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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - In Conversation With…David C. Classen, MD, MS
May 1, 2012
In Conversation With…David C. Classen, MD, MS. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
Editor's note: David C. Classen, MD, MS, is Chief Medical Information Officer for Pascal Metrics and an
Associa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook
Community-Acquired
Pneumonia Clinical
Decision Support
Implementation
Toolkit
Handbook
1
Table of Contents
Introduction .................................................................................................…
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Intubation Mishap
September 1, 2003
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/intubation-mishap
Case Objectives
To understand and apply a structured method of human factors case analysis
To describe the key components of effective teamwork
To understand the imp…
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/intimate-partner-violence-and-elderly-abuse-screening-2004
March 08, 2004 - Share to Facebook
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archived
Final Recommendation Statement
Intimate Partner Violence and Elderly Abuse: Screening, 2004
March 08, 2004
Recommendations made by the USPSTF are independent of …
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
January 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
August 01, 2016 - Meeting Minutes, April 2016
National Advisory Council
Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 3, 2015, Summary Report
Acting Director's Update
AHRQ’S Work in Primar…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/arthritis-psoriatric_research-protocol.pdf
December 06, 2010 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: December 6, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Drug Therapy for
Psoriatic Arthritis in Adults – Update
Amendment Date(s) if applicable:
(Amendments…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-medicine_research-protocol.pdf
December 06, 2010 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: December 6, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Drug Therapy for
Rheumatoid Arthritis in Adults – An Update to the 2007
Report
I. Background and…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_disposition-comments.pdf
April 15, 2013 - of conclusions that I did not entirely agree with, or felt that the rigidity of the
study failed to capture
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antiplatelet-treatment_research-protocol.pdf
November 22, 2011 - Prior to extraction, forms will be
customized to capture all elements relevant to the Key Questions
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-204-obesity-disposition-comments.pdf
December 01, 2017 - EPHPP
has some basic questions somewhat
related to this point, but we do not feel that
they would capture
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
August 01, 2012 - will require much broader populations that
include enough individuals from diverse backgrounds to
capture
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www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - Most members felt strongly that the current four councils
adequately capture all healthcare stakeholders
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - Existing safety and
quality systems may not be configured to capture these issues without adjustment
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hcup-us.ahrq.gov/db/nation/nrd/NRD_Introduction_2010-2014.jsp
January 01, 2014 - Noncommunity hospitals were excluded because of inconsistent capture of data across HCUP States. … hospitals and excludes the following types of hospitals:
Noncommunity hospitals because of inconsistent capture … The increase in the readmission rates when we capture readmission in other States ranged from 1.9 percent
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2013.pdf
January 01, 2013 - Noncommunity hospitals were excluded because of inconsistent capture of data
across HCUP States. … hospitals and excludes the following types of hospitals:
Noncommunity hospitals because of inconsistent capture … The increase in the readmission rates when we capture
readmission in other States ranged from 1.9 percent
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Collaborative EHR Implementation to Bridge the Continuum of Care in Rural Iowa
1
Grant Final Report
Grant ID: 1UC1HS016156
Collaborative EHR Implementation to Bridge the
Continuum of Care in Rural Iowa
Inclusive Dates: 09/30/05 – 09/29/09
Principal Investigator:
John O’Brien
Team Members: …
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety
TITLE OF PROJECT: PHARMACIST TECHNOLOGY FOR
NURSING HOME RESIDENT SAFETY
PRINCIPAL INVESTIGATOR: KATE L. LAPANE, PHD
ORGANIZATION: BROWN MEDICAL SCHOOL
DATES OF PROJECT: 9/30/2001-9/29/2005
PROJECT OFFICER: JUDITH SANGL, PHD
ACKNOWLE…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-243-fullreport.pdf
August 01, 2019 - Overuse of Imaging: Policy for ALARA Specific to Imaging Children
Overuse of Imaging: Policy for ALARA Specific to
Imaging Children
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging: Policy for ALARA Specific to Imaging Children
1.B. Measure Number
0243
1.C. Measure Description
…