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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-Mistry_114.pdf
May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients
Using Six Sigma® Methodology to Improve
Handoff Communication in High-Risk Patients
Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD;
Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL;
Karen S. Frush, MD…
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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-Wears_75.pdf
May 27, 2008 - “Safeware”: Safety-Critical Computing and Health Care Information Technology
“Safeware”: Safety-Critical Computing and Health
Care Information Technology
Robert L. Wears, MD, MS; Nancy G. Leveson, PhD
Abstract
Information technology (IT) is highly promoted as a mechanism for advancing safety in health
care.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
March 01, 2015 - like surgeons, heart doctors, allergy
doctors, skin doctors, and other doctors who specialize in one area
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - involving multiple parts of the representation in the Sensemaking conversation, the changes designed in one area
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Leaving the practice of medicine, nursing, or other practice area.
35
National Quality Forum Safe Practice
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
November 02, 2017 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Wo…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
May 01, 2018 - data should be utilized for clinical quality performance measurement, with disparities an appropriate area
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - As an emerging area of science, this can be challenging.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - As an emerging area of science, this can be challenging.
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - and Affordable Care Act (ACA), HHS reestablished patient safety as a national health care priority area
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - communication
approaches, teamwork tools, and strategies for improving the diagnostic process in each area … Has your average Summary Score improved in the diagnostic teamwork area
on which you have focused?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - communication
approaches, teamwork tools, and strategies for improving the diagnostic process in each area … Has your average Summary Score improved in the diagnostic teamwork area
on which you have focused?
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - These statistics are produced at the National, State, and sub-State (metropolitan
area) level for private … the Insurance Component there are a total of 2,814 national level tables and 5,776 state and
metro area … Given the Committee’s continued interest in this area, AHRQ has
issued a Special Emphasis Notice (SEN
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 28, 2017 - Facilitator: This is a new area of interest and many facilities do not have a policy in place. … Facilitator: Okay, that sounds like an area you’d like to work on. … Currently there is no process for monitoring the effectiveness of staff trainings on a
specific area
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - Diagnostic error in mental health: a review
Diagnostic error in mental health:
a review
Andrea Bradford , 1,2 Ashley N D Meyer , 1,2 Sundas Khan,2
Traber D Giardina , 1,2 Hardeep Singh 1,2
Bradford A, et al. BMJ Qual Saf 2024;0:1–10. doi:10.1136/bmjqs-2023-016996 1
REVIEW
1Department of Medicine, Baylor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - Evidence-Based Intervention
In Phase 1, you will develop an evidence-based intervention plan for your work area … Organization-level factors, functional work area–related factors,
team-related factors, task-related
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - Describe, if known, how this measure complements or improves on an existing measure in
this topic area … the rest of the United States, where approximately 79 percent of the
population resides in an urban area
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Describe, if known, how this measure complements or improves on an existing measure in
this topic area … Health IT in the triage area could
trigger different decision‐making that would allow these patients
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
Say:
In this session we will introduce you to the Preventable Hospital and ED Visits el…