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401. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
     August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnosti…

402. Tool: STAR | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
     July 01, 2024 - Tool: STAR STAR is a mnemonic tool that is used extensively to help elicit and share key information about activities and their consequences. Its key elements include: Situation monitoring often requires analyzing situations in which tasks were assigned, were completed, and resulted in outcomes that might or mi…

403. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - Frequently occurring issues, usability-related hemes, and conceptual/definitional issues were captured

404. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Conclusion Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introductio…

405. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
     July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Conclusion Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Foundati…

406. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - Impact of AHRQ’s Patient Safety Tools: Challenge Competition AHRQ offers many practical tools and resources to help a variety of healthcare organizations, providers, and others make patient care safer in all healthcare settings. In an effort to better understand how using an AHRQ patient safety tool has resulte…

407. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Hospital SOPS Translation Information Background and Information for Translators This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meani…

408. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023 Network of Patient Safety Databases Chartbook, 2023 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook, 2023. R…

409. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…

410. Strategy 2: Communicating for Improve Quality (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.pdf
     April 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 1) Guide to Patient and Family Engagement Be a Partner in Your Care We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include…

411. 041-Pros-Cons-Mrsa-Surveillance-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/041-pros-cons-mrsa-surveillance-one-pager.docx
     October 01, 2024 - To protect patients from methicillin-resistant Staphylococcus aureus (MRSA) infections and develop effective MRSA prevention strategies, facilities must know the MRSA prevalence among their specific patient population and understand when and where transmission occurs. MRSA surveillance provides this type of insight. MR…

412. CAHPS Cancer Care Supplemental Items (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docx
     April 02, 2025 - CAHPS Cancer Care Supplemental Items CAHPS® Cancer Care Survey Supplemental Items: Information from Providers Population: Adult Supplemental Items for the CAHPS® Cancer Care Survey Topic: Information from Providers Population Version: Adult Language: English Users of the CAHPS® Cancer Care Survey are free to i…

413. Suppl Pcmh-Items Cg-Cahps-Adult-Survey 2357-2A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh-items_cg-cahps-adult-survey_2357-2a.docx
     April 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Patient-Centered Medical Home Population Version: Adult Supplemental Patient-Centered Medical Home Items for the CAHPS® Clinician & Group Survey 3.0 Population Version: Adult Language: English Read about the Patient-Centered Medical Home Item Set. Users o…

414. NICU Family Information Packet, Appendix B, Apnea Of Prematurity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-apnea.pdf
     April 02, 2025 - NICU Family Information Packet, Appendix B, Apnea Of Prematurity Apnea Of Prematurity Characteristics ■ Respiratory pause for at least 20 seconds, or a pause that is accompanied by bradycardia (heart rate <100 bpm), cyanosis, or pallor in an infant <37 weeks postmenstrual age (PMA). ■ Types of apnea: – Central…

415. NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
     April 02, 2025 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy Vision Screening and Retinopathy of Prematurity Visual Deficits Seen in Preterm Infants ■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in visual development that persists until adolescence. ■ …

416. Performing a Premortem Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
     October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Performing a Premortem Assessment Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs Welcome to the Toolkit for MRSA Prevention in ICU & Non-ICU Settings The Four Key Strategies of MRSA Prevention The Importance of MRSA P…

417. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

418. Measure Dx: Making Diagnostic Safety Your Measurement Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
     July 01, 2022 - Measure Dx: Making Diagnostic Safety Your Measurement Priority Measure Dx Making Diagnostic Safety Your Measurement Priority 1 Why Diagnostic errors are common, harmful, and costly. 1 in 20 adults will experience a diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic erro…

419. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
     June 01, 2023 - Tool: Cross-Monitoring Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors. It allows individuals and teams to take steps to correct the issue before harm or injury to the patient occurs. As one example, e-ICUs have proven the value of having remote staff cross-monitoring …

420. CHG Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
     March 01, 2022 - CHG Bathing Patients With Devices: Prevent Infections During Your Hospital Stay PATIENTSection 10-7 BATHE Daily With Chlorhexidine (CHG) Cloths AHRQ Pub. No. 20(22)-0036 March 2022 During your stay, bathing will occur every day with a special antiseptic (CHG) that removes germs and prevents infection better t…