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www.cpsi.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Since the medical error death of her young son Lewis in 2000, Ms.
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www.cpsi.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - example, informing a loved one (portrayed by standardized actor) of a serious patient harm or preventable death
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - generally confirmed these patterns and indicated that
diagnostic testing errors resulted in a higher death
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis
1
PATIENT
SAFETY
e
Issue Brief 9
Improved Diagnostic Accuracy
Through Probability-Based
Diagnosis
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e
Issue Brief 9
Improved Diagnostic Accuracy…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - CHARTBOOK
ON
PATIENT SAFETY
Updated October 2018
National Healthcare Quality and Disparities Report
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated. Suggested citation: National Healthcare Quality and
Disparities Report chartbook on …
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - Return on Investment Tool
Return on Investment Estimation
What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - The
weighted adverse events included in the measure are in-house maternal death, in-house neonatal … death, uterine rupture during labor,
unplanned maternal admission to ICU, birth trauma, unanticipated
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1
year old.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1
year old.
What should I know about SIDS?
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www.cpsi.ahrq.gov/ncepcr/reports/primary-care-research/results.html
January 01, 2024 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
January 01, 2014 - Refusing treatment, dying and death, and the
elderly. Section 11.6.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
Purpos…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System
New Models of Primary Care
Workforce and Financing
Case
Example Henry Ford Health System6
New Models of Primary Care Workforce
and Financing
Case Example #6: Henry Ford Health System
Prepared for:…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105
Fundamentals of Medicare Patient
Safety Surveillance: Intent, Relevance,
and Transparency
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder,
Lisa J. Jaser, Nancy Safer, Paul Davern
Abstract
The Medicar…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - Return on Investment Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool F.1
Return on Investment Estimation
What is the purpose of this tool? When your hospital invests in a new program, quality
improvement intervention, or technology, leaders often need to kn…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
July 11, 2017 - high-
risk, high-stakes environment in which poor performance may
lead to serious consequences or death
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - Studies show that surgical teams who exhibit fewer teamwork behaviors put patients at higher risk for death
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
January 01, 2017 - Data Measures Guide
AHRQ Safety Program for
Mechanically Ventilated Patients
Data Measures Guide
AHRQ Pub. No. 16(17)-0018-6-EF
January 2017
Data Measures Guide
Introduction ....................................................................................................................…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - SBAR improves nurse-physician
communication and reduces unexpected death: a pre and post intervention