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www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
December 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care
October 28, 2016
Lean is a set of principles, practices, and problem-solving tools that aim to improve efficiency and quality. This webinar, presented on October 28, 2016, discussed implementation and impact of Lean redesign in primary care.
Con…
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www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022
Title Page – Final Progress Report
Title: Diagnostic Error in Medicine Conference 2020-2022
Principal Investigator: Gerry Castro, PhD, MPH
Team Members:
2022 Conference Chairs, Co-chairs and Planning Commitee members
Andrew Olson…
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, S…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
AHRQ Publication No. 17-0003-20-EF
May 2017
SAY:
The Rapid Response for Perinatal Safety
bundle provides information establishing a
unitwide approach, also …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility.
SLIDE 1
SAY:
The objectives are to—
· Cite staff empowerment concepts
· Discuss how staff empowerment contributes to a culture of resident safe…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Module 1: Overview
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessit…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
January 01, 2004 - Transitioning Newborns from NICU to Home: A Resource Toolkit
Transitioning Newborns
from NICU to Home:
A Resource Toolkit
Table of Contents
Overview: Improving the Quality of the Transition Home from the NICU............................1
Tools f…
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www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis
Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis
Principal Investigator: Connolly, Edward Sander
Team Members:
Jared Knopman, MD - Site PI (Cornell)
Emilia Bagiella, PhD - Site PI (Mount Sinai)
Franklin Lowy, MD - Co-Investigato…
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www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
January 01, 2024 - Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery
Title Page
Final Progress Report
Determining a Learning Curve for Complex Laparoscopic
Gastrointestinal Surgery
Principal Investigator: Dennis L. Fowler, MD, MPH
Co-Investigator: R. Todd Ogden, PhD
Co-Investigato…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Teamwork_in_QI_2012_02_01_Transcript.pdf
January 01, 2012 - Teamwork in Quality Improvement
Teamwork in Quality Improvement
February 2012 Podcast
Speaker
Marjie Harbrecht, CEO, HealthTeamWorks
Moderator
Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy,
Saint Vincent College
Presentation Available
https://www.ca…
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cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Charter.pdf
January 01, 2022 - Final Operations Center Charter
FINAL OPERATIONS CENTER CHARTER
A p r i l 6 , 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
4350 East-West Highway Suite 800
Bethesda, MD 20814
Presented t…
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www.ahrq.gov/ncepcr/tools/confid-report/physfeedback.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part One: Physician Feedback Report Fundamentals
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: P…
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www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
January 01, 2024 - Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care
Conference:
Physician-Level Interventions:
What Works to Improve Quality of Care
Principal Investigator: Daniel Wolfson
Team Members: Christine Cassel, Ann Greiner, Eric Holmboe
Organization: American Board of…
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP)
Grant Final Report
Grant ID: 5R18HS017037
Medication Safety in Primary Care Practice
Translating Research into Practice (MS-TRIP)
Inclusive Dates: 09/30/07 – 09/29/10
Principal Investigator:
Steven Ornst…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Item Sets
SOPS Value and Efficiency Supplemental Item Sets Resource List 1
Improving Value and Efficiency in Hospitals and
Medical Offices: A Resource List for Users of the…
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www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Person-Centered Care
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 Resea…
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Check the Wristband
July 1, 2003
Rosenthal M. Check the Wristband. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-wristband
The Case
The patient was a 28-year-old female awaiting ambulatory surgery. She was very anxious about the
impending surgery. The patient spoke English and appeared to be of aver…
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - The Emergence of the Trigger Tool as the Premier
Measurement Strategy for Patient Safety
May 1, 2012
Sharek PJ. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety.
PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-pa…
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - The Wrong Shot: Error Disclosure
June 1, 2004
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
Case Objectives
Describe the rationale for disclosing harmful errors to patients.
Describe the specific information that patie…