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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - AHRQ Hospital Pilot Study Final Report
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 290201300003C
Manag…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
December 14, 2011 - Improvement:
Despite the mounting evidence that red blood cell transfusions may be associated with more harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - million cases of ED-based diagnostic error per year, with nearly half having the
potential for patient harm … communication in diagnostic processes, as well as the
impact of suboptimal communication on patient harm … diagnostic safety through the lens of
distributed cognition would be a major advance in the quest to limit harm
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/879.html
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January 01, 2024 - Errors were found to have contributed to temporary harm, permanent harm, or death in nearly 18% of patients
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/821.html
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach.pptx
January 20, 2006 - the end of the shift, it would be better to not announce you are leaving and make a joke that could harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - the patient, and (3)
mistakes that could harm the patient but do not. … When a mistake is made, but has no potential to harm the patient, how
often is this reported? ...... … When a mistake is made that could harm the patient, but does not,
how often is this reported? ..... … When a mistake is made, but has no potential to harm the patient, how often is this reported?
D3. … When a mistake is made that could harm the patient, but does not, how often is this
reported?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
February 01, 2018 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA
Value & Efficiency Survey Item
Development and Pilot Test Results
Joann Sorra, PhD
Project Director
User Network for Surveys on Patient Safety
Culture™ (SOPS™)
Westat, Rockville, MD
11
AHRQ Surveys on Patient Safety Culture
Surve…
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
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