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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - the mechanism by which
actions fails, without great attention to why the operator failed to perform
correctly … • Simply missing the detection, even though all actions were executed
correctly. … information), or mistaken options (not recalling the
Taxonomic Guidance for Remedial Actions
83
rule correctly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - If patient teaches back correctly and there’s more to explain, return to Chunk and teach
information … If patient doesn’t teach back correctly, reteach using different words.
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www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
January 01, 2025 - All steps had to be
completed correctly to fulfill criteria for this measure (Figure 1).
2. … November 2018 and January 2019, an average of 2% of patients had all the BP
measurement steps completed correctly … intervention phase to the baseline and extended baseline phases, the ‘all the BP
measurement steps completed correctly … Very few patients had their BP measured correctly, and almost none
had three-extremity BPs and ABPM
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/insertion-checklist.docx
March 01, 2017 - Position the resident correctly for the procedure; consider using an assistant to help resident stay
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/scenario-instr.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
Urinary Catheter Types and How To Care for Them Activity
Staff Role Play—How good are your catheter care skills?
Roleplaying can be a helpful training and educational tool. Rolep…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
October 01, 2014 - heart, seizure, and psychiatric medications—as the five critical medications that must be reconciled correctly
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-hays-slides.pdf
October 01, 2017 - Cognitive
Interviews
Are draft survey questions interpreted correctly and
consistently across respondents
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-scale-improvements.pdf
June 02, 2025 - Use reflective listening by restating the objection to make sure you understand it
correctly.
3.
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www.ahrq.gov/news/newsletters/e-newsletter/959.html
May 01, 2025 - The models correctly interpreted common lab tests such as liver function and toxicology panels.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.pdf
June 02, 2025 - problems with medicines that are on the AHCP and discharge summary (e.g., has not
obtained, is not taking correctly
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Possible measures include: Percentage who correctly report during postdischarge followup phone call the … Percentage who correctly report during postdischarge followup phone call the symptoms to watch out for … Percentage who correctly report during postdischarge followup phone call how to take their medicines
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Possible measures include: Percentage who correctly report during postdischarge followup phone call the … Percentage who correctly report during postdischarge followup phone call the symptoms to watch out for … Percentage who correctly report during postdischarge followup phone call how to take their medicines
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - Communication Page 6
Closed-Loop Communication
Using verbal feedback to ensure that messages are
correctly … Check-Back
A closed-loop communication strategy used to ensure
that information conveyed by the sender is correctly
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - A rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses … It is imperative to define the consequent event correctly because the rest of the tree will flow from
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-chg-bathing.pdf
March 01, 2022 - Remember to read the instructions carefully, as the bath may
not protect you if it is not done correctly
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - Produce, or contribute to, a correctly prioritized, relevant differential diagnosis, including can’t-miss
-
www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - computerized scanning process, addressing the following
specific risk areas:
• Identifying the patient correctly … step, such as attempting to administer a unit when the
dispense transaction had not been completed correctly … Mismatch between two different, valid Patient IDs
Skipped Step = An upstream scan was not completed correctly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - Two patient identifiers will be used to correctly identify each patient and will be
documented on the
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - Diagnosis
• Influenza should be suspected during influenza season (October–March) in nursing home
residents with typical symptoms: sudden onset of fever, headache, sore throat, cough,
myalgias, rhinorrhea.1-3
• Influenza testing should occur for residents with recent onset of signs and symptoms
suggestive of i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - A rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses … It is imperative to define the consequent event correctly because the rest of the tree will flow from