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www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-information-technology
January 01, 2023 - Creating a Foundation for the Design of Culturally-Informed Health Information Technology
Project Final Report ( PDF , 574.33 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not nece…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - actionable reminders did not improve
receipt of overdue tests, potentially due to limitations of workflow integration … One found that one-click integration of a state’s prescription drug monitoring
program (PDMP) markedly … Single-click
electronic health record integration of the PDMP, if implemented broadly, may be a way … The collection, analysis, and
integration of quantitative and qualitative data permitted rich exploration
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/research-gap-primary-care-summary-table.pdf
March 01, 2022 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Primary Care
AHRQ EVIDENCE-BASED PRACTICE CENTER PROGRAM
RESEARCH GAPS SUMMARY:
PRIMARY CARE
An EPC publication summarizing evidence gaps identified across recent EPC reviews for select
healthcare topics
Prepared by:
Angela Carr, R.N., M.…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - Chapter-8 - Diabetes
Harms Due to Diabetic Agents 8-1
8. Harms Due to Diabetic Agents
Authors: Lisa LeRoy Ph.D., M.B.A., and Sonja Richard, M.P.H.
Reviewer: Shelia Roman, M.D.
Introduction
In this chapter, two different kinds of diabetes patient safety practices are addressed—both intended to
improve diabete…
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-slides-012512.pdf
January 25, 2012 - A National Web Conference on Evaluation of Personal Health Record (PHR) Systems and their Impact on Chronic Disease
AHRQ
January 25, 2012
Moderator:
Angela Lavanderos
Agency for Healthcare Research and
Quality
Presenters:
Peggy Wagner
Carl Stepnowsky
Lygeia Ricciardi
Moderator and Presenters
Discl…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report
1. TITLE PAGE
Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST)
Principal Investigator: Michael Avidan, MBBCh
Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018214-olson-final-report-2012.pdf
January 01, 2012 - Healthy Teens TXT ME: Information Technology to Change Teen Health Risk Behaviors - Final Report
1
TXT ME; IT to change teen health risk behaviors
Ardis L. Olson MD, PI
Research Team Members: Christina Divoll BA, Cecelia Gaffney Med,
Rachel Sarnoff BA, Heather Binnie BA
Ge…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - In Conversation with Jessica Behrhorst about The
Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause
Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Module 7: Putting It All Together
Module 7
Putting It All Together
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator.
The purpose of this summary module is…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
June 01, 2010 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers
Best Practices in Public Reporting No. 1: How To
Effectively Present Health Care Performance Data To
Consumers
Prepared for:
Agency …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - THE MEDICAL HOME INDEX:
Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation of the CHIPRA Quality Demonstration Grant Program.
The Medical Home Index: Revised Short Form: Pediatric
Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families
The …
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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/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Two-Day Training Content
The Team Leadership Module provides an overview of what teams are as well as how to lead teams effectively. The overview of teams can be taught in about 40 minutes using the approach described
The Team Leadership Module provides an overview of what teams are as well as how to lead te…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016133-lozzio-final-report-2010.pdf
January 01, 2010 - Integration of
Newborn Screening and Health Information Systems.
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - I serve on AHA’s Quest for Quality Prize Committee, which recognizes the integration of patient- and
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - I serve on AHA’s Quest for Quality Prize Committee, which recognizes the integration of patient- and