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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - acknowledged the existence of circumstances that may
Medication Safety in the Physican's Office
121
increase
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - levels of diagnostic variability between
pathologists, we also performed interventions to attempt to increase
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
January 01, 2020 - SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript
October 2019 https://www.ahrq.gov/sops/index.html 1
Introducing the New
SOPS Hospital Survey 2.0
October 30, 2019 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AH…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implem…
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www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
January 01, 2024 - Final Progress Report: Health Journalism 2011, national conference on healthcare journalism
Final Grant Report for
Agency for Healthcare Research and Quality
Title: Health Journalism 2011, national conference
on healthcare journalism
Principal Investigator: Leonard J. Bruzzese
Organization: Center…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013)
Webinar Transcript
Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator:
This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, December 10th, 2013, scheduled for 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding; we now have our speake…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pptx
September 01, 2016 - Slide 1
National Healthcare Quality and Disparities Report
Chartbook on Person- and
Family-Centered Care
September 2016
This presentation contains notes. Select View, then Notes page to read them.
1
National Healthcare Quality and Disparities Report
Annual report to Congress mandated in the Healthcare Research…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
January 01, 2020 - Slide 1
NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT
Chartbook on Access to Health Care
May 2016
1
National Healthcare Quality and Disparities Report
Annual report to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129)
Provides a comprehensive overview of:
Quality of health…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives
PATIENT
SAFETY
e
Issue Brief 12
Patient Experience as a Source for
Understanding the Origins, Impact,
and Remediation of Diagnostic Errors
Volume 2: Eliciting Patie…
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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/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - version was released in the fall of 2020 to accommodate a patient care
environment with a significant increase
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
January 01, 2013 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Federal Register Notice 2474-NC-CMS:
Request for Public Comment on Initial, Recommended Core Set of
Children’s Healthca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - This seemed to increase the “credibility” of the data and the change
proposed in response to the problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - particular medication any longer; others might
feel that their child is having more problems, and so might increase
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - However, because the
patients’ age, sex, or severity of condition
may increase their risk of death,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - However, because the patients’ age, sex, or severity
of condition may increase their risk of death,
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www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness
Title of Project:
Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical
Illness
Principal Investigator and Team Members:
Principal Investigator: Brian Pickering, MB,…