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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Spotlight Case July 2008
Spotlight Case January 2009
To Transfer or Not to Transfer
Source and Credits
This presentation is based on the January 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jesse M. Pines, MD, MBA, MSCE
University o…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-5.html
November 01, 2017 - Established Child Health Care Quality Measures--Title V of the Social Security Act
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
Ben…
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www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Planning Culturally and Linguistically Appropriate Services
Guide for Managed Care Plans
To address shifting demographic trends in health
care, this guide offers health plans an approach to defining the needs of
multi-ethnic members and developing culturally and linguistically appropriate
services fo…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - Spotlight Case [MONTH] 2003
Spotlight Case
Standard Deviations
Source and Credits
This presentation is based on the December 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: James E. Sabin, MD
Harvard Medical School; Harvard Pilgrim Heal…
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Interplay Between Cognitive Load and Diagnostic Accuracy
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cogn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix B.
Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results
The purpose of this guide is to provide you with information on h…
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www.ahrq.gov/news/newsletters/e-newsletter/967.html
July 01, 2025 - Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines
Issue Number
967
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 22, 2025
Today’s Headlines: Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines . Adult P…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation
January 01, 2023 - Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology
Project Final Report ( PDF , 229.85 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), …
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Chapter 7. What’s Next?
Previous Page Next Page
Table of Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter 1. Introduction
Chapter 2. Survey Administration Statistics
Chapter 3. Medical Office Characteristics
…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/hhs_ed_boarding_may30.pdf
May 30, 2023 - Letter to HHS Secretary on Emergency Department Boarding
May 30, 2023
The Honorable Xavier Becerra
Secretary
The U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C., 20201
Dear Secretary Becerra:
We write to you today with deep concern about the growing public health …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
…
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digital.ahrq.gov/ahrq-funded-projects/i-matter-investigating-mhealth-texting-tool-embedding-patient-reported-data
June 30, 2023 - i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management
Project Final Report ( PDF , 916.17 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content…
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Diagnostic Errors
Citation Text:
Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/PCMHFactSheet.pdf
September 01, 2010 - PCMH Fact Sheet
Consumer Assessment of
Healthcare Providers and Systems
Developing a CAHPS® Clinician & Group Survey to Measure the Medical Home
The patient-centered medical home (PCMH) is a model for delivering primary
care that is patient–centered, comprehensive, coordinated, accessible, and
continuously im…
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention
January 01, 2023 - Promoting Use of an Integrated Personal Health Record for Prevention
Project Final Report ( PDF , 484.06 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the…