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www.ahrq.gov/hai/cusp/modules/understand/alt-text.html July 01, 2018 - Understand the Science of Safety Module Alternate Text 
 
 
 
 
 
 
 Slide Number and Title 
 Slide Content 
 Content for Alternative Text (Illustration) 
 
 
 Slide 1 
			Cover Slide 
 (CUSP Toolkit logo) 
 The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…  
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www.ahrq.gov/news/newsletters/e-newsletter/922.html July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident 
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf January 01, 2024 - evaluation of ICU errors was an Israeli study that collected data 
by both direct observation and stimulated incident … rated by 
two physician investigators blinded to the identity of those involved and to 
whether the incident … Reviewers categorized each incident as an adverse event, nonintercepted 
serious error, intercepted serious … independent investigators who were blinded to study condition and 
who made final determinations of incident 
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html October 01, 2017 - The hospital’s Incident Report, if available. 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf April 01, 2011 - Measuring Pressure Ulcer Rates and Prevention Practices
Measuring Pressure Ulcer 
Rates and Prevention 
Practices
Presented by 
Karen Zulkowski, D.N.S., RN
Montana State University
2
Welcome!
Thank you for joining this webinar about how to 
measure pressure ulcer rates and prevention 
practices.
A Little…  
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html June 01, 2018 - The cohorts include incident hemodialysis patients. 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx January 01, 2016 - participants:
· Module 5 PowerPoint slide presentation handout, 3 slides to a page
· The hospital’s Incident 
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www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries
Title Page
Title of Project: Reducing the risk  of preventable postpartum lower  extremity nerve 
injuries
Principal Investigator and Team Members: Paloma Toledo, MD, MPH; William A. 
Grobman, MD, MBA; Julia Lee, PhD; …  
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf April 01, 2025 - The Joint Commission proposes actions for all 
organizations to take, including developing incident reporting … Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 
https://www.ahrq.gov … resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient Safety Agency has developed the Incident … The Incident Decision Tree supports the aim of creating an 
open culture, where employees feel able to … Improve Staff Stability 
Improving Patient Safety in Long-Term Care Facilities: Training Modules 
Incident 
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx January 01, 2024 - Blood Dashboard Data
Introduction
	Introduction-Blood or Blood Product
	The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequen…  
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www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases
Title of Project: An expert-guided machine-learning 
approach to estimate the incidence, risk, and harms 
associated with diagnostic delays for infect…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf January 10, 2005 - Reduction in injury incidence and severity 
Injury data included a description of the incident (equipment … used and task 
performed), time and date of incident, unit where incident occurred, days of work 
lost 
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf April 01, 2023 - The Joint Commission proposes actions for all
organizations to take, including developing incident reporting … Incident Decision Tree 
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … The Incident Decision Tree supports the aim of creating an 
open culture, where employees feel able to … Ulcers
Improve Staff Stability 
Improving Patient Safety in Long-Term Care Facilities: Training Modules
Incident … Incident Decision Tree 
	3. 
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism
Venous Thromboembolism 16-1 
16. Venous Thromboembolism 
Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. 
Introduction 
Background 
Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary 
embolism (PE). …  
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
	Introduction-Device or Medical/Surgical Supply including Health Information Technology
	The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …  
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www.ahrq.gov/npsd/data/dashboard/perinatal.html September 01, 2025 - Perinatal Dashboard 
 
 
 
 Learn more about  how the dashboards are set up . This dashboard presents the distribution of incidents by the final mode of delivery.  Selecting one of the options in the top table below will display a related figure and table. This information can also be downloaded as an Excel file from t…  
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf December 01, 2013 - Section 5.A, Table 4
 
               
                 
 
                         
   
                           
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle 
Cell Disease 
Graphics for Section V. …  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf May 01, 2013 - Calcium and vitamin D intake and risk of 
incident premenstrual syndrome. … Folate intake and the risk of incident hypertension 
among US women. … Plasma 25-hydroxyvitamin D levels and risk of 
incident hypertension. … A prospective study of calcium intake and incident 
and fatal prostate cancer. … Carbohydrates, dietary fiber, and incident type 2 
diabetes in older women. 
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www.ahrq.gov/npsd/data/dashboard/blood.html September 01, 2025 - Blood and Blood Product Dashboard 
 
 
 
 Learn more about  how the dashboards are set up . This dashboard details the report type (i.e., Incidents, Near misses, and Unsafe conditions), type of blood product involved, report type by blood product, reported contributing factor to the event, the incorrect action, and the…  
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis 
 Future Vision for Probabilistic Diagnostic Decisions 
 
 
 
 
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 Table of Contents 
 
 Improved Diagnostic Accuracy Through Probability-Based Diagnosis 
 Introduction 
 Fundamental Concepts for Understanding Probability 
 Proba…