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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Appendix C: Example Implementation Plan
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Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Slides
AHRQ Safety Program for Improving Antibiotic Use
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Focus on Antibiotic Prescribing
AHRQ Safety Program for Improvin…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Antibiotic Stewardship
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Antibiotic Stewardship
Slide 2: Objectives
Upon completion of this webinar, participants will be able to—
Describe how antibiotic stewardship is linked to infection prevention.
Explain how overtreating urinary tra…
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www.ahrq.gov/news/newsletters/e-newsletter/957.html
May 01, 2025 - National Hospital Week Spotlight on Patient Safety Tools
Issue Number
957
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 13, 2025
AHRQ Stats: Changes in Healthcare Spending Among Highest Spenders People in the top 1 percent of healthcare expenses spent a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 i
Introduction to the Pediatric Toolkit for Using the AHRQ Quality
Indicators: How T…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-6-tables-1a.pdf
June 02, 2025 - Table 1a. ADAPT Survey Respondent Characteristics
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-28-using-the-ahrq-care-model.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 28: Using the AHRQ Care Model Toolkit with Practices
Primary Care
Practice Facilitation
Curriculum
Module 28: Using the AHRQ Care Model Toolkit with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions
Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination fo…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter7.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 7. Discussion of Project Findings
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Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Tyler
SOPS Databases
Rose Tyler, M.S.
SOPS Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
SOPS Databases
Hospital 2.0
Year: 2022
Sites: 400
N: 206,410
Nursing Home
Year: 2023
Sites: 62
N: 3,224
Medical Office
Year: …
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www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/nofear-ahrq-fy2022-4thq.pdf
September 30, 2022 - Equal Employment Opportunity Data Posted Pursuant to the No Fear Act: AHRQ for 4th Quarter 2022 for period ending September 30, 2022
This report was generated with a future date. Therefore, the quarter numbers may be
incomplete
Equal Employment Opportunity Data
Posted
Pursuant to the No Fear Act:
AHR…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
March 01, 2020 - Strategy 6G: Training To Advance Physicians' Communication Skills
Contents
6.G.1. The Problem
6.G.2. The Intervention
6.G.3. Example
References
Download Strategy 6G:
Training To Advance Physicians' Communication Skills
(PDF, 1 MB)
6.G.1. The Problem
People rarely compl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
December 01, 2015 - Case Study of Using the QI Toolkit for Pediatric Quality Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Pediatric Quality Improvement
What is the purpose of this tool? This tool provides a case study from a children’s ho…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…
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www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - Many hospital rating systems determine tiers of performance by
designating high and low outliers by testing
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - monitoring or hospitalization (41%), drug
therapy changed or initiated (32%), or increased diagnostic testing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
November 01, 2021 - The development team conducted iterative cognitive testing of the draft survey items with 20
hospital
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
June 02, 2025 - .…... 8
CPCQ_rapid_cycles Using rapid cycling, piloting, pre-testing, or other vehicles for reducing
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 2. Central Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…