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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - November 13, 2019
Inside the preventable deaths that happened within a prominent transplant
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www.ahrq.gov/patient-safety/reports/issue-briefs/probabilistic-thinking3.html
September 01, 2022 - decisions around PSA tests as a balance between potential benefits (e.g., reduction in prostate cancer deaths
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www.qualitymeasures.ahrq.gov/diagnostic-safety/research/grants-2022.html
March 01, 2024 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - race/ethnicity
• County
Disparities
in health
• CDC Atlas • Avoidable heart disease and stroke
deaths
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cahps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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healthcare411.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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patientregistry.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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ahrqpubs.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-nov2013.pptx
January 01, 2013 - #›
TeamSTEPPS
Communication is Priority
Miscommunication
80% of all medical errors
Leads to 98,000 deaths
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monahrq.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
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talkingquality.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
teamstepps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - race/ethnicity
• County
Disparities
in health
• CDC Atlas • Avoidable heart disease and stroke
deaths
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/807.html
April 01, 2022 - Drug-related deaths among inpatients: a meta-analysis .
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www.cahps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
www.talkingquality.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
www.healthcare411.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
www.cpsi.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
www.innovations.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths
-
www.monahrq.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient deaths