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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - RW: Over the last several years, what have we learned about handoffs? … VA: The major thing we've learned is that handoffs are risky and variable. … What Have We Learned About Safe Inpatient Handovers?
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - We've learned that even really well-designed software can be made very challenging for clinicians when … Assessing the Safety of Electronic Health Records: What Have We Learned? … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative
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www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-williams.html
December 01, 2017 - ARRA Delivery System Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants
Bundled Episode Payment and Gainsharing Demonstration Project
Principal Investigator: Tom Williams
Robinson J. Purchaser Initiatives to Improve Value for Spine Surgery. Innovative Techniques in Spin…
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www.ahrq.gov/research/publications/search.html?page=3
September 01, 2022 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 31 - 40 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur
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C H E A L T H C A R E
Implementation of an Event Reporting and
Learning System Leads to Improvements in
Patient …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-overview.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measu…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/maximizing-physician-support-slides.pdf
January 01, 2022 - Maximizing Physician Support
for Cardiac Rehabilitation
Christine Bryant, BSN, RN
Marion Harris-Barter, RN, BSN,
M.Ed., CCRP
Katelyn King, MSEP, CCRP
Welcome and Background
Welcome and greetings from TAKEheart, AHRQ, and CDC
Update on TAKEheart Initiative:
Third group of programs working to improve care coo…
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psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
November 01, 2019 - University of California, Davis, Health CME/CEU Information
WebM&M Spotlight cases on AHRQ’s PSNet offer CME/CEU and Maintenance of Certification (MOC) credit. Effective November 2019, each Spotlight Case and Commentary is certified for the AMA PRA Category 1 ™and maintenance of certification (MOC) through the Amer…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B
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Appendix B.
Revised Safer Dx Instrument
1 2 3 4 5 6 7
Strongly Disagree Neutral Strongly Agree
ITEM SCORE
The documented history was suggestive of an alternate diagnosis, which was not cons…
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www.ahrq.gov/sdoh/health-systems-research.html
December 01, 2022 - SDOH and Health Systems Research
SDOH studies and researcher resources
Current AHRQ Research Initiatives
SDOH Data Integration and Analytics Grants
In 2019, AHRQ awarded $6 million in grants for an initiative that uses data and analytics to support primary care and community interventions to improve chron…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Er…
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www.ahrq.gov/talkingquality/translate/scores/combine-measures.html
September 01, 2019 - Combining Healthcare Quality Measures Into Composites or Summary Scores
The more data you provide on individual measures, the more likely it is that users will be faced with information overload. Combining measures is one way to quickly reduce the number of data points included in your report. This page discuss…
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/index.html
January 01, 2025 - CAHPS Survey Design and Administration
Since the CAHPS program's inception in the mid-1990s, AHRQ has provided guidance on survey design, sampling, and data collection strategies to ensure that survey users have the information they need to collect the most accurate data possible. Review this page for general…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health…
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www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care
Search All Impact Case Studies
August 2014
Mercy Health, one of the largest nonprofit health systems in the United States, has used AHRQ's Hospital Survey on Patient Safety Culture and team training tools since 2005 to …
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www.ahrq.gov/news/newsroom/case-studies/cquips1303.html
April 01, 2013 - Hospitals in Colombia Use AHRQ's Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
April 2013
Description
AHRQ's assessment tools for supporting patient safety and quality improvement extend beyond the U.S. health care system. Learn how two hospitals in Colombia have implemented a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - Project Report - Lean Sigma
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Learning Objectives
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Explain the role of the senior executive in addressing technical and adaptive work
Identify characteristics to search for when recruiting the senior executive
Describe the responsibilities of the senior executive
Explain how to engage the senior execut…
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Appendix D: Additional Readings
Previous Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1. The N…
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www.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
June 01, 2020 - Optimizing Safety of Mother and Neonate in a Mixed Methods Learning Laboratory
Long Description
Principal Investigator: Louis Halamek, M.D., Stanford University, Stanford, CA
AHRQ Grant No.: HS023506
Project Period: 09/30/14–09/29/19
Description: The goal of this project was to establish a PSLL to a…
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/impacct-grantee-profile.pdf
January 01, 2023 - The Pitt IMProving Access to Culturally Relevant Long COVID Care and Treatment (IMPACCT) Program
Geographic Service Area
Pittsburgh and western
Pennsylvania
The UPMC PCC is partnering with UPMC Family Medicine clinics and
their Practice-Based Research Network of community clinicians to
reach over a dozen clinics an…