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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS)
The five‐question mnemonic “KAICS” can help develop a reflective mindset and aid in the situation monitoring process.
What do I KNOW? Review objective and subjective data given the evidence, possible biases, and assumptions.
What are the A…
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www.ahrq.gov/patient-safety/reports/sepsis/index.html
September 01, 2024 - An Assessment of Sepsis in the United States and Its Burden on Hospital Care
Report to Congress
Summary In the Fiscal Year 2023 Omnibus Spending Bill, the U.S. Congress directed the Agency for Healthcare Research and Quality (AHRQ) to "conduct a comprehensive set of studies that calculate the morb…
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pso.ahrq.gov/resources/ai-healthcare-safety
February 01, 2025 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Resources for Artificial Intelligence (AI) in …
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/northshore.html
March 01, 2021 - Using Data To Tackle Undiagnosed Hypertension and Improve Care
NorthShore Health Centers is a primary care organization dedicated to providing high quality, affordable health care to 14,600 people monthly in northwest Indiana. NorthShore's medical teams are committed to constantly innovating and improving the c…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Implications for Research, Policy, and Practice
Previous Page Next Page
Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Evidence Base Supporting Te…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
January 01, 2023 - Pareto Chart
Also Known As
Pareto Diagram
Description
A pareto chart is a bar graph where the bars appear in decreasing length from left to right. The bar length corresponds to time, frequency, or amount.
Uses
When you want to find the most significant causes or problems from a l…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/untapped-potential-telemedicine-primary-care
January 01, 2018 - Why Do Patients Choose Telemedicine for Primary Care? The Untapped Potential of Telemedicine for Primary Care
Significance and Potential Impact:
This research will provide evidence to inform emerging telehealth policies including reimbursement, technology adoption decisions, and real-world use by patients and…
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digital.ahrq.gov/ahrq-funded-projects/central-kenai-peninsula-health-collaborative-technology
January 01, 2023 - Central Kenai Peninsula Health Collaborative Technology
Project Description
Project Details -
Completed
Grant Number
P20 HS014902
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gra…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Root Cause Analysis
Acronym
RCA
Examples
Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86.
Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …
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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
January 01, 2023 - Critical-to-Quality Analysis
Acronym
CTQ
Description
A critical-to-quality (CTQ) analysis is a means of examining a processs flowchart in order to find quality features or characteristics that are significant and to identify problems. The method looks at inputs and outputs and identifies s…
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psnet.ahrq.gov/node/39084/psn-pdf
March 05, 2010 - The impact of Rapid Response System on delayed
emergency team activation patient characteristics and
outcomes—a follow-up study.
March 5, 2010
Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team
activation patient characteristics and outcomes--a follow-up study. Resu…
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - Differing perceptions of safety culture across job roles in
the ambulatory setting: analysis of the AHRQ Medical
Office Survey on Patient Safety Culture.
July 21, 2016
Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the
ambulatory setting: analysis of the AHRQ Medic…
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psnet.ahrq.gov/node/46959/psn-pdf
August 20, 2018 - Education outcomes from a duty-hour flexibility trial in
internal medicine.
August 20, 2018
Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal
Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:10.1056/nejmoa1800965.
https://psnet.ahrq.gov/issue/education-outco…
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psnet.ahrq.gov/node/47922/psn-pdf
May 29, 2019 - Effect of restriction of the number of concurrently open
records in an electronic health record on wrong-patient
order errors: a randomized clinical trial.
May 29, 2019
Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction of the Number of Concurrently Open
Records in an Electronic Health Record on …
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psnet.ahrq.gov/node/44976/psn-pdf
February 14, 2017 - Do patients' disruptive behaviours influence the accuracy
of a doctor's diagnosis? A randomised experiment.
February 14, 2017
Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a
doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…
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psnet.ahrq.gov/node/45615/psn-pdf
October 26, 2016 - Mandatory provider review and pain clinic laws reduce
the amounts of opioids prescribed and overdose death
rates.
October 26, 2016
Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The
Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
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psnet.ahrq.gov/node/39620/psn-pdf
September 20, 2011 - The relationship between patients' perception of care and
measures of hospital quality and safety.
September 20, 2011
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and
measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475-
…
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psnet.ahrq.gov/node/43862/psn-pdf
March 20, 2015 - The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or
safety culture.
March 20, 2015
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or safety culture. I…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/carbohydrate-intake-executive-summary.pdf
May 01, 2025 - o No studies were identified that examined digestible carbohydrate intake
and infant body composition