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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
-
psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
September 24, 2017 - Patient Safety Innovations
Rescue Improvement Conference Innovation Summary
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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
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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…
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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
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Patient Safety Innovations
Rescue Improvement Conference Innovation Summary
-
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
-
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
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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