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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
    July 01, 2022 - Emerging Methods Natural language processing (NLP) for unstructured data. … Technical errors/poor processing of specimen/test i. Erroneous lab/radiology reading of test j. … Failed/delayed reporting of result to clinician Clinician Processing (traditionally called “post-analytic
  2. www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
    July 01, 2022 - Emerging Methods Natural language processing (NLP) for unstructured data. … Technical errors/poor processing of specimen/test i. Erroneous lab/radiology reading of test j. … Failed/delayed reporting of result to clinician Clinician Processing (traditionally called “post-analytic
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients Kshitij P. Mistry MD, MSc; James Jaggers, MD; Andrew J. Lodge, MD; Michael Alton, MSN, RN; Jane M. Mericle, BSN, RN, MHS-CL; Karen S. Frush, MD…
  4. www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
    February 01, 2014 - Identifying Key Areas for Delivery System Research Appendix C: "Long List" of Delivery System Research Areas Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
    June 01, 2023 - Engaging Frontline Staff With ISCR Process and Outcome DataAHRQ Safety Program for Improving Surgical Care and Recovery Purpose of tool: To engage frontline staff in the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) by showing process and outcomes data…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Implementation Guide Purpose of This Guide This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Guide to Patient and Family Engagement Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 4: IDEAL Discharge Planning (Implementation …
  8. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implem…
  10. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 2. Central Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
  12. www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
    February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appe…
  13. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.2. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…
  14. www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
    December 01, 2017 - Deep-Rooting Your Data: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Deep-Rooting Your Data Slide 2: Learning Objectives After this session, you will be able to– Identify surgical site infection (SSI) data sources. Define your audie…
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Dual processing model of medical decision-making.
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
    October 01, 2020 - Sustainability Module: Facilitator Notes Slide 1: Sustainability Module Say: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Facilitator Notes SAY: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
    January 01, 2017 - Presentation: Program Overview Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-42-EF January 2017 Intro to Daily Care Processes ‹#› AHRQ …
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Primary Care Practice Facilitation Curriculum Module 11: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Agency for Healthcare Research and Quality …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…

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