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www.qualitymeasures.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - be an important source of information for understanding patient safety events and health care system failures
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Contextual errors and failures in individualizing patient care: A multicenter study.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
August 01, 2015 - Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature
Page 1
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program Special Innovation Feature, August 2015
The National Evaluation of the
CHIPRA Quality Demonstration Gra…
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www.qualitymeasures.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - Post-fall huddles are useful techniques for understanding reasons for failures in the system.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - The goal of defining a process is to hone in on patient safety vulnerabilities and potential failures
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-116-fullreport.pdf
November 01, 2016 - Approaching NIH guideline-recommended care for
maternal-infant health: clinical failures to use recommended
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www.qualitymeasures.ahrq.gov/prevention/resources/womens-health.html
July 01, 2018 - Skip to main content
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module8/slchangemgmt.html
March 01, 2014 - Skip to main content
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/dental.html
March 01, 2014 - Skip to main content
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www.qualitymeasures.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Skip to main content
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Table 5.A.1. Evidence Table
…
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - education; process change allowing institution-based reporting for adverse outcomes deemed to be system failures
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www.qualitymeasures.ahrq.gov/data/apcd/backgroundrpt/data.html
April 01, 2017 - This situation can occur due to carve-outs, multiple coverage for one individual, duplicate claims, or failures