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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The Key to
Understanding Health Care Systems
Ben-Tzion Karsh, Samuel J. Alper
Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems, require systems analyses, a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities
395
Using Probabilistic Risk Assessment
to Model Medication System Failures
in Long-term Care Facilities
Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale
Abstract
Objectives: State agenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense
361
Standardizing Medication Error Event
Reporting in the U.S. Department of Defense
Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake
Abstract
Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/index.html
October 01, 2014 - Studies in Meta-analyses
This Clinical Practice Guideline used the references below in meta-analyses of research on treating tobacco use and dependence. They are listed by table in the guideline:
Contents
Table 6.4 | Table 6.5 | Table 6.7 | Table 6.8 | Table 6.9 | Table 6.10 | Table …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Nursing Home's Pressure Ulcer Prevention Implementation
Scripted Exercise #…
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Hybrid CR Workgroup
Evalu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & No…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
3. Assessment Plan and Methodology
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Descripti…
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www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
January 01, 2024 - Final Progress Report: Implementing Best Practices in Palliative Care
Title: Implementing Best Practices in Palliative Care
Funding Agency: Agency for Healthcare Research and Quality
Kimberly S. Johnson, MD, MHS (Principal Investigator)
Duke University School of Medicine
Jean Kutner, MD, MPH
University of Colo…
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery
Developing a patient-centered model of the risk of perioperative complications in spine surgery
John Ratliff, MD, PI
Team members:
Summer Han, PhD
Richard Olshen, PhD
Lu Tian, PhD
Paola Suarez
…
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www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
January 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting
Final Report
“Building Consensus Among States on Patient Safety Reporting”
William E. Golden, M.D.
Vice President for Quality Improvement
Health Care Quality Improvement Programs
Office of Projects and Analysis
Arkansas F…
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www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care
Identification and Dissemination of Best Practices for Patient-Centered Care
Final Report
Principal Investigator: Hanan Aboumatar, MD, MPH
Project Coordinator: Bickey Chang, MHA
Armstrong Institute for Patient …
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www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
January 01, 2025 - Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients
Title: Measuring Quality of Primary Care in Complex Pediatric Patients
Principal Investigator: Alex Y. Chen, MD, MS
Organization: Children’s Hospital Los Angeles
Inclusive Dates of Project: 07/01/2009- 06/30/2012
Federal Projec…
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Final Progress Report: Quality Factors in Nursing Home Choice
1
Title Page
Title of Project: Quality Factors in Nursing Home Choice
Principal Investigator: JoAnn G. Congdon
Team Members:
Co-Principal Investigator: Joan K. Magilvy
Investigator: Mary A. Blegen
Investigator: Katherine R. Jones
Investigator: Nor…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) 2022 Virtual Research Meeting
Summary: Assessing Patient Experience …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - Federal, State, and local levels in making qualitative and quantitative policy decisions
using reliable, integrated