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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
July 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Shared Decision-Making
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.I. Shared Decision-Making
Visit the AHRQ We…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)
Why Focus on DVT/PE…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b5_combo_assessingtrendscomparators.pdf
March 20, 2016 - Assessing Indicator Rates Using Trends and Comparators
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.5
Assessing Indicator Rates Using Trends and Comparators
What is the purpose of this tool? This tool provides guidance on how to assess your hospital’s
pe…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/talkingquality/resources/cognitive/index.html
September 01, 2019 - Conducting Cognitive Testing for Health Care Quality Reports
One of the most useful techniques available to report sponsors who want to test materials with their audience is cognitive testing. Cognitive testing is an interview method for investigating the thought processes and reactions that people have as they…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
September 01, 2012 - Drug Category What To Look For
Anticoagulants Bleeding; who is managing INR
Antibiotics Diarrhea;
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www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Internal medicine residents’
exposure to and confidence in managing hospital acute clinical events.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening
Person-Centered Preventive Healthcare:
Engaging in Challenging Conversations about Screening
Prepared for
Agency for Healthcare Research and Quality
Center for Evidence and Practice Improvement
Prepared by …
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www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance
AHRQ Grant Final Progress Report
Title of Project:
Analysis of Factors Associated with Clinical Checklist Compliance
Principal Investigator:
Aleksandra Sarcevic, PhD
Associate Professor, College of Computing and Informatics, D…
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Medical Failure-to-Rescue Final Report
Medical Failure-to-Rescue
Final Report
November 13, 2018
Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5
Co-investigators: Paul R. Rosenbaum, Ph.D5,6
Patrick S. Romano, MD, MPH7
Project Manager: Bijan A. Niknam, BS1
Orit Even-Shoshan, MS1,5
Senior Statis…
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room
AHRQ Grant Final Progress Report
Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room
Principal Investigator:
Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
April 01, 2022 - ICU Assessment Response Guide
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
ICU Assessment Response Guide
This guide is intended to be used to respond to and evaluate the intensive care unit (ICU)
team’s responses to the ICU assessment. The guide offers an explanation of the…
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www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
January 01, 2020 - Compendium of U.S. Health Systems, 2020, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2020, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health a…
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www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results
August 19, 2014
Download accessible version of slides (PDF, 2.4 MB)
National Quality Strategy Webinar: Using the Nine Levers to Achieve Results [Slide 1]
Ann Gordon: Good afternoon everyone. We want to…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - 2. Study Methods
Health Services and Primary Care Research Study: Comprehensive Report
In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - Comparing Patient Safety in Rural Hospitals by Bed Count
391
Comparing Patient Safety in
Rural Hospitals by Bed Count
Stephenie L. Loux, Susan M. C. Payne, Astrid Knott
Abstract
Objectives: Patient safety is an important national issue. To date, there has been
little attention paid to patient safety in rura…
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www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
January 01, 2024 - Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes
1. Title Page
Title of Project: Creation and validation of a training toolkit to ensure safe and proficient use
of EHR by medical scribes
Principal Investigator: Jeffrey A. Gold
Co-Inve…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide
AHRQ’s Safety Program for Nursing Homes
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…
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www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity
Principal Investigator: Scott D. Halpern, M.D., Ph.D.
Perelman School of Medicine, University of Pennsylvania
Other key team …