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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
References
Previous Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
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www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
January 01, 2024 - Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II
Minimizing Error, Maximizing Outcome (MEMO): Physician Worklife Study II
Mark Linzer, MD, Principal Investigator (University of Wisconsin-Madison)
Mark Schwartz, MD, Co-Principal Investigator (New York Universi…
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www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse
TITLE PAGE
Title of Project: Ambulatory patient safety of clients in treatment for
substance abuse
Principal Investigator: Bentson McFarland, MD, PhD
Team Members: Colleen Lewy, PhD
Christina Nicolaidis, MD
Patri…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-
Performing Medical Practices
October 2014 Webcast
Speakers
Mon L. Yee, MD, Family Medicine, Meriter DeForest-Windsor Clinic, DeForest, …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care
Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022
RE…
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www.ahrq.gov/chsp/publications/index.html
September 01, 2023 - Publications From the Comparative Health System Performance Initiative
The publications listed below have resulted from AHRQ’s Comparative Health System Performance Initiative from its launch in 2015 to date. Publications include topics such as characterizing systems, modifying internal processes to improve ca…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
References
Previous Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Unique Challenges in Approaching Diagnostic Safety in Older Ad…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network
Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers
in a Regional Care Network
Rachel A. Umoren, MBBCh, MS
Mega…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
January 01, 2024 - The availability of fully implemented electronic medical record systems in primary care settings
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - Nor have they implemented programs
to reduce workplace fatigue.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - and provides some additional reinforcing feedback.
57
Acknowledgments
This project was funded and implemented
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-6-b-measure.pdf
January 01, 2013 - Medicaid enrollment (to correct the documented issue with Medicaid undercounting) in the
ACS were only implemented
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www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
January 01, 2025 - However, we have
recently implemented a bootstrapping-based approach using the method outlined above