-
psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - In summary, medical malpractice insurance companies are uniquely positioned to analyze and trend large
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases that may contribute to overcalling medical errors
Describe the impact of conside…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-i.xlsx
January 01, 2019 - ICEMAN - Primary studies
RefID Study name State a single candidate effect modifier Was the effect modifier measured before or at randomization/assignment? State a single outcome and time-point of interest State a single effect measure 1: Was the direction of the effect modification correctly hypothesized a priori? 1: …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-spanish.pdf
September 01, 2024 - SOPS® Nursing Home Survey Items and Composite Measures (Spanish)
SOPS® Nursing Home Survey Items and
Composite Measures
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conduct…
-
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…
-
www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report
Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ grant: 1 R13 HS 15757-01
Awarded May, 2005.
Dates of project: May 2005-May 2006.
Date of Conference: June 25 and 26, 2005.
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking
Slide 2: Learning Objectives
Describe difference between first-order and second-order problem-solving.
L…
-
psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - The Empty Bag
December 1, 2016
Vincent C. The Empty Bag. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/empty-bag
The Case
A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a
hip fracture after a fall at a nursing home. During the hospitalization, her kidne…
-
psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-
reduc…
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cahpsdatabase.ahrq.gov/files/CH/Child-HCAHPS-Database-DUA.pdf
April 01, 2023 - CAHPS Child Hospital Survey Database: Data Use Agreement
The Child HCAHPS Survey Database
Data Use Agreement
Instructions
1. All organizations that want to participate in AHRQ’s Child HCAHPS Survey Database must submit a signed Data
Use Agreement (DUA) and provide the organization name (hereinafter termed “Part…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol.pdf
September 13, 2024 - Misuse of Prescription Stimulants in Adults
Evidence-based Practice Center (EPC) Rapid Review Protocol
Project Title: Misuse of Prescription Stimulants in Adults
I. Background and Objectives for the Systematic Review
The U.S. Food and Drug Administration (FDA) has commissioned a rapid review on the
misuse of att…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-surveillance_research-protocol.pdf
May 19, 2011 - Evidence-based Practice Center Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: May 19, 2011
Evidence-based Practice Center Review Protocol
NIH State-of-the-Science Conference:
Role of Active Surveillance in the Management of Men With Localized Prostate Cancer
I. Backg…
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report
Grant Final Report
Grant ID: R18HS018183
Medication Reconciliation Technology to Improve
Quality of Transitional Care
Inclusive Project Dates: 09/30/09 – 07/31/13
Principal Investigator:
Michael Weiner
Team Member…
-
psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - Sitting around the table with folks who come from a very different world asking,
"Did you really analyze
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
December 01, 2017 - Daily
Weekly
Monthly
Using the Trigger Summary Report: Unit Level enables leadership to analyze
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - The stewardship team should continue to hold monthly meetings and collect and analyze any data about
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - · You may have to use observations or audits to analyze whether the staff is following a new policy.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - and become “self-stewards” by recognizing antibiotic-related adverse
events, understanding how to analyze