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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - find a sponge; it was removed before the first stitch. 2
Planning and Development Process
After identifying
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-protocol.pdf
January 01, 2024 - Review Questions
Review Question
How effective are patient safety practices (PSPs) for identifying
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Previous evidence reviews have not explored the full range of medical databases
available for identifying
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psnet.ahrq.gov/node/865921/psn-pdf
May 22, 2024 - Enhanced free-text search for aggregated medication
error report analysis and risk detection.
May 22, 2024
Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report
analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi:10.1097/pts.0000000000001218.
http…
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psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - Adverse events in patients in home healthcare: a
retrospective record review using trigger tool
methodology.
February 21, 2018
Schildmeijer KGI, Unbeck M, Ekstedt M, et al. Adverse events in patients in home healthcare: a
retrospective record review using trigger tool methodology. BMJ Open. 2018;8(1):e019267.
doi…
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psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The American College of Surgeons' closed claims study:
new insights for improving care.
August 26, 2011
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study:
New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013.
https://p…
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psnet.ahrq.gov/node/73687/psn-pdf
September 08, 2021 - Handshake antimicrobial stewardship as a model to
recognize and prevent diagnostic errors.
September 8, 2021
Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to
recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi:10.1515/dx-2020-0032.
https:/…
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psnet.ahrq.gov/node/837764/psn-pdf
August 03, 2022 - Disparities in adverse event reporting for hospitalized
children.
August 3, 2022
Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J
Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049.
https://psnet.ahrq.gov/issue/disparities-adverse-event…
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psnet.ahrq.gov/node/867012/psn-pdf
October 23, 2024 - Do healthcare professionals work around safety
standards, and should we be worried? A scoping review.
October 23, 2024
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should
we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Sep 27. doi:10.1136/bmjqs-2024-0175…
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psnet.ahrq.gov/node/848038/psn-pdf
April 26, 2023 - Assessing system thinking in senior pharmacy students
using the innovative "Horror Room" simulation setting: a
cross-sectional survey of a non-technical skill.
April 26, 2023
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the
innovative "Horror Room" simulation sett…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/cjWWvkNrCHGUqu4jScs8Ak
Treating Tobacco Use and Dependence - Patients Not Ready To Make A Quit Attempt Now (The “5 R’s”)
Patients Not Ready To
Make A Quit Attempt Now
(The “5 R’s”)
Patients not ready to make a quit attempt may respond to a motivational
intervention. The clinician can motivate patients to consider a quit attempt
with the “5…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018773-cummins-final-report-2013.pdf
January 01, 2013 - The process of identifying information types in the primary study
involved substantial immersion in … The information content of analyzed calls included essential
identifying information – information identifying … characterization (fictional example of a characterization: “the child
with the digoxin exposure”), identifying
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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2012_Redesign_report.jsp
January 01, 2012 - HCUP Nationwide Inpatient Sample Redesign Final Report
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
…
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2013.jsp
January 01, 2013 - HCUPnet is a Web–based query tool for identifying, tracking, analyzing, and comparing statistics on hospitals
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/gantt-chart
January 01, 2023 - Gantt Chart
Also Known As
Activity Chart
Milestones Chart
Project Bar Chart
Description
A Gantt chart is used to outline the plan for and show the progress of a project. It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed for a pro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.8
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
• Identify factors that contributed to the team’s s…
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www.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - How Does the NPSD Work?
Information known as Patient Safety Work Product (PSWP) is developed by providers and AHRQ-listed Patient Safety Organizations (PSOs) . This information is submitted by PSOs to the Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event…
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hcup-us.ahrq.gov/reports/statbriefs/sb314-hospital-differences-HAIs-2019-2021-appendix.pdf
January 01, 2021 - APPENDIX A. Clinical Coding Criteria to Identify Healthcare-Associated Infection (HAI)-Related Inpatient Stays
1
APPENDIX A. Clinical Coding Criteria to
Identify Healthcare-Associated Infection
(HAI)-Related Inpatient Stays
Statistical Brief #314 | Agency for Healthcare Research and Quality,
Healthcare Cost…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.8
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
• Identify factors that contributed to the team’s success.
•…
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2011.jsp
January 01, 2011 - Weights
Final NEDS Sample
HOW TO USE THE NEDS FOR DATA ANALYSIS
Limitations of the NEDS
Identifying … The HCUP criteria for identifying an ED record (i.e., a discharge record for a patient with an ED event … For a patient who was directly admitted to the same hospital through the ED, clearly identifying whether … Identifying Different Types of ED Events
The HCUP data element ED event distinguishes among the different … HCUPnet is a Web-based query tool for identifying, tracking, analyzing, and comparing statistics on hospitals