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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description …
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 4. Results and Key Findings
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapt…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
November 01, 2023 - Recovering After Emergency Gallbladder Surgery
Recovering After
Emergency Gallbladder
Surgery
e
Recovering After Emergency
Gallbladder Surgery
Patient Name __________________________________________________________________
Surgeon Name _________________________________________________________________
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged
Emergency Visits for
Opioid Use Rose While
Treatment for Illicit
Drug Use Remained
Unchanged
This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
References
Previous Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
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www.ahrq.gov/news/events/nac/2022-07-nac/nacmtg072122-minutes.html
December 01, 2022 - Meeting Minutes, July 2022
Virtual Meeting
Minutes from the July 21, 2022, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of May 12, 2021, Meeting Summary
AHRQ Director’s Highlights
Discussion of Healthcare Q…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Optimizing Environmental Cleaning
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
February 01, 2002 - ampe_2_107.38_48.tp
AMBULATORY PEDIATRICS Volume 2, Number 1
38Copyright q 2002 by Ambulatory Pediatric Association January-February 2002
Identifying Children With Special Health Care Needs: Development and
Evaluation of a Short Screening Instrument
Christina D. Bethell, PhD, MBA, MPH; Debra Read, MPH; Ruth E. K. S…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - AHRQ-Funded Patient Safety
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Health Information Technology
and Health Information Exchange
Overview
Research has shown that health information technology (HIT)i and health information exchange (HIE)ii
make it …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Facilitator Training—Handouts: On-Time Falls Prevention Training
Implementation Scripted Exercise – Change Team Meeting for Self-Assessment
Implementation Scripted Exercise – Selecting Falls Prevention Reports and Meetings in W…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Handout 1: Implementation Scripted Exercise – Change Team Meeting for Self-Assessment
Team consists of:
Facilitator [Jim].
Program Champion [Mary].
Nursing Assistant A [Allison].
Nursing Assistant B [Jolene].
Nurse Manager A [Miranda].
Nurse M…
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care
Teamwork and Error in Neonatal Intensive
Care
Eric J. Thomas, MD, MPH
Robert L. Helmreich, PhD
J. Bryan Sexton, PhD
Gwen Sherwood, RN, PhD, FAAN
Robert Lasky, PhD
Thomas Kallarackal
Sharon Crandell, MD
Jennipher Mulhollem
Dates:…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - Scientific Rationale
Decolonization of
Non-ICU Patients With Devices
Section 4 – Scientific Rationale
The Burden of Healthcare-Associated Infections
Healthcare-associated infections (HAIs) have been recognized as a major preventable cause of
morbidity and mortality in the United States. In 1999, the Ins…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator:
This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14, 2013 scheduled for 11AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have our speakers i…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association - Chicago
May 14, 2013
11:00AM Central Time
Operator: This is a recording for the Paul Tedrick teleconference with AHA - Chicago Tuesday, May 14…