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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged
Emergency Visits for
Opioid Use Rose While
Treatment for Illicit
Drug Use Remained
Unchanged
This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Interim Data From National Efforts To Make Care Safer, 2010-2014
Summary
Interim estimates for 2014 show a s…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
PATIENT
SAFETY
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
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e
Issue Brief
Telediagnosis for Acute Care:
Implications …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
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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-Stock_72.pdf
January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey
The PeaceHealth Ambulatory Medication
Safety Culture Survey
Ronald Stock, MD; Eldon R. Mahoney, PhD
Abstract
Objective: The objective of this project was to construct a measure of medication safety culture
in ambulatory settings. Methods: A 16-it…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
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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-David_13.pdf
March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process
Risk Reduction and Systematic Error Management:
Standardization of the Pediatric Chemotherapy
Process
Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD
Abstract
There is an urgent need to m…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docx
January 01, 2011 - IMPaCT Multi-State Conference
February 21-22, 2013
Final Progress Report
Award Information
Principle Investigator: James W. Mold, MD, MPH
Grant Recipient: University of Oklahoma Health Sciences Center
Team Members: Daren DeWalt, MD (North Carolina), Arthur Kaufman, MD (New Mexico), Robert Gabbay, MD (Pennsylvania), …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - 3) Considering other priorities right now, how does this project fit in?
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - needed to give the drug and would also decrease the risk to the patient if a
drug is given without considering
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - earlier, the AE Classes denominators have fewer restrictions than the PS
Indicators; the developers are considering
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www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Appendix A: References and Available Abstracts
Previous Page Next Page
Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background
Chapter 3. …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
January 01, 2020 - Recent Insights into CAHPS Survey Modes and Response Rates
Understanding CAHPS Surveys: A Primer for New Users
January 2020 Webcast
Speakers
Caren Ginsberg, Ph.D., CPXP, Director, CAHPS & SOPS, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality, Rockville, MD
Dal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implem…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
1
Use of First-Line Psychosocial Care for Children and
Adolescents on Antipsychotics
Section 1. Basic Measure Information
1.A. Measure Name
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
1.B.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - Specific Tools To Support Change
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool G.2
Specific Tools To Support Change
What is the purpose of this tool? This tool provides information on tools developed by other
organizations that may be used instead o…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-hcbs-chartbook.pdf
January 01, 2024 - 2024 HCBS CAHPS Survey Database Chartbook
The CAHPS® Home and Community-
Based Services (HCBS) Survey
Database 2024 Chartbook
Authors:
Teresa Dodson, M.A.
Michael Corrothers
Joshua Rubin
Jack Vallentine
Naomi Yount, Ph.D.
Joann Sorra, Ph.D.
Dale Shaller, M.P.A.
Prepared by:
Westat
1600 Research Boulev…
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www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
AHRQ GRANT FINAL PROGRESS REPORT
Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
Principal Investigator:
Geb W. Thomas, Ph.D.
Professor of Mechanical & Industrial Engineering
The Universit…