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www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - multiple cases, sites,
and organizations
� Early version field
tested for usability
� In the public domain … committee to identify recommendations for the
practical application of the Diagnostic Process and Outcomes domain
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects
Introduction Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning …
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Detecting Change
in a Resident’s
Condition
This document is in the public domain and may be used
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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-Jack_28.pdf
February 21, 2008 - target existing
systems failures.59 The committee undertook a thorough evidence-based review of the domain
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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-Dingley_14.pdf
February 06, 2008 - ”3 SBAR provides a common and predictable structure for communication, can
be used in any clinical domain
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www.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - requirements for the Centers for Medicaid & Medicare Services (CMS) Patient Safety Structural Measures, Domain
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - • TeamSTEPPS is in the public domain. Materials can be downloaded from the AHRQ
website.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - TeamSTEPPS is in the public domain. Materials can be downloaded from the AHRQ website.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - 0060-EF
September 2015
http://www.ahrq.gov/
https://www.ahrq.gov/
This document is in the public domain
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
References
Previous Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Unique Challenges in Approaching Diagnostic Safety in Older Ad…
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www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
January 01, 2024 - Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report
RESPOND Pharmacy Education Toolkit: AHRQ Final Report
Principal Investigator: Daniel Hartung, PharmD, MPH
Team Members: Nicole O’Kane, Christi Hildebran, Adriane Irwin, Lindsey Alley, Kevin Novak, Sara
Haverly, David Cameron, Jennifer Hal…
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www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics
Title Page
• Title of Project: PURSUING PERFECTION IN PEDIATRIC THERAPEUTICS
• Principal Investigator and Team Members: CAROLE MARIE LANNON, MD, MPH; Peter Margolis,
MD, PhD; Michael Seid, PhD; Jeffrey Anderson, MD, MPH, MBA; Patrick Brady, MD, MS…
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - Subcommittee of the
National Advisory Council:
Informing the National
Action Alliance to Advance
Patient and Workforce
Safety
Final Report: December 19, 2023
Submitted by:
Lucy A. Savitz, Ph.D., MBA on behalf of the AHRQ Subcommittee
Subcommittee of the AHRQ National Advisory Cou…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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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-Seagull_98.pdf
April 07, 2008 - Pillars of a Smart, Safe Operating Room
Pillars of a Smart, Safe Operating Room
F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD
Abstract
Major gains in patient safety can be achieved through development of innovative approaches to
the care of surgical patients. Investigators and clinicians have…
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
PI: Guise, J-M
FINAL GRANT REPORT
Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
Grant Award #: 5U18HS015800-02
Grantee Institution: Oregon Health & Science University…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation
The National Action Alliance to Advance Patient Safety
Summer Webinar Series
Addressing Violence in the Workplace
June 27, 2023
2:00-3:00 PM ET
Special Guest Speakers
2
Martin Hatlie, JD
President & CEO,
Project P…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Ref…