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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
References
Previous Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic Safety R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes
245
Surveillance of Surgery-related Adverse
Events in Missouri Using ICD-9-CM Codes
Mark Van Tuinen, Susan Elder, Carolyn Link, Susan Li,
John H. Song, Tracey Pritchett
Abstract
Objectives: This study estimated the validity of 2…
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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/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Provide or facilitate access to behavior change interventions and supports where needed
6.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/impguide.pdf
June 02, 2025 - Interventions can be discussed and initiated
immediately, with no delay.
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - incorrect diagnoses that
are made, and by whom, provides a foundation for developing future effective interventions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - assembled
ahead of time the necessary clinical information to help
clinical staff determine if new interventions
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www.ahrq.gov/sites/default/files/2024-07/picone-jollis-report.pdf
January 01, 2024 - volume and quality of care
has been well documented in the literature for a large number of medical interventions
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Examples include drug interaction and invasive interventions in the setting
of over-anticoagulation
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - Additional interventions may have included offering the bedpan or female urinal at scheduled intervals
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
April 01, 2018 - public health (e.g., state-sponsored immunization registries) when those data can be used to target interventions
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www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Methods (Study Design, Data Sources/Collection, Interventions, Measures, Limitations)
This retrospective
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Ongoing evaluation:
Assesses the effectiveness of interventions and whether they should be continued,
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - additional causes of errors, the organization is in a better position to develop patient safety-focused interventions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
March 01, 2004 - outcome measures by shift in root cause analyses
and identification of targeted quality improvement interventions
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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-Johnson_90.pdf
June 10, 2008 - It is generally understood that patient safety is a
systems issue and that interventions to improve
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - Similarly,
you can help central leadership adapt and modify interventions so they are effective at each … Interventions that work
with more affluent, health literate, or cultural majority populations may not
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Skilled nursing facilities [onsite providers, warm handoffs, joint readmission reviews, INTERACT
(Interventions … This list represents possible
interventions you may identify for a patient.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - process, and
Provide summarized fall data to improve prevention
practices, implement timely interventions … processes; and
Provide summarized fall data to improve prevention
practices, implement timely system interventions