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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Had the DE elicited and discussed the patient’s health beliefs regarding what he thought caused and would … The Kleinman Questions What do you think has caused your problem? … What are the chief problems your sickness has caused for you?
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Had the DE elicited and discussed the patient’s health beliefs regarding what he thought caused and would … The Kleinman Questions What do you think has caused your problem? … What are the chief problems your sickness has caused for you?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - This could include incidents that you believe caused patient harm or put patients at risk for significant
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - were medication use, wound infections,
operative complications, and diagnostic mistakes; 71% of AEs caused … short-
term disability, 3% caused permanently disabling injuries, and 14% caused
death.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes
Primary Care
Practice Facilitation
Curriculum
Module 11: Using Root Cause Analysis to Help
Practices Understand and Improve
Their Performance and Outcomes
Agency for Healthcare Research and Quality …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - Antibiotic-Resistant Infections
SAY:
Fosfomycin is an antibiotic used for uncomplicated urinary tract infections caused … Fosfomycin is generally not recommended for cystitis caused by organisms beyond E. coli.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - information was attached so that the clinician and
database analyst together can figure out what caused … Other inclusion errors can be caused by workflow
issues, which are errors caused by failure to note … Additionally, inclusion errors can be caused by faulty
report logic.
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - This damage caused clinicians to abandon positive pressure ventilation for years. … The researchers assumed the hypoxia was caused by shunts due to atelectasis, the complete or partial … They assumed that low tidal volumes caused lungs to collapse, leading to shunt and hypoxia.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - This damage caused clinicians to abandon positive pressure ventilation for years. … The researchers assumed the hypoxia was caused by shunts due to atelectasis, the complete or partial … They assumed that low tidal volumes caused lungs to collapse, leading to shunt and hypoxia.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - Iatrogenic
Pneumothorax Rate
Document the etiology of pneumothorax - spontaneous or congenital versus caused … 05 Iatrogenic Pneumothorax Document the etiology of pneumothorax: spontaneous or congenital versus caused … pneumothorax
if not documented: spontaneous, due to
an underlying condition, disease, or
injury or caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Data
121
events (i.e., those that occurred during the index hospitalization, as well as those
caused … identifying negligence, for example, appears to be substantially
lower than that for identifying injury caused … Practice Study, defined adverse
Injury Identification and Discharge Data
129
events as, “injuries caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - The level of harm caused by the error and whether
patients and others were aware of the error and any … While nearly all patients wanted to hear about errors that caused substantial
harm, some patients would … Disclosure of errors that have not caused significant harm or about which
patients are unaware pose
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www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance
Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
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www.ahrq.gov/data/infographics/common-cause.html
March 01, 2021 - Most Common Cause of Injuries Treated in Emergency Departments
Most Common Cause of Injuries Treated in Emergency Departments (PDF, 687 KB)
Source: AHRQ, HCUP Statistical Brief #266, Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017 ( PDF , 292 KB).
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www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
April 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections
Resource: All Cause Harm Prevention in Nursing Home—Events Related to Infections
This document is a section of the All Cause Harm Prevention in Nursing Homes Change Package. It provides a description and list of successful practices of…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams
Primary Care Practice Facilitator
Training Series
1
Job Aid: 5 Whys and Fishbone Diagrams
Overview
The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and
what causes them. They can also be used to identify the factors contribut…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - The delay for an IT/IS upgrade caused frustration because the project was halted until upgrades could … However, the delay in the IT/IS upgrade caused great frustration for all staff involved. … Tension among staff caused by Lean has a negative impact on morale. … This caused great tension mentioned by at least two nurses in the D2B project because some physicians … IT/IS upgrade delays caused challenges to routinization.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/tbi-hospital-stays-2017.pdf
January 01, 2017 - Infographic - Causes of Hospital Stays for Traumatic Brain Injury in 2017
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www.ahrq.gov/data/visualizations/ed-visits-injury.html
June 01, 2021 - Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Injuries are common and can have many causes, such as falls, cuts, motor vehicle accidents, bites, poisoning, and contact with hot objects. In 2018, unintentional injuries were the leading cause of death among people ages 1 to…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - Sickle Cell Disease Pathology and Severity
Vaso‐occlusion (the sudden blockage of a blood vessel caused … Sepsis and meningitis caused by S. pneumoniae are a major cause of mortality in children
with SCD under … acute chest syndrome, a
common and life‐threatening condition in children with SCD that also can be caused … Infections such as
osteomyelitis that are often caused by Staphylococcus aureus or other organisms, … Sepsis and meningitis caused by
Streptococcus pneumonia are a major cause of mortality in children with