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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix K. Quality Improvement Study Framework
Debrief Example Audio Transcript/Facilitator Notes
Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-survey-nw.pdf
January 01, 2014 - View Survey
Staff Member Survey
Introduction…
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February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of
Previous Abdominal Operations
February 26, 2025
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous
Abdominal Operations. PSNet [internet]. 2025.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
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Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
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July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
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Helwig A, Sousane Z, …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/high-blood-pressure-adults-children-adolescents-screening-2003
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Recommendations and Rationale
High Blood Pressure in Adults, Children, and Adolescents: Screening, 2003
April 01, 2003
Recommendations made by the USPSTF are…
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - SPOTLIGHT CASE
Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough
Citation Text:
Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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digital.ahrq.gov/sites/default/files/docs/pghd-slides-02222022.pdf
February 22, 2022 - AHRQ National Webinar on Transforming Healthcare Through Patient-Generated Health Data Integration - Slides
AHRQ National Webinar
on Transforming Healthcare Through
Patient-Generated Health Data Integration
Presented by:
Deborah J. Cohen, PhD
Ida Sim, MD, PhD
Leslie Lenert, MD, MS
Moderated by: …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Wrap-Around Observation Manual—Second Version
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships Measures Atlas Deve…
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications
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July 26, 2022 - Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
March 15, 2023
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of
Gastric Perforation. PSNet [internet]. 2023.
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - SPOTLIGHT CASE
Missed Opportunities for Suicide Risk Assessment
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Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe)
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Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commen…
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - SPOTLIGHT CASE
Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head
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Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - The Impact of Communication on Medication Errors
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Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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cdsic.ahrq.gov/sites/default/files/2024-05/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202024.pdf
January 01, 2024 - CDSiC Stakeholder Center Progress Report
STAKEHOLDER CENTER PROGRESS REPORT
M A R C H 2 0 2 4
CDSiC Stakeholder
Community and Outreach
Center:
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Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
August 01, 2025 - An official website of the Department of Health & Human Services
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June 01, 2022 - An official website of the Department of Health & Human Services
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2)
Contents
On Page 1 of 2:
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
On Page 2 of 2:
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
Re…