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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis.
Who should use this tool? Event Reporting, Investigation, and Analysis Team.
How to use this tool: Review the guide information when developing and implementing a systems approaching to
event investigation and analysis.
T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care
Views of Emergency Medicine Trainees on Adverse
Events and Negligence: Survey Results from an
Emergency Medicine …
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - served, the dual role of nursing homes as both health care
and residential facilities, and staffing challenges … 26/12 11:13 AM
90
Slide 4
Slide 5
Slide 6
Facts About Falls
› One of the biggest safety challenges
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - results from a variety of search engines, including
Google, Yahoo, Bing, and others to ensure that some challenges
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - some PSOs about the methodology needed to map data to comply
with the Flow Charts, as well as other challenges
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Many challenges in improving quality and reducing disparities remain.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
June 01, 2019 - Challenges to measuring variation in readmission rates of
neonatal intensive care patients.
-
www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Results: The online SRA toolkit includes tools for Historic Data to evaluate challenges and trends, a
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - Notes:
Importance: Frequent ED users with mental health and addiction challenges are in dire need
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - Several of the challenges involved in providing standard elements of care (such as regular
documentation
-
www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
January 01, 2024 - circumstances can (a) help identify the most
vulnerable patient groups as regards trust and (b) help address challenges
-
www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - The hospital leaders regularly reviewed project data, assumed
responsibility for overcoming challenges
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report
Overuse of Computed Tomography Scans for the
Evaluation of Children with Atraumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Computed Tomography Scans for the Evaluation of Childr…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - Adolescent Depression Remission/Response
1
Adolescent Depression Remission/Response
Section 1. Basic Measure Information
1.A. Measure Name
Adolescent Depression Remission/Response (Provider)
1.B. Measure Number
0247
1.C. Measure Description
Please provide a non-technical description of the measure that conv…
-
www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety
Final Progress Report:
Implementing Reduced Work Hours for All House Staff to Improve
Patient Safety
Principal Investigator: Christopher P. Landrigan, MD, MPH
Team Members: Charles A. Czeisler, PhD, MD, David W. …
-
www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
July 01, 2018 - Guide to Patient and Family Engagement
Methods (continued, 3)
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft K…
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief
PATIENT
SAFETY
e
Issue Brief 17
Cognitive Load Theory and Its
Impact on Diagnostic Accuracy
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e
Issue Brief 17
Cognitive Load Theory and Its Impact
on Diagnostic Accuracy
Prepared for:
Agency for…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Regulation of Health Policy: Patient Safety and the States
405
Regulation of Health Policy:
Patient Safety and the States
Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen
Abstract
In its 1999 report on patient safety, the Institute of Medicine recommended a
nationwide mandatory reporting system to co…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - Many challenges in improving quality and reducing disparities remain.
6
2014 Chartbooks
2014 QDR