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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - The original efforts to assess harm in health care applied the concept of “medical error,” which Brennan
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Unfortunately, the concept of taking a systems approach
to health literacy is still a work in progress
-
www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care ( PDF ,
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/AYu2UEtRFR765BEXVyftT2
April 13, 2021 - Concept and design:Henninger, Lin.
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Primers
Simulation Training
March 1, 2023
Nurse well-being: a concept
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www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - The educational concept of critical consciousness, which
focuses on awareness of social, cultural,
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - respond to patient deteriorations outside the ICU;
2) to disseminate to healthcare professionals the concept
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-4.html
November 01, 2017 - Established Child Health Care Quality Measures: HEDIS
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Contents
Child Measures Included
Users
Comparisons and Trends
Benchmarking and Databases
Ser…
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Uses of Quality Measurement
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
A clear plan for using quality measurement is a prerequisite to a successful quality measurement strategy. An established plan hel…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
References
Previous Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
Definitions of Diagnosis
Types of Evide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 11)
Guide to Patient & Family Engagement
Insert hospital logo here
Working With Patient
and Family Advisors:
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Working With Patien…
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
July 23, 2024 - AHRQ PCOR CDS Project Kickoff
Internal Distribution Only—Not for Public Release
AHRQ CDS Connect – Pilot Site Training for
the Clinical Decision Support (CDS)
Pain Management Summary
Presented by the CAMH Federally Funded Research and
Development Center, operated by MITRE
Internal Distribution Only—Not for …
-
cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
January 01, 2021 - CDS Connect Work Group Agenda - December 2021
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
December 16, 2021
3:00 – 4:00 pm ET
Attendees: 39 people, including 5 phone dial-ins
Organization Attendees
AHRQ Sponsors Chris Dymek, Edward Lomotan, Mario Teran, James Swiger (4)
…
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
-
psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-baseline.pdf
June 02, 2025 - Practice Survey Codebook: CPCQ and PCMH-A
EvidenceNow Practice Survey Codebook: CPCQ and PCMH-A
.
Variable Name/ Core-
optional Status Item
We would like to learn about the strategies that your practice uses to improve cardiovascular preventive care (e.g., prescribing aspirin for patients at
risk for ische…
-
psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ems-patient-safety-field
Introduction
Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety
1
Prologue
Systems Thinking and Patient Safety
Paul M. Schyve
Patient safety is a prominent theme in health care delivery today. This should
come as no surprise, given that “first, do no harm” has been the ethical watchword
throughout the history of medi…
-
www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety (continued)
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurem…