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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Were patient identification, history number, specimen name, and laterality correctly listed on paperwork … Case not picked correctly.
Carts and operating rooms not well stocked.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - If so, were they performed correctly, or could they be improved? … Performance)
Explain how and why certain outcomes may have happened — “Was the decision made right (correctly
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
October 01, 2024 - .
· Gain prospective hindsight: Mitchell et al., in 1989, found about 30 percent of groups correctly
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www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
September 01, 2019 - Guidelines for Ensuring the Quality of Information Disseminated to the Public
C. Agency for Healthcare Research and Quality
Note: Last revised in 2006, these Guidelines also appear on the HHS Web site. AHRQ presents them here with a 2015 Update .
Contents
Agency Mission .
Scope and Applicability …
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www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
January 01, 2020 - Text correctly formatted Passed All words were found in their corresponding language's dictionary
16 … Heading levels skipping Passed All Headings are nested correctly
40 Section G: PDFs containing Headings … Table of Contents Passed All TOCs are structured correctly
45 3 Tags->0->0->19,Tags->0->0->21 Section … TOC links Passed Please verify that the links in the highlighted TOC function correctly Verification
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-n-fac-notes.html
May 01, 2017 - disconnect the scope to prevent damage to the scope and to make sure that you're performing leak testing correctly
-
www.ahrq.gov/research/publications/info-quality-guidelines.html
November 01, 2020 - Information Quality Guidelines
Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated by Federal Agencies
HHS Information Quality Guidelines
Agency for Healthcare Research and Quality (AHRQ) Guidelines
Customer Feedback
Section 515 of the Treasury an…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
December 01, 2024 - Staff are trained to correctly use the log
systems.
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/update/correctadd.html
October 01, 2014 - Treating Tobacco Use and Dependence—2008 Update
Corrections and Additions to the Public Health Service (PHS) Clinical Practice Guideline
Treating Tobacco Use and Dependence: 2008 Update , a Public Health Service-sponsored Clinical Practice Guideline, is a product of the Tobacco Use and Dependence Guideline Pa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Transcription-related
• Medication orders are not transcribed to the
Kardex correctly. … • Pharmacy does not prepare the med
correctly.
• Pharmacy does not label the med correctly. … Administrative response
• No positive feedback is given for passing
medications correctly.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-sample-process.pdf
June 02, 2025 - If the patient has not been taking his or her medication or has not been taking it correctly,
try to
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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.pdf
May 01, 2017 - • A rule-based failure occurs when a
person does not carry out a procedure
or protocol correctly or … 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/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
April 01, 2025 - .
· Gain prospective hindsight: Mitchell et al., in 1989, found about 30 percent of groups correctly
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p009-7-ef-3.pdf
May 01, 2013 - greater, among women of child-bearing age is 29 percent;
yet, few obstetric providers define obesity correctly
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act
Structure and Features of a Care
Enhancement Model Implementing the
Patient Safety and Quality Improvement Act
William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD;
William Hamman, M…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - If so, were they performed correctly or could they be improved? … They can explain how and why certain outcomes may have happened "Was the decision made right (correctly
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - the various elements of a complete
prescription order, reminding them to write orders completely and correctly
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Types of Evidence Used To Assess Diagnosis
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
D…
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www.ahrq.gov/news/newsroom/case-studies/cquips0611.html
October 01, 2014 - County Health Department in Oregon Launches Performance Improvement Activities With AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
September 2006
The Multnomah County Health Department in Portland, Oregon, initiated a patient safety culture project in 2005 using AHRQ's Hospital Survey o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD
University of North Carolina Health Care
System, Chapel Hill, NC
UNC Medical Center
• Public Academic Medical Center
• Memorial, Children’s, Neurosciences, Women’s and
Cancer Hospital
• ~850 beds
• Chapel Hill, N…