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www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events
Application of Machine Learning to Enhance e-Triggers to Detect
and Learn from Diagnostic Safety Events
Principal Investigator: Hardeep Singh
Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - and members of the public to identify promising findings for dissemination and implementation in the clinic
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices
2024 Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Diagnostic Safety Supplemental Item Set for
Medical Offices
Prepared for:
Agency for Healthcare Research and Qual…
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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-Nemeth_116.pdf
April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care
Minding the Gaps: Creating Resilience in Health Care
Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD;
Richard Cook, MD
Abstract
Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …
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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-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - setup and login)
To ensure that patient needs are met and that patients flow smoothly through the clinic
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - For example, in a small outpatient clinic, the number of staff involved on the project team would require … that the clinic shut down.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Distribution of Temperatures for Low Birth Weight Neonates
Distribution of Temperatures for Low Birth Weight
Neonates
Section 1. Basic Measure Information
1.A. Measure Name
Distribution of Temperatures for Low Birth Weight Neonates Admitted to Level 2 or Higher
Nurseries in the First 24 Hours of Life
1.B. Mea…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - Pediatric All-Condition Readmission Measure
Pediatric All-Condition Readmission Measure
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric All-Condition Readmission Measure
1.B. Measure Number
0129
1.C. Measure Description
Please provide a non-technical description of the measure that conveys…
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www.ahrq.gov/news/blog/index.html
January 01, 2016 - Blog
Insights on research and evidence to inform sound health policy and clinical care decisions
AHRQ Views
AHRQ leaders write blog posts that draw from Agency data and research to explore changes in the U.S. health system. Blog posts examine how AHRQ-supported evidence makes health care safer, higher qu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide01.html
October 01, 2014 - 1. Treating Tobacco Use and Dependence: 2008 Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
U.S. Public Health Service Clinical Practice Guideline
August 2009
Image: This and all following slides have the abbreviation PHS (Public Health Service) next to a s…
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www.ahrq.gov/hai/cusp/videos/04a-science-safety/index.html
June 01, 2018 - Understand the Science of Safety
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Understand the Science of…
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www.ahrq.gov/hai/cusp/videos/02e-phys-engagement/index.html
June 01, 2018 - Physician Engagement
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Physician Engagement …
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www.ahrq.gov/hai/cusp/videos/01a-intro/index.html
June 01, 2018 - Introduction
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Learn About CUSP [10 min. 10 sec.]
YouTube…
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www.ahrq.gov/hai/cusp/videos/11d-idealdischarge/index.html
June 01, 2018 - IDEAL Discharge
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
IDEAL Discharge [3 min. 30 sec.]
YouTube…
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www.ahrq.gov/hai/cusp/videos/10a-spread/index.html
June 01, 2018 - Spread
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Spread [11 min. 55 sec.]
YouTube …
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www.ahrq.gov/nursing-home/resources/covid-19-vaccination-education-toolkit.html
May 01, 2022 - COVID-19 Vaccination Education Toolkit
Resource: COVID-19 Vaccination Education Toolkit
This toolkit provides a variety of educational resources and promotional materials related to COVID-19 vaccination.
Source: AMDA
Topic(s): Infection Control & Prevention; Vaccination; Leadership & Management
Audi…
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www.ahrq.gov/nursing-home/resources/qapi-glance.html
February 01, 2021 - QAPI at a Glance
Resource: QAPI at a Glance (PDF, 1.5 MB)
This guide explains the principles of quality assurance and performance improvement (QAPI) and provides step-by-step guidance to help staff implement QAPI in nursing homes.
Source: CMS
Topic(s): Leadership & Management
Audience(s): Manager…
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www.ahrq.gov/nursing-home/resources/respirator-on-off-poster.html
June 01, 2022 - Respirator On, Respirator Off Poster
Resource: Respirator On, Respirator Off Poster
This poster demonstrates the step to properly put on and take off a respirator to protect yourself from COVID-19.
Source: CDC
Topic(s): PPE, Infection Control & Prevention
Audience(s): Clinical Leaders, Clinicians, N…
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www.ahrq.gov/nursing-home/resources/slow-the-spread.html
August 01, 2022 - Slow the Spread of COVID-19
Resource: Slow the Spread of COVID-19
This flyer reinforces the importance of following safety guidelines to stop the spread of COVID-19 both at work and home.
Source: CDC
Topic(s): Vaccination
Audience(s): Managers; Clinical Leaders; Clinicians; Nursing Assistants and Te…