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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety
1
Prologue
Systems Thinking and Patient Safety
Paul M. Schyve
Patient safety is a prominent theme in health care delivery today. This should
come as no surprise, given that “first, do no harm” has been the ethical watchword
throughout the history of medi…
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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-g.pdf
July 31, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Training to Advance Physicians’ Communication Skills
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.G. Training to …
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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-h.pdf
July 07, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Tools to Help Patients Communicate Their Needs
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.H. Tools to Help Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
October 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.N. Price Transparency
Visit the AHRQ Website f…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/The_Case_for_Improving_Patient_Experience_-2011_10_01_Transcript.pdf
January 01, 2011 - CAHPS QI The Case for Improving Patient Experience
The Case for Improving Patient Experience
October 2011 Podcast
Speaker
Larry Morrissey, MD, Medical Director of Quality Improvement, Stillwater Medical Group
Moderator
Carla Zema, PhD, Consultant, CAHPS User Network; Assistant Professor of Economics an…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Health Equity
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research
A…
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www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization
Title of Project: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize
Utilizati…
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www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
January 01, 2024 - Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care
Title: Addressing Patients' Multiple Concerns in Primary Care
Principal Investigator/Team Members: Professor John Heritage, UCLA (PI); Professor Jeffrey
Robinson, Rutgers University; Dr. Marc Elliott, RAND Corp; Dr. Megan Beckett, RAN…
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs
Title Page
Title of Project:
Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs
Principal Investigator:
Nancy Kupka DNSc, MPH, RN - The Joint Commission
Team Members:
Diana Bickham, …
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www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - Appropriate Assertion Call (Transcript)
December 14, 2010
Operator: Good day, ladies and gentleman and welcome to the CUSP Content Call. At this time, all participants are in a listen only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should …
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www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - How CUSP Enables Nurse Empowerment (Transcript)
November 15, 2011
Operator: Excuse me, everyone and thank you for holding. Please be aware that each of your lines is in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be give…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
October 29, 2013 - Pharmacy Survey Webinar Transcript
Webinar
Using the AHRQ Pharmacy Survey
on Patient Safety Culture
October 29, 2013
Speakers
Diane Cousins, Health Scientist Administrator, Agency for Healthcare Research and Quality
Joann Sorra, Westat Project Director for the AHRQ Surveys on Patient Safety Culture
Jim Mo…
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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/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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration
Racial Disparities in Patient Safety Indicator (PSI)
Rates in the Veterans Health Administration
Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT;
Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care
Using Data Mining to Predict Errors
in Chronic Disease Care
Ryan M. McCabe; Gediminas Adomavicius, PhD; Paul E. Johnson, PhD; Gregory Ramsey;
Emily Rund; William A. Rush, PhD; Patrick J. O’Connor, MD, MPH; JoAnn Sperl-Hillen, MD
Abstract
Develop…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
September 08, 2015 - The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
(CHIP). Funded by the Children’s Health
I…
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…