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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - The field experience and familiarity of these individuals with resuscitation scenarios reinforce
the
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - Functional fixedness—a cognitive trap in which individuals struggle to think beyond the
most obvious
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Workplace Safety Supplemental Item Set for
Hospitals
Prepared for:
Agency for Healthcare Research and Qua…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pdf
January 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 4
Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of the U.S.-Mexico Border
2014 National Healthcare Quality and Disparities Report | 77
PART 4: HEALTH CARE OF RESIDENTS OF THE
U.S.-MEXICO BORDER
This part of the chartbook focuses on he…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
References
Previous Page
Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis in the Context of Rurality
Three Areas To Immediately Advance…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/consolidation-ownership-slides.pdf
April 03, 2025 - The Impact of Consolidation and Ownership on Primary Care - Slide Presentation
National Center for Excellence in Primary Care
Research
National Center for Excellence in Primary Care Research
Presents
The Impact of Consolidation and Ownership on Primary Care
April 3, 2025
Presented by:
Amelia Bond, PhD
E. Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children?
Evaluation Highlight No. 11
Authors: Grace Anglin and Mynti Hossain
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Qua…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2
Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters
Contents
Key Messages
Background
Findings
Conclusions
Implications
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
Introduction
to the SPPC-II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in the Safety Prog…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey
The PeaceHealth Ambulatory Medication
Safety Culture Survey
Ronald Stock, MD; Eldon R. Mahoney, PhD
Abstract
Objective: The objective of this project was to construct a measure of medication safety culture
in ambulatory settings. Methods: A 16-it…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Assessment of the Resident With a Suspected Respiratory Tract Infection
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Assessment of the Resident With a Suspected Respiratory Tract Infection
Long-Term Care
SAY:
Thank you for joining us. This…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - PowerPoint Presentation
Clean Equipment and Environment
Promotes Safe Resident Care
Training Module 2
AHRQ Pub. No. 16(17)-0003-9-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 2: Engaging Stakeholders in a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Manage…
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www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - How a
clinical decision tool performs varies based on the nature of the individuals being measured and