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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - He was
initially diagnosed with a labyrinthine concussion due to ongoing
symptoms of “falling backwards … Cosme, et
al. (2023)37
Newly diagnosed Type 1
diabetes in an elderly patient
A 71-year-old patient … MRI showed a quadric ventricular hydrocephalus and the
patient was diagnosed with idiopathic cerebral … other misdiagnosed conditions rely on the clinical decision
making of expert clinicians and cannot be diagnosed … Newly diagnosed type 1 diabetes in an elderly patient.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - vasopressors
Her condition improves
A CVC continues to be used after it is no longer indicated
Day 7—CLABSI diagnosed
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
October 01, 2018 - Event651
Diabetes pt not diagnosed
0.026
It is estimated that 23.6 million people are afflicted … Event652
SSI if bug gets to SS (diabetes pt not diagnosed)
0.02
Boulton et al. 2005.
-
www.ahrq.gov/coronavirus/data-analytics.html
August 01, 2023 - Data and Analytics
AHRQ data resources and data analyses help decision makers understand healthcare trends and identify opportunities for improvement. These data can help inform the COVID-19 strategies developed by researchers, policymakers, and decision makers at national, State, and local levels.
Healthcare…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hospitalization-most-prevalent-conditions.pdf
June 02, 2025 - Infographic - Most Prevalent Conditions Requiring Hospitalization
AH
Percent of All Inpatient Stays in 2018
Most Prevalent Conditions
Requiring Hospitalization
Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #277: Most Frequent Principal Diagnoses for Inpatient
Stays in U.S. Hospitals…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
A Path Forward for Diagnostic Safety Improvement Leadership
Previous Page Next Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagno…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
Organization
13
What are the SOPS Surveys?
• Surveys of providers and st…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
August 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Issue Brief 18
Documenting Diagnosis: Exploring
the Impact of Electronic Health
Records on Diagnostic Safety
PATIENT
SAFETY
e
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e
Issue Brief 18
Documenting Diagnosis: Explorin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Monitoring Ventilator-Associated Events
SAY:
Today, we will discuss monitoring ventilator-associated events.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to describe the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record
23
Improving Patient Safety with the
Military Electronic Health Record
Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan
Abstract
The United States Department of Defense (DoD) has transformed health care
delivery in its use of infor…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Opportunities and Challenges Ahead
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testi…
-
www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety
SEP
16
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Craig A. Umscheid, M.D., M.S.
Robert Otto Valdez, Ph.D., M.H.S.
As the healthcar…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Conclusion
Previous Page Next Page
Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nurs…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/tool.html
March 01, 2017 - Get to Know Your Health Care Team Tool
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Getting to know your health care team helps you get the best care possible.
The members of your health care team include:
You
Family or friends, as you wish.
Facility administrators or leaders.
Di…
-
www.ahrq.gov/data/apcd/backgroundrpt/data.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Data Evaluation of All-Payer Claims Databases
Previous Page Next Page
Table of Contents
Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using…
-
www.ahrq.gov/antibiotic-use/acute-care/diagnosis/hap.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
After viewing or presenting this presentation viewers will be able to—
Discuss the approach to diagnosing hospital-acquired pneumonia (HAP)
Discuss empiric treatment recommendations for HAP
Discuss opportunities for de-escala…
-
www.ahrq.gov/antibiotic-use/acute-care/diagnosis/vap.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
After viewing or presenting this presentation viewers will be able to—
Discuss the approach to diagnosing ventilator-associated pneumonia (VAP)
Discuss empiric treatment recommendations for VAP
Discuss opportunities fo…
-
www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
PATIENT
SAFETY
e
Issue Brief 20
Learning from AHRQs’ Diagnostic Safety
Culture Survey at a Tertiary Care Health
System in Brazil: A Case Study
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e
Issue Brief 2…
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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-Fitzgerald_108.pdf
January 01, 2007 - Challenges to Real-Time Decision Support in Health Care
Challenges to Real-Time Decision Support
in Health Care
Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care);
Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD;
Colin F. Mackenzie, MBChB, FRCA, FCCM
Abstract
This …