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www.ahrq.gov/nursing-home/learning-modules/vaccination-testing.html
December 01, 2022 - Vaccination and Testing series
This series of two learning modules focuses on considerations for when to test residents for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents. The modules are about 5 minutes long.
Module 1: When to Test
It is important to know the signs and s…
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www.ahrq.gov/npsd/data/dashboard/perinatal.html
September 01, 2025 - Perinatal Dashboard
Learn more about how the dashboards are set up . This dashboard presents the distribution of incidents by the final mode of delivery. Selecting one of the options in the top table below will display a related figure and table. This information can also be downloaded as an Excel file from t…
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www.ahrq.gov/talkingquality/plan/distribute-and-promote.html
May 01, 2019 - How Will You Distribute and Promote a Health Care Quality Report?
While you are in the early stages of the reporting process, it is important to plan how you will reach your audience. Pertinent decisions include:
Will your report be available in print, on the Web, or both?
How will you let people know i…
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www.ahrq.gov/nursing-home/learning-modules/post-vaccination.html
December 01, 2022 - Post-Vaccination Practices Series
This series of two learning modules features strategies to help nursing home teams minimize infection risk in their facility.
Module 1: Minimizing Infection Risk: Protect
The safety precautions that you take are just as important as the one-on-one care that you give to your…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/stories.html
July 01, 2023 - Success Stories of Five Labor and Delivery Units Using the Toolkit
Toolkit for Improving Perinatal Safety
"AHRQ Safety Program for Perinatal Care: Experiences From the Frontline" describes the implementation experiences of five labor and delivery (L&D) units that successfully implemented the program.
This r…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry
AHRQ Publication No. 22-0015
TeamSTEPPS® for Diagnosis Improvement
February 2022
TeamSTEPPS® for Diagnosis Improvement
Reflective Practice Tool:
The Spirit of Inquiry
ASK
Questions are the path to discovery and questions convey
…
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www.ahrq.gov/nursing-home/resources/module-1-infection-prevention.html
April 01, 2022 - Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
Resource: Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
This module provides an overview of infection prevention and control programs and how to imp…
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www.ahrq.gov/nursing-home/resources/module-11a-reprocessing-equipment.html
May 01, 2022 - Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course
Resource: Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course
This module discusses recommended practices for reprocessing reusable resident…
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www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
June 01, 2025 - Implementing CMS’ Patient Safety Structural Measure
On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed some of the tools and resources that support implementation of the five domains of the PSSM: Leadership Commitment; Strategic Planning and Organizational Policy; Cult…
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/PSA-Audio-Script-Sample.doc
June 02, 2025 - Narrator V/O:
AUDIO PSA :30 AHRQ (8/13/07)
TIPS WHEN GETTING MEDICAL TESTS
Asking Questions Consumer Campaign
Talent: Kaye Lake
SFX
NARRATION
1.
“Medical” or “Hospital” SFX in background w/ music
2.
light health care background sounds throughout
NARRATOR: YOU’VE JUST SEEN YOUR DOCTOR AND HE’S ORDE…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-overall-structure.pdf
June 02, 2025 - EvidenceNOW: Building State Capacity to Advance Equity in Heart Health
EvidenceNOW: Building State Capacity to
Advance Equity in Heart Health
State-Level Cooperative
MEDICAID &
OTHER PAYERS
RESEARCH
INSTITUTIONS
COMMUNITY
ORGANIZATIONS
PRIMARY CARE
ORGANIZATIONS
OTHER KEY
STAKEHOLDERS
QUALITY
IMPROVEMENT
O…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 2018 - Guide Promotional Postcard
Did you know...Patient safety issues
in primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse drug event
An estimated …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - selected reports for analysis, the results of both our
quantitative and qualitative analyses, and what we learned … collect information about medical errors so that
practitioners can learn from them and apply lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - An important lesson learned from this near miss
was that a lack of a reliable research-participant tracking … Based on lessons learned from this debriefing, a
clinical research sign-out system is being developed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Lessons learned
Reporting systems such as MEDMARX can be valuable tools for collecting
and managing … Department of Defense response
Centralized reporting
Results
Actions taken
Discussion
Lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - After identifying lessons learned from the single-unit implementation, you can
refine your approach … Recognize that communication is a skill that can be taught and learned
but not without continual feedback
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - Several critical success factors are required to sustain the interventions learned and continued gains … The following examples will provide “lessons learned” to assist in sustainability in your facility.
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www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Initiative
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned … Lessons learned and processes developed during this project were incorporated into an SDM “Train-the
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www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - provided with training on clinic-level BP diagnosis steps via a day-long training webinar, when
they learned
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www.ahrq.gov/data/apcd/backgroundrpt/review.html
July 01, 2022 - While it is clear that there is much to be learned to maximize the potential of APCDs and to reduce the