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www.ahrq.gov/funding/grant-mgmt/whistleblowers.html
December 01, 2013 - language of the workforce, of employee whistleblower rights and protections under 41 U.S.C. 4712, as described
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www.ahrq.gov/funding/grant-mgmt/trafficking.html
October 01, 2014 - of a prohibition in paragraph a.1 of this award term
Our right to terminate unilaterally that is described
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - consciousness of medical error was stirred by the landmark 1991 Harvard Medical Practice Study 13,14 that described … While the name “root” implies a single cause, the method as described allows for multiple contributing
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
June 01, 2017 - The second two types described above are type 2 problems.
Return to Contents
5. … Model for Improvement To Advance Problem Solving
You can introduce Plan-Do-Study-Act (PDSA) cycles, described
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Cross-references to resources already described:
Composite 1. … Cross-references to resources already described:
Composite 2. … Cross-references to resources already described:
Composite 1. … assist its staff with data collection during those tests.
11
Cross-reference to resource already described … Cross-references to resources already described:
Composite 1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - of internal medicine residents who reported making
Disclosure of Medical Errors
485
mistakes described … generated
codes and themes, the views of patients, physicians, nurses, and administrators
could be described … Consistent with
professional codes, providers described a strong sense of duty and responsibility … But there were many other sources
of fear, as described by one resident: “I think there are a few kinds … One provider described an atmosphere that
was intolerant of error: “The remark – Goddamn, what were
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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-Williams_115.pdf
June 19, 2008 - review process
for physicians in rural hospitals in Texas that has alleviated many of the problems described … Each of these
innovations is described in detail below. … Graber, and colleagues14 have described the occurrence of three types of medical errors: (1) no-
fault … The results of these evaluations are described in the assessment section of this
article. … taxonomy of
physician error in patient care may result from our ongoing peer review activities as described
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www.ahrq.gov/takeheart/training/getting-started/index.html
April 01, 2023 - consolidated implementation guide that provides detailed actionable guidance for implementing the strategies described
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-agenda.html
November 01, 2021 - Deeper discussion of opportunities and challenges for transforming care for people living with MCC described
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
January 01, 2024 - If TeamSTEPPS tools are mentioned, or described without using their names, take this opportunity to acknowledge
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - depending on
the sophistication of the search strategy, may miss documented events that have been described … adverse drug event (ADE) monitoring in hospital information systems.28, 29
The original trigger tool described … areas best suited for proactive patient risk reduction activities.
8
A case-study approach, as described … Patterns of events within the prioritized clusters will be described more, including whether they are … The delay in this aim (the reason for which is described below) will allow use of more
recent AE data
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
August 01, 2024 - within education. 14 Importantly, CLT did not attempt to directly measure cognitive load, but rather described
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
June 02, 2025 - Prevention Menu of Implementation Strategies table below summarizes
potential uses for each report, as described
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
June 02, 2025 - There is a significant
learning curve to many of the techniques described here.
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - were documented with digital photography for later input into probabilistic
risk assessment software, described … decreases from .04838 to .03364 (a reduction
of .01474 (30.46%))
11
Interventions and Action Plans
As described … Additional development of this system is described in the funded
intervention project described below
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www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
January 01, 2024 - 2016
Federal Project Officer: Tamara Willis, PhD, MPH
Acknowledgment of Agency Support: The project described … To determine each beneficiary’s PCP, we used the plurality
algorithm described by Pham and colleagues … We adjusted our
models for the hospital- and HSA-level factors described above as well as for the number
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www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
January 01, 2024 - Third, we have described barriers to implementation of
clinical practice guidelines and strategies … The
design of the application has been described in a paper that we published in the Journal of
Biomedical … Third, we have described barriers to implementation of
clinical practice guidelines and strategies
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - Each report is described in detail in the Electronic Reports section.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - The methods used to compute
this data are identical to those used to compute the 2010 baseline, as described
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Our testing occurred in Medicaid
data and is described below. … As described in Section 3.A above, the literature confirms the importance of this measure for all
women … We have described the importance of this measure in our
review above. … Rurality/Urbanicity
As described in the specification, we used the Urban Influence Codes (UIC) below … The authority of the
signatory to provide such authorization should be described in the letter.