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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Study
Using statistical text classification to identify health information technology … Using statistical text classification to identify health information technology incidents. … Using statistical text classification to identify health information technology incidents.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2011.pdf
January 01, 2011 - Engaging Stakeholders to Identify and Prioritize Topics for Future Research: Recommended activities and … reporting practices
1
Engaging Stakeholders to Identify and Prioritize Topics for Future Research … presents a series of recommended activities for researchers who are involving stakeholders in efforts to identify … The recommendations presented are drawn from an AHRQ
sponsored methods project to identify and describe … Methods for Engaging Stakeholders To Identify and Prioritize Future Research Needs.
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - evaluation of a simulation training designed to help emergency medicine and pediatric learners identify … The simulation objectives were for the learners to (1) identify that the case was not concerning for … non-accidental trauma, (2) identify that the resident was displaying bias, and (3) communicate with both … July 5, 2023
In situ simulation as a quality improvement tool to identify and mitigate … March 1, 2023
In situ simulation as a tool to longitudinally identify and track latent
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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - Prior research has found that simulation-based event analysis (SBEA) can identify novel sources of error … March 2, 2022
In situ simulation as a tool to longitudinally identify and track latent … February 23, 2022
Hospital-wide cardiac arrest in situ simulation to identify and mitigate … More
Related Resources
In situ simulation as a quality improvement tool to identify … November 16, 2022
Hospital-wide cardiac arrest in situ simulation to identify and
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - and children and led to development of an EHR assessment tool that healthcare facilities can use to identify … Identifying EHR usability issues and potential harm to patients The research team developed algorithms to identify … categorize the EHR-related patient safety events as usability design- or implementation-related issues, and identify … This tool can be used by any healthcare facility to identify specific issues in its EHR and to identify
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
January 01, 2023 - Description
Failure mode and effects analysis (FMEA) is a method that attempts to identify all possible … IDENTIFY THE SCOPE of the FMEA. … IDENTIFY THE FUNCTIONS OF YOUR SCOPE. … For each function, IDENTIFY ALL THE WAYS FAILURE COULD OCCUR - i.e. the potential failure modes. … IDENTIFY THE CURRENT PROCESS CONTROLS for each cause.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - Discuss the relationship between CUSP and Sensemaking
Introduce CUSP and Sensemaking tools to identify … Defects
and Use Sensemaking
Identify Defects Overview
Define defects
Identify sources of defects … Use the form during safety rounds to identify safety issues, identify potential solutions, and identify … Keep the project leader apprised of the information on this form.
13
Sensemaking Tool To Identify … defects and identify ways to deter them from occurring in the future
32
________
32
Summary of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - Defects Through Sensemaking
Step 4: Communicate the vision Understand the Science of Safety
Identify … Identify Defects Through Sensemaking
Understand the Science of Safety
Step 3. Define the aims. … Identify Defects Through Sensemaking
Step 4. Design an intervention. … Identify Defects Through Sensemaking Understand the Science of Safety
6
As seen in TeamSTEPPS®
6 … Identify Defects Through Sensemaking
Step 6. Develop an implementation plan.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-2-specs.pdf
June 30, 2009 - Identify all children who are born within the 18-month window of observation – for these
children, … Identify all children who reach the age of 18 before the end of the 18-month window of
observation … Identify total number of months covered by CHIP for each child in the eligible population. … Identify total number of months covered by CHIP for each child in the eligible population. … Identify all children age 2-16 at the start of the observation window
3.
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - Patient safety event investigations identify opportunities to prevent future events, also known as … 2024
Filling a gap in safety metrics: development of a patient-centred framework to identify … August 9, 2018
Surveying care teams after in-hospital deaths to identify preventable … December 14, 2022
Root cause analysis to identify contributing factors for the development
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psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
February 10, 2015 - Study
Does the Leapfrog program help identify high-quality hospitals? … Does the Leapfrog program help identify high-quality hospitals? … Does the Leapfrog program help identify high-quality hospitals?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pqmp-data-process-flow.pdf
June 02, 2025 - decrease ED rates for patients with asthma
(based on using the PQMP asthma measure)
Can the practice identify … Use descriptive statistics to identify
causes for ED visits for asthma. … Use descriptive statistics to identify causes for ED visits
for asthma. … Use descriptive statistics to identify
causes for ED visits for asthma. … Improvement team formed to identify SMART Aims and Measures and to initiate Quality Improvement activities
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psnet.ahrq.gov/issue/computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
October 27, 2021 - the use of simulation-based training to improve pediatric hematology/oncology providers’ ability to identify … Author(s)
Filling a gap in safety metrics: development of a patient-centred framework to identify … August 26, 2020
Use of patient complaints to identify diagnosis-related safety concerns … 2021
Assessment of patients' ability to review electronic health record information to identify … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify
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psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed
October 11, 2023 - Study
Can medical record reviewers reliably identify errors and adverse events in … Can medical record reviewers reliably identify errors and adverse events in the ED? … Can medical record reviewers reliably identify errors and adverse events in the ED? … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … March 10, 2011
Use of an electronic information system to identify adverse events resulting
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
January 01, 2023 - and children and led to development of an EHR assessment tool that healthcare facilities can use to identify … The specific aims of this research were as follows:
Identify health IT-related PSEs from large PSE … Using active learning to identify health Information technology related patient safety events. … This tool can be used by any healthcare facility to identify specific issues in its EHR and to identify … This NLP algorithm can identify and code a reported safety event as related or not related to an EHR
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www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
December 01, 2012 - Identify Defects Through Sensemaking
Slide 24. … Identify Defects Through Sensemaking
Step 4. Design an intervention. … Identify characteristics of effective teams and barriers to team performance. … Identify Defects Through Sensemaking
Introduce CUSP and Sensemaking tools to identify defects and … Identify barriers to communication.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
April 01, 2025 - cases
Communication with patients via letters after discharge to identify cases
Other:
22. … cases
Communication with patients via letters after discharge to identify cases
Other:
29. … cases
Communication with patients via letters after discharge to identify cases
Other:
36. … cases
Communication with patients via letters after discharge to identify cases
Other:
43. … cases
Communication with patients via letters after discharge to identify cases
Other:
57.
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psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
January 26, 2022 - Emerging Classic
Application of electronic trigger tools to identify … Application of electronic trigger tools to identify targets for improving diagnostic safety. … Application of electronic trigger tools to identify targets for improving diagnostic safety. … 2021
Filling a gap in safety metrics: development of a patient-centred framework to identify … January 21, 2019
Use of patient complaints to identify diagnosis-related safety concerns
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - Simulation can be used to identify latent safety threats, test new environments, and uncover team communication … October 4, 2023
In situ simulation as a tool to longitudinally identify and track latent … February 22, 2023
In situ simulation as a quality improvement tool to identify and mitigate … June 13, 2018
Hospital-wide cardiac arrest in situ simulation to identify and mitigate
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/134-translating-research-into-practice.pptx
April 01, 2025 - Surgical Services
Translating Research into Practice
1
Educational Objectives
Define the TRiP Model
Identify … AHRQ Safety Program for MRSA Prevention | Surgical Services
Translating Research into Practice
TRiP: Identify … Barriers
Identify local barriers to implementation
Observe the workflow in the staff area
Meet with … staff to discuss the process
Identify patient barriers
Identify staff barriers
| 6
AHRQ Safety Program … and context of work
Measure performance
Ensure all patients receive the interventions
Use the 3 As to identify