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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statement: …
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Safety Improvement
Curated Library
Foundations
Improving Diagnosis in Health Care.
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and
Medicine. Washington, DC: National Academies Press; …
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - rating options
Rating Label Description
4—Good Performance was of a consistently high standard, enhancing … Enhancing
performance in high risk environments:
recommendations for the use of behavioural markers
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www.ahrq.gov/cahps/news-and-events/news/archive/index.html
June 01, 2024 - CAHPS Research Meeting: “Assessing Patient Experience for Insights into Enhancing Equity in Healthcare … Enhancing the representativeness of CAHPS survey respondents.
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - African partnerships for patient safety: a vehicle for enhancing patient safety across two continents … Strengthening the evidence–policy interface for patient safety: enhancing global health through hospital
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs022578-kharrazi-final-report-2015.pdf
January 01, 2015 - The impact of an
operational RRPM for CRISP could include: (a) enhancing the health quality outcome … model for each provider; and, (c) enhancing
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - African partnerships for patient safety: a vehicle for enhancing patient safety across two continents … Strengthening the evidence–policy interface for patient safety: enhancing global health through hospital
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - And then, of course, there are tools that community pharmacies use to continue enhancing that safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Wo…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
January 01, 2005 - enhance the Network to increase patient safety. 2) Achieve efficiencies within the
Network by expanding/enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - Slide 20
SAY:
When you are considering incorporating a debriefing into your common practice or enhancing
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - AEs (as defined by MD review) was identified for visits during
CY2005, so attention was focused upon enhancing
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effectivehealthcare.ahrq.gov/sites/default/files/s38.pdf
October 01, 2007 - ORIGINAL ARTICLE
Design of Cluster-Randomized Trials of Quality
Improvement Interventions Aimed at Medical
Care Providers
Robert J. Glynn, PhD, ScD, M. Alan Brookhart, PhD, Margaret Stedman, MPH, Jerry Avorn, MD,
and Daniel H. Solomon, MD
Background: Randomized trials aimed at improving the quality of
medical care …
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Shared decisionmaking improves patient safety by enhancing patient understanding and empowering patients
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease
Timeliness of Antibiotic Prophylaxis for Children
with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Timeliness of Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. Measure Number
0135
…
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effectivehealthcare.ahrq.gov/sites/default/files/04_dementia_potential_high_impact_june_2012.pdf
January 01, 2012 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither R…
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effectivehealthcare.ahrq.gov/sites/default/files/04_dementia_potential_high_impact_2012-12-10.pdf
January 01, 2012 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
R…