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  1. 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…
  2. 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 …
  3. 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…
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.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
  5. 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
  6. 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 …
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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.
  14. 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.
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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