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psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety. … Safety huddles to proactively identify and address electronic health
record safety. … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety … They concluded that such
huddles may be a useful strategy to identify and mitigate concerns related … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
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psnet.ahrq.gov/node/39600/psn-pdf
June 16, 2010 - Developing a patient safety surveillance system to
identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in
the intensive care unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events- … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
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psnet.ahrq.gov/node/36413/psn-pdf
July 13, 2010 - Implications of the failure to identify high-risk
electrocardiogram findings for the quality of care … Implications of the failure to identify high-risk electrocardiogram
findings for the quality of care … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
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psnet.ahrq.gov/node/47731/psn-pdf
April 27, 2019 - Implementing strategies to identify and mitigate adverse
safety events: a case study with unplanned … Implementing Strategies to Identify and Mitigate Adverse Safety Events:
A Case Study with Unplanned … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - A multidisciplinary team developed the AAM program to identify and respond to alerts of likely patient … Identify the team members who will be trained to monitor and review the AAM scores and facilitate the … Review the data regularly to identify opportunities to improve the process and the outcomes and refine … Problem Addressed
The AAM program was designed to identify patients on general hospital units who are … Identify the team members who will be trained to monitor and review the AAM scores and facilitate the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - Walk the current care delivery process to identify defects at each step. … The answers to those questions will help you identify local barriers. … Identify the potential gains or losses in current practice. … reiterate, to identify local barriers you must walk your process. … Identify only the data you need to determine if it will work.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - Walk the current care delivery process to identify defects at each step. … The answers to those questions will help you identify local barriers. … Identify the potential gains or losses in current practice. … Slide 7: Identify Local Barriers
Say:
To reiterate, to identify local barriers you must walk your … Identify only the data you need to determine if it will work.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - However, an opportunity is being missed to
combine these risk assessments to identify generic risks … — to identify fail points.
• “How likely is it?” — to identify frequency. … — to identify harm. … Risk-binning analysis protocol to identify significant risks. … controls
Step 1
Identify
hazards
Identify
controls
and
safety
inter-
ventions
Table 5.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - Leadership agrees to identify a change team champion and establish a multidisciplinary Change Team to … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team
The Change Team consists … The team is guided by the Facilitator to identify gaps and begin to think about ways On-Time reports … In completing this task, the team may identify problems in, for example, nursing assistant documentation … Identify Multidisciplinary Team Members To Serve as the Change Team
Within 2 weeks
4.
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psnet.ahrq.gov/node/44036/psn-pdf
April 15, 2015 - Can medical students identify a potentially serious
acetaminophen dosing error in a simulated encounter … Can medical students identify a potentially serious acetaminophen dosing error in a
simulated encounter … https://psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error … https://psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated … https://psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
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psnet.ahrq.gov/node/47431/psn-pdf
September 26, 2018 - Partnering with pediatric patients and families in high
reliability to identify and reduce preventable … https://psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce … The organization
applied high reliability concepts to identify, recognize, and support projects at the … https://psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable … https://psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
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psnet.ahrq.gov/node/44049/psn-pdf
September 12, 2016 - A systematic review to identify the factors that affect
failure to rescue and escalation of care in … A systematic review to identify the factors that affect failure to rescue
and escalation of care in … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
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psnet.ahrq.gov/node/844996/psn-pdf
February 22, 2023 - In situ simulation as a tool to longitudinally identify and
track latent safety threats in a structured … In situ simulation as a tool to longitudinally identify and track latent
safety threats in a structured … https://psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats … https://psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured … https://psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Administrative data sources are mainly useful insofar as they can be used to identify patterns or specific … However, more selective methods can identify a high-yield subset (e.g., reviewing records of patients … these signals. 74,76,77
For example, algorithms could identify patients with a certain type of abnormal … test result (denominator) and identify which results have still not been acted upon after a certain … It helps users identify potential diagnostic errors in a standardized way for further analysis and safety
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
June 02, 2025 - • Identify implementation gaps and process failures that must be addressed to support
automatic … o Identify stakeholders to involve, including patients. … o Identify opportunities to enhance care coordination. … Ask staff to identify processes and workflows that are working well.
c. … Identify changes:
a.
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Describe how that inventory can be used to conduct a gap analysis and identify services or partners that … Identify whether efforts are coordinated.
Identify whether there is duplication. … Identify gaps—in administrative support.
Identify gaps—in clinician engagement. … Slide 12: Community Inventory Tool
Use this tool to identify:
Peer supports? … Identify 3-4 primary ways by which the aim will be achieved.
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psnet.ahrq.gov/node/838073/psn-pdf
August 01, 2018 - Reliability and usability of a 7-minute chart review tool to
identify pediatric prehospital adverse … Reliability and usability of a 7-minute chart review tool to
identify pediatric prehospital adverse … https://psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital … https://psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse … https://psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
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www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
August 01, 2025 - The research team is using EHR data to detect and validate markers of physical abuse to help identify … children experiencing abuse; using EHR simulations to identify abuse-related diagnostic errors; and … Develops artificial intelligence and statistical learning tools to identify and address vulnerabilities … The research team is using a combination of administrative and claims data to identify diagnoses at risk … E-trigger algorithms can efficiently identify patterns of care indicating missed or delayed diagnoses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Identify which family or friends will provide care at home and include them in conversations. … Identify warning signs or potential problems. … Who: Hospital to identify staff person to distribute, for example a nurse, patient advocate, or discharge … Who: Hospital to identify staff person to do, such as a patient advocate or discharge planner. … Who: Hospital to identify staff person to review the medication list with patient and family.
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datatools.ahrq.gov/hcupnet/hcupnet-dua/
January 01, 2022 - Search
Data Use Agreement for HCUPnet
Attempts to identify … The AHRQ Confidentiality Statute prohibits the use of AHRQ HCUP data to identify any person (including … I will make no attempts to identify establishments directly or by inference. … The AHRQ Confidentiality Statute prohibits the use of AHRQ HCUP data to identify any person (including … I will make no attempts to identify establishments directly or by inference.