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  1. Strategies Used by Effective Practice Facilitators | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/research-results/results/infographics/facilitator-strategies.html
    January 01, 2023 - Strategies Used by Effective Practice Facilitators Strategies Used by Effective Practice Facilitators  (PDF, 544 KB) Source: Sweeney SM, Baron A, Hall JD, et al. Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study. The Annals of Family Medicine . Sep 2022, 2…

  2. CHIPRA 133: Section 7, Tables 8 and 9 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-7-tables-8-9.pdf
    June 02, 2025 - CHIPRA 133: Section 7, Tables 8 and 9 Table 8 Quantile Percent in Poverty Maximum 49.9% 99 37.5% 95 28.9% 90 25.7% 75 20.7% 50 16.5% 25 12.5% 10 10.0% 5 8.6% 1 6.1% Minimum 2.9% Ta…

  3. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet

    psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  4. Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI) - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs026548-hershberger-final-report-2022.pdf
    January 01, 2022 - Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI) - Final Report Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI) Paul J. Hershberger, Ph.D. – Prin…

  5. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)

    www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
    January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Title of Project: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice Principal Investigator and Team Members: Haut, Elliott (PI); Owodunni, Oluwafemi (Postdoc); Webster, Kristen Li…

  6. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
    January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

  7. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
    January 01, 2012 - Slide 1 CLABSI Supplemental Call Series The Organizational Embrace of CUSP to Improve Patient Safety March 20, 2012 * Objectives To relate an organization’s approach to implementing CUSP in multiple areas of the hospital to reduce harm beyond CLABSI and CAUTI and to improve the overall culture of safety To…

  8. Low-Dose Aspiring for the Prevention of Morbidity and Mortality from Preeclampsia: A Systematic Evidence Review fro the USPSTF (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/6W538pkN7ft6TsRMKfPWMJ
    May 27, 2014 - Low-Dose Aspiring for the Prevention of Morbidity and Mortality from Preeclampsia: A Systematic Evidence Review fro the USPSTF Low-Dose Aspirin for Prevention of Morbidity and Mortality From Preeclampsia: A Systematic Evidence Review for the U.S. Preventive Services Task Force Jillian T. Henderson, PhD, MPH; Evelyn P…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74069/psn-pdf
    September 20, 2022 - Diagnostic Excellence. September 20, 2022 JAMA. Nov 2021-Sep 2022.  https://psnet.ahrq.gov/issue/diagnostic-excellence-0 Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41809/psn-pdf
    February 28, 2018 - Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. February 28, 2018 Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. https://psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-m…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837708/psn-pdf
    July 20, 2022 - Without question. July 20, 2022 Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. https://psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial diagnosis despite receiving subsequent …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50665/psn-pdf
    November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45047/psn-pdf
    April 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40153/psn-pdf
    November 26, 2014 - The effect of workload reduction on the quality of residents' discharge summaries. November 26, 2014 Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. https://psnet.ahrq.gov/issue/effec…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45287/psn-pdf
    August 03, 2016 - Mistakes We Make in Dialysis. August 3, 2016 Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328. https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38669/psn-pdf
    November 25, 2009 - A patient safety objective structured clinical examination. November 25, 2009 Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2. https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867649/psn-pdf
    January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39854/psn-pdf
    September 15, 2010 - Medical Malpractice and Errors. September 15, 2010 Health Aff (Millwood). 2010;29(9):1564-1619. https://psnet.ahrq.gov/issue/medical-malpractice-and-errors Articles in this special issue cover liability costs and defensive medicine, the gap in understanding diagnostic error, and the need for effective patient safe…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73542/psn-pdf
    July 28, 2021 - Diagnostic safety event reporting. July 28, 2021 Carr S. ImproveDx. July 2021;8(4). https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This article describes existing efforts to examine diagnostic error thr…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50668/psn-pdf
    November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The Ohio State University November 13, 2019 NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The Ohio State University. National Academies of Medicine. https://psnet.ahrq.gov/issue/case-study-webinar-ser…
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