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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
March 01, 2015 - Practices can
learn from their mistakes and move forward.”
Perry Dickinson, M.D.
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www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - physician profiling system could be
tested for its ability to predict patterns of care and predict mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
January 15, 2025 - Common causes for errors in EHRs include the following:
• Incorrectly mapped data
• Mistakes in data
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
April 01, 2025 - Making Healthcare Safer IV Rapid Response: Acute Care Nursing Staff Shortages That Compromise Patient-to-Nurse Ratios
Making Healthcare Safer IV
Acute Care Nursing Staff Shortages That
Compromise Patient-to-Nurse Ratios
Rapid Response
Main Points
• The review identified a broad range of interventions to…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/fielding-cancer-53.pdf
July 14, 2017 - Fielding the CAHPS Cancer Care Survey
CAHPS® Cancer Care Survey and Instructions
Fielding the CAHPS Cancer Care Survey
Fielding the CAHPS® Cancer Care
Survey
Document No. 53
Updated 7/14/2017
Introduction........................................................................... 1
Sampling Gu…
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www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
January 01, 2024 - Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety
AHRQ Grant Final Progress Report
Title of Project: Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety
Principal Investigator: Elizabeth D. Cox, MD, PhD, Associate Professor, Department of Pediatrics a…
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System
Evaluate the Effects of the Massachusetts Reporting System
Principal Investigator: Nancy Ridley, M.S.
Associate Commissioner, Massachusetts Department of Public Health
Co-Investigators (alphabetically):
Paul Dreyer, Ph.D.
Massachuset…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/study-design-framework_research.pdf
March 01, 2012 - of available evidence could be used to support
a suggestion that would prevent repeating previous mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - (e.g., length of partnership and projected
length of relationship, contributors to success, common mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - families.105,109
External factors within the environment can also increase cognitive burden and lead to mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
April 23, 2004 - percent of consumers in a recent survey reported they were very concerned
about serious errors or mistakes
-
www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - Healthcare is far
from being as safe as we can make it, and blaming people or the organizations in which
mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - involves monitoring actions of
other team members, providing a safety net within the team, ensuring that mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - involves monitoring actions of
other team members, providing a safety net within the team, ensuring that mistakes
-
www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - tested and implemented to ensure safer treatment based on
better diagnoses—diagnosis with fewer delays, mistakes
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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 - tested and implemented to ensure safer treatment based on
better diagnoses—diagnosis with fewer delays, mistakes
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-207-ptsd-disposition-comments.pdf
May 17, 2018 - Disposition of Comments Report for CER 207 on PTSD
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Psychological and Pharmacological Treatments for Adults With
Posttraumatic Stress Disorder (PTSD): A Systematic Review Update
Draft review available for public comment from No…
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effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_disposition-comments.pdf
February 24, 2016 - Disposition of Comments for CER 167 Renal Masses
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Management of Renal Masses and Localized Renal Cancer
Draft review available for public comment from May 28, 2015, through June 25, 2015.
Research Review Citation: Pierorazio P…
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meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R1_Results.shtml
January 01, 2011 - Summary of Recommendations from Round 1 Cognitive Testing of the MEPS Cancer SAQ
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/omega-3-maternity_disposition-comments.pdf
October 12, 2016 - the massive undertaking, we recommend the
draft report be reviewed thoroughly for these types of
mistakes