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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
September 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
September 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - audit data, defect analyses, patient stories, comparison of unit practices to best practice guidelines
Reason … Reason for choosing this gap
Staff feel closure of this gap is feasible in a rapid manner and will decrease
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - risk of developing an infection from the resistant bacteria, so there should always be a very good reason
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
February 01, 2021 - The growth of PSOs is another reason for optimism.
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
December 01, 2019 - Are you conducting a CAHPS survey for a specific reason (e.g., to respond to a State mandate, to meet
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - Similarly, the presence
of an infiltrate on an x ray obtained for an unrelated
reason without the signs
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
May 18, 2021 - Job Aid: “Last 10 Patients” Chart Audit
Primary Care Practice Facilitator
Training Series
1
Job Aid: “Last 10 Patients” Chart Audit
Overview
For a “last 10 patients” chart audit, look at the records of the last 10 patients the practice saw,
who should have received care or a service. Use a “last 10 …
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/index.html
January 01, 2007 - occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
February 01, 2012 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … aged 4 through 5 years with a diagnosis of ADHD
Denominator
Exceptions
Documentation of medical reason … or patient determined to be at risk for harming themselves or others)
Documentation of system reason
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … aged 4 through 5 years with a diagnosis of ADHD
Denominator
Exceptions
Documentation of medical reason … ), or patient determined to be at risk for harming themselves or others)
Documentation of system reason
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 29, 2016 - C1 Prioritization Worksheet
AHRQ Quality Indicators Toolkit
Prepared by RAND and UHC for AHRQ Tool C.1
Volume of
Cases at
Risk
Cost of Single
Event
Total Cost
Cost To
Implement
Penalities and
Incentives
Proxies for Cost
Strategic
Alignment
External
Mandates
Public
Perception
Executive-
Level Supp…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
February 13, 2023 - Operating at full capacity is not a valid reason to neglect patients with the greatest
initial or ongoing … Misconception: The most important reason for care coordination is to ensure that your
program has enough … For this reason, it is essential to begin by assessing the level of physician
understanding and acceptance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pdf
October 01, 2016 - who experienced a communication barrier during
their last doctor visit and reported language was the reason … Note: Patients receiving hospice care and those who had “maternity” as the primary reason for receiving … Note: Patients receiving hospice care and those who had “maternity” as the primary reason for receiving … Note: Patients receiving hospice care and those who had “maternity” as the primary reason for receiving … Note: Patients receiving hospice care and those who had “maternity” as the primary reason for receiving
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ce.effectivehealthcare.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 - Reason J. Understanding adverse events: Human
factors. Qual Health Care 1995; 4: 80-89.
5. … Reason J. Human error. Cambridge, UK: Cambridge
University Press; 1990.
6. Hagland M. … Reason J. Managing the risks of organizational
accidents. … Reason J. Safety in the operating theatre – Part 2:
Human error and organisational failure.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Text-Descrip-PCPI-eSpec.pdf
January 01, 2012 - Text Description for PCPI eSpecification for BMI Assessment and Recommended Weight Gain
Text Description for PCPI eSpecification
Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved.
Clinical Topic Maternity Care
Measure Title BMI Assessment and R…
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Slide 17
System Failures Leading to Error
(Reason, 1990)
Image: Four chunks of swiss cheese with … BMJ . 1998;316:1154–57
Slide 36
References
Reason JT. Human Error.
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ce.effectivehealthcare.ahrq.gov/policy/foia/instruct.html
June 01, 2023 - We will explain the reason(s) for withholding the information in accordance with the nine exemptions.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
February 01, 2017 - Slide 18: Premortem Exercise
Step 3:
Identify the level of concern for each reason.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - Skip to main content
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