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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - any language about a diagnosis, mention of a potential patient safety
issue, and/or any clinician behaviors … language about a diagnosis, (b) any mention of a potential
patient safety issue, and (c) any clinician behaviors … Additional work is needed to study how factors related to infor-
mation, timing, method, and behaviors
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ahrqpubs.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Reinforcement of what went well and how the team can repeat the behavior or plan better for future cases
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
April 11, 2018 - • A new diagnosis
• Medication need and proper use
• Home care instructions
• Recommended behavior … Recommended behavior changes.
Treatment options.
Treatment plan.
Use of a new device.
Next steps.
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ahrqpubs.ahrq.gov/evidencenow/projects/urinary/index.html
February 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/sdoh/practice-improvement.html
August 01, 2023 - Coordinating healthcare delivery, public health, and community-based activities to promote healthy behavior
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ahrqpubs.ahrq.gov/news/newsroom/case-studies/201535.html
January 01, 2016 - Skip to main content
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/implement.html
March 01, 2017 - Skip to main content
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ahrqpubs.ahrq.gov/ncepcr/communities/pbrn/registry/aafp-national-research-network.html
January 01, 2012 - Skip to main content
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ahrqpubs.ahrq.gov/talkingquality/explain/share-info/highlight.html
September 01, 2019 - State has organizations with systems to gather complaints about bad quality care or the inappropriate behavior
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - healthcare providers and policymakers to gain a broader, deeper understanding of patients’ health and health behaviors
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Reporting of incidents, occurrences, or complaints
Complaint/grievance management
Disruptive behavior
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Skip to main content
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ahrqpubs.ahrq.gov/ncepcr/communities/pbrn/registry/register.html
January 01, 2022 - Skip to main content
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/primary-care-practices-delivering.html
October 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/research/findings/nhqrdr/nhqdr23/app-b.html
December 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/ahrq-35th-anniversary.html
March 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/mccannon/mccannon.ppt
February 17, 2011 - Trial-ability/Observability
*
*
Structural Context
Local infrastructure
Local patterns of behavior
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System
PA SPREAD:
Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure
Alan M. Adelman, MD, MS
Penn State University College of Medicine; Hershey, PA
This project was supported by grant number U18HS020988 from the Agency for Healthcare Re…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - their organizations by making them aware of their own
biases and the impact of their actions and behaviors
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ahrqpubs.ahrq.gov/news/newsroom/case-studies/202302.html
September 01, 2023 - Skip to main content
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