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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
April 01, 2025 - After SSI data are collected and analyzed, these data should be provided as ongoing feedback to surgical
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www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - collected locally but also communicated to a centralized (national) level, where they would be aggregated, analyzed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_appendixes.pdf
January 01, 2006 - Patients Aspirin use Definition of significant GI
events
Number
screened/
enrolled
Number
analyzed … (10) Adverse events (11) Comments
Garner2004(Rofecoxib for
OA)
Rofecoxib v naproxen-One
study analyzed … all vascular events increases to
1.45 (95% CI 1.12-1.80, p=0.0003) when only long-
term (>1 yr) were analyzed … not have primary
OA or did not take
any medication
39% (245)
withdrawn/10 lost to
follow-up/604
analyzed … to 100
mm VAS) score: 63 vs. 59
Not clear/not
clear/50
None withdrawn/lost
to follow-up/50
analyzed
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027228-gold-final-report-2021.pdf
January 01, 2021 - We analyzed the data corresponding
to different tasks independently. … We analyzed both the response time and error rate of each of the 5 graphs by
plotting the difference
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
February 01, 2022 - Module Menus
The Modules
Introduction to the AHRQ Practice Facilitation Training Modules
Starting with a Practice
Facilitator Fundamentals
Effective Meetings
Introduction to Quality Improvement (QI) in Primary Care
Model for Improvement and PDSA Cycles
Process Mapping
The 5 Whys and Fishbone…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Learn From Defects in Care of Mechanically Ventilated Patients
Slide 2: Learning Objectives
Af…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/about/measures-nursing-home-family-member-609.pdf
December 28, 2017 - Patient Experience Measures from the CAHPS Nursing Home Family Member Survey
Patient Experience Measures from the CAHPS Nursing Home Family Member Survey
CAHPS® Nursing Home Family Member Survey
Patient Experience Measures from the
CAHPS® Nursing Home Family Member
Survey
Document No. 609
Updated 12/2…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…
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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/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
August 01, 2016 - have lower confidence in this comparison due to possible variation in how
the data were collected and analyzed … Appendix A includes all
variables acquired and/or analyzed.
2.2 Survey Development and Administration … whether and to what extent the funded
projects address AHRQ’s strategic goal core priority areas; we analyzed
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - coding structure was considered final (i.e., no new
concepts were apparent), two independent coders analyzed … • (Paper 5): We reviewed and analyzed coding across each of the four domains to
examine common themes
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
January 01, 2012 - I analyzed quasi-experimental changes in exposure to EHR across a staggered
implementation in inpatient … Lastly, I analyzed how the effect of use of an outpatient EHR on clinical outcomes for
patients with
-
digital.ahrq.gov/sites/default/files/docs/citation/k01hs019001-wen-final-report-2017.pdf
January 01, 2017 - For each issue, responses were analyzed through
content analysis to inductively identify themes that … b) Portal satisfaction evaluation ratings were analyzed with frequencies and descriptive statistics
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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-Raebel_53.pdf
May 07, 2008 - These four
projects were analyzed by comparing rates of medication errors between the intervention and … Existing data were analyzed to demonstrate
medication error problems and to document problem scope.
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meps.ahrq.gov/data_files/publications/mr23/mr23.shtml
November 01, 2008 - Data can be analyzed at either the person or event level. … Selected data can be analyzed through MEPSnet, an on-line interactive tool designed to give data users