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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
November Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
October 01, 2022 - 2022 National Healthcare Quality and Disparities Report Executive Summary
e
2022
National
Healthcare
Quality and
Disparities
Report
Executive
Summary
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2022 Nat…
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preventiveservices.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
January 01, 2018 - Skip to main content
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preventiveservices.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - system for blood transfusions was used to prevent patient
identification errors and reduced voluntary incident … It reduced the number of monthly
voluntary incident reports and reduced the blood
sample rejection
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Prevention
Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Prevention Facilitator Training
2-day training provides:
Overview of On-Time
Instruction on the role of a Facilitator
Introduction to On-Time reports an…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
Overview of On-Time
On-Time Preventable Hospital and
ED Visits Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilita…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Healing Facilitator Training
Two-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and …
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - Instead, this step involves listening to the second-victim's story, helping the second-victim put the incident
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
…
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Skip to main content
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preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
November 24, 2020 - References
Toolkit for Engaging Patients
To Improve Diagnostic Safety
References
Implementation Roadmap
1. Practice Facilitation Handbook. Content last reviewed May 2018. Agency for Healthcare
Research and Quality, Rockville, MD. https://www.ahrq.gov/ncepcr/tools/pf-handbook/
index.html.
Toolkit Infographic
1. …
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - method allowed
researchers to aggregate similar MDOs that were not identified through traditional incident … characterize MDOs,
including clinician surveys,101 morbidity and mortality conference reviews,102,103 incident … Incident Reporting System in Pediatric Inten-
sive Care Units of Cairo Tertiary Hospital: An Intervention
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preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
September 01, 2013 - Skip to main content
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preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2024 - Using incident reports to assess communication failures and patient outcomes . … The learning lab will use a variety of methods, including machine learning, critical incident technique
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
Nurse Bedside Shift Report
Implementation Handbook
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patie…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Innovation on Maternal Health
Readiness (unit level)
Recognition and Prevention (patient level)
Response (incident
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1)
Guide to Patient and Family Engagement :: 1
IDEAL Discharge Planning Overview, Process, and Checklist
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 R…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - They are the most frequently reported incident in adult inpatient units.