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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - Updates addressed during the meeting include the following:
Agency Update
AHRQ • New issue brief posted … congressional-report/115th-congress/senate-report/150/1
https://www.ahrq.gov/patient-safety/reports/issue-briefs … /healthit-ed.html
https://www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed.html
https://www.ahrq.gov … /patient-safety/reports/issue-briefs/healthit-ed.html
2
Agency Update
AHRQ (cont’d.) • Resources
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - within a facility culture
Describe how staff can use the CUS technique (concerned-uncomfortable-safety issue … of the issue. … If the conflict is not resolved, state that there is a safety issue. … It could be a safety issue if we don’t wash our hands first and Mrs. … Mary could say, "Jessica, it could be a safety issue if we don't wash our hands first and Mrs.
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www.ahrq.gov/news/newsletters/e-newsletter/914.html
May 01, 2024 - AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care
Issue … Issue Brief Addresses Cognitive Load and its Impact on Diagnostic Accuracy . … Review additional new publications in PSNet’s current issue , including recent cases and commentaries … Issue Brief Addresses Cognitive Load and its Impact on Diagnostic Accuracy A new AHRQ issue brief provides
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - This can be an issue for which the average response is three or below or a domain score that shows less … establishing a tentative plan and timeline for carrying out an agreed-upon change that could improve the issue … If you have trend data across years, you could select an issue that has changed significantly.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Summary of Survey Findings
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introdu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-approach.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Initial Approach
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
In…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-references.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
References
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Da…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-apa.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Appendix A. Database Search Strategy
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Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
R…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Conclusions
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-references.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
References
Previous Page
Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
Initial Approach…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
In…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Discussion
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Da…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-apb.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Appendix B. Included Studies
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Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appe…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Methods
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. …
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - Update
AHRQ/
Improvement and
Patient Safety
• Diagnostic Safety Building Contract
o Posted our 7th Issue … errors through voluntary event reporting (I-
STAR).
2
https://www.ahrq.gov/patient-safety/reports/issue-briefs … /education-dx-outcomes.html
https://www.ahrq.gov/patient-safety/reports/issue-briefs/education-dx-outcomes.html … https://www.ahrq.gov/patient-safety/reports/issue-briefs/education-dx-outcomes.html
https://www.ahrq.gov
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www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
January 01, 2025 - The conference also produced a Special Issue on Resilience Engineering in the Applied Ergonomics
journal … A Special Issue on Resilience Engineering will be published in the Applied Ergonomics journal. … As
of July 29, 2019, 13 papers submitted to the special issue were under review. … for newcomers interested in engineering resilience in
healthcare”) will be published in the Special Issue … The Special Issue tentative publication date is January 6, 2020.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - In this Issue Brief, we discuss the state of the science of operational measurement of diagnostic safety
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - This issue brief discusses the nurse’s role in diagnostic safety, using the conceptual lens of distributed
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
August 01, 2023 - This issue brief explores the unique challenges of studying and improving diagnostic safety for children … The issue brief will also highlight approaches to address these challenges across the care delivery spectrum