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  1. www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
    January 01, 2025 - Graber, MD SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day … below, along with the text comments. 3 Diagnostic Error in Medicine 2009 - General Evaluation Summary … Great summary of where we are now. Great argument for dual process of dx thought. … There was little to no discussion of modeling. 8 Final Progress Report SUMMARY SPECIFIC COMMENT … AREAS Diagnostic Error in Medicine 2009 -General Evaluation Summary Diagnostic Errors in Medicine
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/rotator-cuff-tears-future_research.pdf
    February 01, 2013 - Louis, MI v Contents Executive Summary ......................................... … Revised List of Rotator Cuff Research Knowledge Gaps ES-1 Executive Summary Background … This Executive Summary provides a brief synopsis of the project. … stakeholders were provided a document on the background and purpose of the project, the original report’s Executive … Knowledge Gaps from the original report augmented by the Minnesota EPC researchers (Appendix C), the Executive
  3. effectivehealthcare.ahrq.gov/sites/default/files/pdf/long-term-care-adults-future_research.pdf
    July 01, 2013 - Senior Vice President and Executive Director Leading Age Center for Applied Research Washington … Summary ............................................................................................ … Description of the forthcoming AHRQ report (see LTC Review Draft Executive Summary attachment) b. … Call summary emailed to stakeholders. b. … Comments to summary (if any) due from stakeholders within 5 working days c.
  4. effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections-surveillance-140925.pdf
    January 01, 2014 - Summary Table Conclusions from CER Executive Summary SRC Literature Search FDA/ Health Canada/MHRA … In summary, these results support the use of illumigene C. difficile assay. … Name of Person Completing the Form: _________________________________________ Conclusions From CER Executive … Conclusions From CER Executive … Conclusions From CER Executive
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
    January 01, 2017 - • Lack of institutional support: The CUSP team needs to include an executive from the hospital’s … The executive can take concerns and issues back to the administration, help solve problems, and act … Here is a summary of strategies to standardize care, create independent checks, and learn from defects … National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December … Developing a new national approach to surveillance for ventilator-associated events: executive summary
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Contingency Teams 8 SCRIPT Administration includes the executive leadership of a unit or facility … Healthcare Providers (OB/GYN, midwife, family medicine, pediatricians, anesthesiologist, NICU) • Executive … access to resources necessary for the intervention. 23 Hospital AIM Team Leads SPPC‐II Summary … Engagement Strategies Staff Engagement Strategies Engagement Strategies: WIFM Successful AIM Teams Summary
  7. psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
    February 14, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  8. psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
    October 01, 2014 - March 27, 2019 Evaluation of an electronic health record structured discharge summary
  9. psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
    November 29, 2023 - Summary Free full text (PDF) Save Save to your library Print Download PDF
  10. psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
    August 02, 2011 - July 12, 2023 Evaluation of an electronic health record structured discharge summary
  11. psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
    July 01, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary
  12. psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
    December 18, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  13. psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
    September 24, 2017 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary
  14. psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  15. psnet.ahrq.gov/issue/use-simulation-based-education-reduce-catheter-related-bloodstream-infections
    June 27, 2018 - Study Use of simulation-based education to reduce catheter-related bloodstream infections. Citation Text: Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archin…
  16. psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
    September 07, 2016 - March 1, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care
  17. psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
    April 14, 2021 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary
  18. psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
  19. psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
    November 26, 2014 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary
  20. psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
    July 05, 2013 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary