Forefront, April 25, 2024.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - the application of a defined body of knowledge (i.e., VAD patient 
safety issues), while producing a behavioral … Department of Health and Human Services, Public Health Service, Health 
Resource Services Administration … Quality first: better health care for all Americans. … Health Serv Res 2000;34(6):1363–88. 
9. Wiener CL. … To err 
is human: building a safer health system.
                                     
                                                                    - 
                                        
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Mental, emotional, and behavioral health services are lacking for as many as 50% of children and adolescents … Adolescent Health. AH-1. … Use of mental health services by children ages six to 11 with emotional or behavioral difficulties. … The public health approach to eliminating disparities in health. … Behavioral counseling to promote physical activity and a healthful diet to prevent cardiovascular disease
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Interruptions are an inevitable occurrence in health care. … We then consider sev-
eral empirically tested strategies from the fields of health 
care and cognitive … While there is ample 
research on the effects of interruptions within other realms of 
health care (e.g … � In a particular health care setting, is there 
consensus around which messages are/are 
not urgent? … Inform Health Soc Care 2021;46(3):263–272. 
8. Coiera E. The science of interruption.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - include preterm birth, fetal death, 
structural birth defects, poor fetal growth, neurocognitive and behavioral … Measure Topic – care in the most integrated setting: No.  
m. … Health plan*: Can compare quality of care among health plans. … or facility:** Can compare: (i) practice sites; (ii) medical or other 
professional groups; or (iii) integrated … CAPQuaM integrated perspectives from a national consortium, Steering Committee, and Senior 
Advisory
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - of the Patient Safety Executive Walkarounds is to 
correct and prevent medical errors, the work is integrated … Methods 
Site 
Kaiser Permanente is the largest nonprofit, integrated health care system in the 
United … To err 
is human: building a safer health system. … A report of 
the Committee on Quality Health Care in America, 
Institute of Medicine. … Can we make health care safe? In: Reducing 
medical errors and improving patient safety.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
April 01, 2022 - intervention: 
 
Abbreviations: CAUTI = catheter-associated urinary tract infection; EHR = electronic health … from the Department of Veterans Affairs, the University of Michigan, and the National Institutes of Health … DEMONSTRATION OF CUSP CONCEPTS applied to this intervention: 
 
Abbreviations: EHR = electronic health … Chlorhexidine gluconate bathing program to 
reduce health care-associated infections in both critically … Department of Health and Human Services.
                                     
                                                                    - 
                                        
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Only health care workers, family members, or patients themselves who know the correct technique of aseptic … Health care workers and others who take care of catheters should be given periodic education (e.g., annual
                                     
                                                                    - 
                                        
www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
January 01, 2017 - Reduce health care costs. 
 
 3.  Vasilevskis EE, Pandharipande PP, Girard TD, et al.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - resources to support its implementation efforts and that its efforts are aligned with the goals of the health
                                     
                                                                    - 
                                        
www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
February 01, 2017 - Implementing and sustaining change in health care is a challenging endeavor.
                                     
                                                                    - 
                                        
www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - resources to support its implementation efforts and that its efforts are aligned with the goals of the health
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
January 01, 2017 - Implementing and sustaining change in health care is a challenging endeavor.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
January 01, 2025 - Mike Kern, Quality Manager at John Muir Health System, spoke about 
health information technology and … the health system’s experience in reporting 
quality measures. … Sullivan reported on the meeting of the Health Professional, Provider, and 
Health Plan (HPPHP) Council … the Department of Health 
and Human Services. … Behavioral Health 
The workshop proceedings have been printed and disseminated to the Board 
and NQF
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - By calculating benchmark scores for a large 
organization, such as a health plan, health system, or medical … Data for analyses came 122 health plans that administered the 
Health Plan Adult Medicaid Survey. … Ask each 
health care provider to treat you as if you were a real patient. … Many practices that have integrated Patient 
Partners have received support from community collaborative … Health Aff 2013;32(2):232-41.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - The IOM34 defines primary care as “the provision 
of integrated accessible healthcare services by clinicians … professionals who must also act as advocates for their patients. 34 Comprehensive care 
is integrated … guard or block against the 
hazard, followed by administrative solutions, such as new policies and behavioral … Health, United States, 2005:With Chartbook on Trends in the Health of 
Americans. … Summary health statistics for U.S. adults: National health interview survey, 
2005.
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - Facilitator:  But preventing falls is only one aspect of health that the clinical staff are trying to
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - Facilitator: But preventing falls is only one aspect of health that the clinical staff are trying to