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  1. 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…
  2. 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.
  3. 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
  4. 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.
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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 This page intentionally left blank. e Issue Brief 18 Documenting Diagnosis: Explorin…
  10. 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 …
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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 This page intentionally left blank. e Issue Brief 2…
  20. 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 …

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