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psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
October 07, 2015 - October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - March 20, 2019
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
June 02, 2025 - CHIPRA 119 Section 2, Detailed Measure Specifications
CAPQuaM PQMP Perinatal MEASURE 4 Detailed Measure Specifications
A. Description
Divides low birthweight neonates who are admitted to a Level 2 or higher
nursery into five strata based upon their admission temperature and calculates
the proportion of infants in…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/participating-2024-hcbs-survey-database-slides.pdf
January 01, 2024 - Participating in the 2024 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know
Participating in the 2024 CAHPS® Home and Community-Based
Services (HCBS CAHPS) Survey Database: What You Need to
Know
A Webcast Presented by the AHRQ CAHPS User
Network
Wednesday, July 9, 2025
1:00 – 2:0…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-spanishitems.pdf
June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0: Items and Composite Measures Spanish
SOPSTM Hospital Survey
Items and Composite Measures
Version: 2.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collectio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Presentation: Program Overview
Learn From Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-34-EF
January 2017
Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this ses…
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Annual Perspective
The Weekend Effect
Sumant Ranji, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
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meps.ahrq.gov/data_files/publications/workingpapers/wp_12005.pdf
August 01, 2012 - Rhoades and Cohen (2012) conducted such a study to
analyze the long-term uninsured population.
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www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - The objective of this study was to analyze the types of patients treated in two temporary clinics and
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www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
January 01, 2024 - Its
purpose is to automatically check and analyze patient data in clinical computer systems and to report
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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-Campbell-R_106.pdf
April 14, 2008 - activities.1, 2 A major finding of the GAO (2006) report was that the FDA
needs to gain access to and analyze … medication profiles.43
Medication safety surveillance employs epidemiologic methods to identify and analyze
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - It also presents the student with
techniques to analyze risks and address problems in order to reduce … decisionmakers, care givers, and health systems engineers of the future to
be able to accurately identify, analyze
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - In dissecting the anatomy of an error for purposes of quality improvement, it was important to
analyze … patient morbidity and
mortality in the primary care setting has been little explored and is daunting to analyze
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - L&D unit team members will apply a plan of action based on the unit’s resources and culture and analyze … Evaluate
Evaluation is technical work and requires that the L&D unit team collect and submit data to analyze
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
October 01, 2024 - Slide 42
Analyze And Disseminate Data
SAY:
When implementing an environmental cleaning program, remember … to analyze the data collected and share the results widely with all levels of the organization.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - Using a subset of patient
records, they plan to analyze the degree of medication reconciliation utilized … , implement a paper
process for medication reconciliation in a selected number of hospitals, and analyze
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026662-malone-final-report-2022.pdf
January 01, 2022 - Descriptive statistics were used to analyze the data. … Descriptive statistics were used to analyze the data.
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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-Drews_15.pdf
February 26, 2008 - This implies that it is important to consider
2
the actions of the people involved and to analyze