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  1. 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…
  2. 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…
  3. 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…
  4. 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
  5. 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.…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    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…
  12. 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                                                                                                                                                                                                   …
  13. 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…
  14. 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 …
  15. 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 …
  16. 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…
  17. 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…
  18. 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.
  19. 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
  20. 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