-
www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
January 01, 2024 - These findings could be used to inform providers and health systems in efforts to improve care while … amount of resources that would have been needed to improve our
recruitment, we concluded that continued efforts
-
www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - begin—with cognitive errors.
1) Hindsight bias and difficulties weighing prior probabilities bedeviled our efforts … Patient safety efforts should focus on medical errors. JAMA
2002;287:1997-2001.
-
www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - The EPh spent the highest percentage of
time with communication events, roaming, and resuscitation efforts … the EPh spent the highest percentage of time were communication events, roaming,
and resuscitation efforts
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - In the sections below,
describe the results of efforts to demonstrate the capacity of this measure to … Describe efforts to assess the understandability of
this measure (e.g., focus group testing with stakeholders
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - In the sections below,
describe the results of efforts to demonstrate the capacity of this measure to … Describe efforts to assess the understandability of
this measure (e.g., focus group testing with stakeholders
-
www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Such knowledge should direct future research
efforts, such as using emerging information technology … participants above N=150 patients for this observational study, we believe that our model evaluation
efforts
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
January 01, 2021 - 6 Comparing Hospital Results
The data in this report should be used to supplement your hospital’s efforts … to identify areas of
strength and areas on which to focus efforts to improve patient safety culture
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
March 01, 2009 - evidence reports and technology assessments to assist
public- and private-sector organizations in their efforts … In QUOROM and MOOSE
Searching for
unpublished data
Authors explicitly stated the efforts to include
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
January 01, 2014 - In the sections below,
describe the results of efforts to demonstrate the capacity of this measure to … Describe efforts to assess the understandability of
this measure (e.g., focus group testing with stakeholders
-
www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - The team
focused efforts on those failure modes that would require further solutions beyond the
planned
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Recommendations
Implemented in the
PICU (TRIP)
2023-2026
$397,998
Purpose: To examine use of targeted efforts
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training Instructor Guide—Implementation of the Prevention Reports
Note: This part of the training primarily consists of exercises and does not have any associated slides.
Introduction
Say:
Yesterday you were introdu…
-
www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - Webinar #1: Fuzzy Set Analysis (Slide Presentation)
Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement
Presenter: Marcus Thygeson, MD Discussant: Jodi Holtrop, PhD Moderator: Michael I. Harrison, PhD Sponsored by AHRQ's Delivery…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - AHRQ Slide Template 2004
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #1: Fuzzy Set Analysis
Presenter: Marcus Thygeson, MD
Discussant: Jodi Holtrop, PhD,
Moderator: Michael I. Harrison, PhD
Sponsored by AHRQ’s Deliv…
-
www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
January 01, 2003 - Develop Your Own
Develop Your Own?
Contents
Before You Begin
· Have You Identified the Significant Health Problems of Your Target Population(s)?
· Do Measures Already Exist that Accurately Assess Quality in Your Area of Interest?
· Have You Clearly Defined the Anticipated Uses of the Resulting Quality Informat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Describe the rationale for the use of c…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …