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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagn…
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - New Patient Mistakenly Checked in as Another
January 1, 2016
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
The Case
A 55-year-old man, presented to a primary care physician's office for an initial vis…
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - Inadvertent Castration
January 1, 2004
Calland FJ. Inadvertent Castration. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/inadvertent-castration
The Case
An 83-year-old man presented with a left groin mass, "which had been there for years" but had recently
increased in size. The patient described persisten…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/day-of-discharge.pdf
June 02, 2025 - Fielding the CAHPS Child Hospital Survey
Page 1
Fielding the CAHPS® Child Hospital
Survey
Day-of-Discharge Survey Administration
Introduction
This document explains how to field the CAHPS Child Hospital Survey (Child
HCAHPS) via electronic tablet on the day of discharge and gather the data needed for
analysi…
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psnet.ahrq.gov/node/49854/psn-pdf
February 01, 2019 - Diagnostic Failure: The Growing Deficit
February 1, 2019
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
The Case
A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - Preventing Complications during Aneurysm Clipping –
the Role of Neuromonitoring.
October 28, 2020
DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
…
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation
Four Safety Strategies: A Symposium on Implementation
Principal Investigator: Mary A. Pittman, Dr.P.H.
Project Team: Allan Frankel, M.D., Partners HealthCare System
Tejal Gandhi, M.D., Brigham & Women’s Hospital
Sarah Grillo
Peter…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety:
Electronic Fetal Monitoring
AHRQ Publication No. 17-0003-18-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Elect…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
January 01, 2018 - Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Maine’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Med…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0134-technicalspecs.pdf
January 01, 2011 - Section II: Detailed Measure Specifications
Section II: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would be calculated from the
recommended data sources, uploading a separate document (+ Upload attachment) or
a link …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step1.html
March 01, 2019 - Step 1: Define the Goals, Scope, and Institutional Home of Your Stakeholder Engagement Process
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Overview
Previous Page Next Page
Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the Measure
K…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - PowerPoint Presentation
Spotlight Case
New Oral Anticoagulants
1
This presentation is based on the December 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Margaret C. Fang, MD, MPH, University of California, San Francisco
Editor, AHRQ WebM&M…
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meps.ahrq.gov/data_files/publications/st36/stat36.pdf
September 17, 2024 - Statistical Brief #36: State Differences in the Cost of Job-Related Health Insurance, 2001
Statistical Brief #36
State Differences in the Cost of Job-Related Health Insurance, 2001
By: James Branscome, MS
Introduction
Health insurance provided by employers is the primary source of medical coverage for …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
References
Previous Page
Table of Contents
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
Introduction
The Patient-Clinician Dyad
The P…
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap6.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Chapter 6. Comparing Your Results
Previous Page Next Page
Table of Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter 1. Introduction
Chapter 2. Survey Administration Statistics
Chapter 3. Medical Office Characte…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - Information to Help Hospitals Get Started
Ways to Learn More
Information to Help Hospitals Get Started
[Type text] [Type text] [Type text]
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement :: 2
This document contains links to resources on t…
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psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity
Simulation
March 1, 2006
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
Point–Counterpoint
Editor's Note…