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www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby,
Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar,
Richard…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby,
Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar,
Richard…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - Slide 1
Preventing CAUTI in Special Populations:
Focus on Procedure-Related Catheter Use
1
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiology, Infection Prevention and Control
Hospital of the University of Pennsylvania
Gregory D. Kennedy, MD, PhD
Ass…
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www.ahrq.gov/es/hai/pfp/haccost2017-results.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Results
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Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditi…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/HS-23-012-faq.pdf
May 15, 2023 - Frequently Asked Questions - RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18)
RFA-HS-23-012: Implementing and Evaluating New Models for
Delivering Comprehensive, Coordinated, Person-Centered Care to
People with Lo…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/cognitive-task.pdf
March 01, 2013 - Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work
c
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's ov…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps_webinar_012017.pptx
January 01, 2017 - Brain Based Learning
Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability
January 11, 2017
TEAMSTEPPS 05.2
Mod 1 2.0 Page ‹#›
Brain Based Learning Strategies
1
Page ‹#›
Rules of Engagement
Audio for the webinar can be accessed in two ways:
Through the phone (*Ple…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/igcommunication.pdf
October 08, 2015 - Module 3, Communication (Instructor Guide, TeamSTEPPS 2.0)
Assumptions
Fatigue
Distractions
HIPAA
COMMUNICATION
SUBSECTIONS
• Importance of
Communication
• Communication Definition,
Standards, and Challenges
• Communication Challenges
• Inform…
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www.ahrq.gov/research/findings/studies/index.html?page=119
January 01, 2024 - AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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January 01, 2024 - AHRQ Research Studies
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January 01, 2024 - AHRQ Research Studies
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki Grant Number: R03 HS21583-01
AHRQ Grant Final Progress Report
Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs
PI: Akira Nishisaki, MD, MSCE
Team Members: Vinay …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
265
Implementation of an Evidence-based
Protocol for Surgical Infection Prophylaxis
John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto,
Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci
Abstract
Objective:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety
313
An Ambulatory Care Curriculum
for Advancing Patient Safety
Christel Mottur-Pilson
Abstract
Objectives: The objective of this project was to develop and implement a seven
module ambulatory care continuing medical education (CME) curriculum and t…
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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-Clarke_8.pdf
January 25, 2008 - Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy
Mapping a Large Patient Safety Database to the
2005 Patient Safety Event Taxonomy
John R. Clarke, MD; Janet Johnston, MSN, JD; Monica Davis, MSN, MBA;
Arthur J. Augustine, BS; Matthew Grissinger, RPh; Michael J. Gaunt, PharmD;
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis
211
AHRQ WebM&M—Online Medical
Error Reporting and Analysis
Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello,
Scott A. Flanders, Erin E. Hartman
Abstract
The AHRQ WebM&M Web site represents an unprecedented effort to publish
illustrative case…
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Results
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Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - Guide for Safe Transitions to New Appointments
Guide for Safe
Transitions to
New Appointments
Disclaimer
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. No statement in this report should be con…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Module 16: Academic Detailing as a Quality Improvement Tool
Primary Care
Practice Facilitation
Curriculum
Module 16: Academic Detailing as a Quality
Improvement Tool
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
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Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage ch…