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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Appr…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - Chart Abstraction Form
Basic Elements
Patient ID Race Ethnicity Gender Payer
Preferred
Language
Age upon
admission (YEARS)
[e.g. for 12.5 year
old, years = 12)
Age upon
admission
(MONTHS) [ e.g.
for 12.5 year old,
months = 6]
1 White Non-Hispanic Female Medicaid English …
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix C. Article Exclusion List with Reason for Exclusion
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
P…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - re
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Learning From Known Incidents … While research has examined the predictive validity of NLP
algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Multifactorial Context of Diagnostic Safety
Choosing Data Sources for Measurement
Learning From Known Incidents
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - re
nt
ly
d
ev
el
op
ed
fo
r r
ea
l-t
im
e
su
rv
ei
lla
nc
e.
10
Learning From Known Incidents … While research has examined the predictive validity of NLP
algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Multifactorial Context of Diagnostic Safety
Choosing Data Sources for Measurement
Learning From Known Incidents
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Contents …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health Plan - Key Driver Diagram
Key Drivers
Strateg…
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A.
Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac
Surgery
Principal Investigator: Elizabeth A. Martinez, MD, MHS
T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual
Appendix C. Operations Manual
The Health Care Safety Hotline: Operations Manual
Denise D. Quigley, RAND Corporation
Shaela Moen, RAND Corporation
Robert Giannini, ECRI Institute
Lauren Hunter, RAND Corporation
Operations Ma…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
March 01, 2017 - Resident And Family Engagement: What is my role as a leader?
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
What is resident and family engagement?
Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up to a 50 percent decrease in the incidence of gastric aspiration, a potential cause…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
January 01, 2018 - Community-Acquired Pneumonia in the Emergency Department Setting
Community-Acquired Pneumonia in the
Emergency Department Setting
Background on Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately
6 million cases are reported annua…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Can patients report patient safety incidents in a hospital setting? A systematic review.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - Uncovering patterns and the root causes of patient safety incidents
2.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations
Technical Review 17
Nutritional Research Series
Volume 5: Comparison of Translational Patterns in Two
Nutrient–Disease Associations
Prepared for:
A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Involving Patients and Families in Safety
July 25, 2023
2:00-3:00 PM ET
Special Guest Speakers
Sue Sheridan,
MIM, MBA, DHL
Founding Member,
Patients For Patient
Safety U…
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www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022
Title Page – Final Progress Report
Title: Diagnostic Error in Medicine Conference 2020-2022
Principal Investigator: Gerry Castro, PhD, MPH
Team Members:
2022 Conference Chairs, Co-chairs and Planning Commitee members
Andrew Olson…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
April 01, 2011 - Sustaining Pressure Ulcer Prevention Practices at Your Hospital
Sustaining Pressure Ulcer
Prevention Practices at
Your Hospital
Presented by Dan Berlowitz, M.D., M.P.H.
Bedford VA Medical Center
Boston University School of Public Health
2
Welcome!
Thank you for joining this
webinar about how to
sustain pr…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment
TeamSTEPPS® for Diagnosis Improvement
Knowledge Assessment
This knowledge assessment tests the participants’ knowledge of the teamwork principles
demonstrated in the TeamSTEPPS for Diagnosis Improvement course.
1. TeamSTEPPS provides resources to optimize…