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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
Safety Survey
Dawn Amerman
Manager
Dexter Pharmacy and Village Pharmacy II
Reasons for Taking the Survey
• Provided staff with an opportunity to give
uncensored feedback
• Offered staff a sense of being part of the
solutions
• Let staff know t…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
September 08, 2015 - Possible next steps varied with the
reason for the disagreement. … No systems said
that they disagreed with the “shall”
requirements, but, for whatever reason,
most … staff, project managers,
and EHR users concluded that most
vendors do not see a compelling
business reason
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - the resident has an indwelling catheter, then a new and dramatic change in
mental status alone is reason … Resident’s name
— Who you are contacting [WHO WOULD BE CONTACTED FOR RESIDENTS AT
YOUR FACILITY]
— Reason
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Types of Evidence Used To Assess Diagnosis
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - • Identify the principal diagnosis or reason for admission. … • Document the reason for and objective of all operating room (OR) and non-OR
procedures performed … Document the reason for longer than usual post-procedure ventilation; some procedures, by their
nature … ventilation that is
continued in the postoperative period
only when the provider indicates that
there is reason
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Reason
distinguishes between two elements present in cases of human error: active failures and latent … plausible that they should be an integral part of a
comprehensive model of human error, including that of Reason … Reason J. Managing the risks of organizational
accidents. Aldershot, UK: Ashgate; 1997.
10. … Carthey J, de Leval MR, Reason JT.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Rate: In 2012, 20.2% of people without a usual source of care indicated a financial
or insurance reason … People without a usual source of care who indicate a financial or insurance
reason for not having a … People without a usual source of care who indicate a financial or insurance
reason for not having a … Females without a usual source of care who indicate a financial or insurance
reason for not having a … Females without a usual source of care who indicate a financial or insurance
reason for not having a
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Fundamental Concepts for Understanding Probability
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probabi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis
1
PATIENT
SAFETY
e
Issue Brief 9
Improved Diagnostic Accuracy
Through Probability-Based
Diagnosis
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e
Issue Brief 9
Improved Diagnostic Accuracy…
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www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions
e PATIENT
SAFETY
Calibrate Dx:
A Resource To Improve
Diagnostic Decisions
1
Calibrate Dx: A
Resource To Improve
Diagnostic Decisions
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Research from the last few years tells us that UTIs are not really a common reason for confusion.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
October 01, 2017 - Potential impact (Is there reason to believe that the opportunity will have a significant impact on your
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
March 01, 2022 - FAQs (Staff): Targeted Decolonization
Decolonization of
Non-ICU Patients With Devices
Section 14-4 – Addressing Questions Asked by Staff:
Targeted Decolonization
What is targeted decolonization?
Participating non-ICU units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine …
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - 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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any clinical or o…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp3.html
January 01, 2013 - Article Exclusion List with Reason for Exclusion
Appendix D.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - E--The reason we wanted to do this was because …
N--Let’s agree on a path forward.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … aged 4 through 18 years with a diagnosis of ADHD
Denominator
Exceptions
Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider)
Documentation of system reason
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … consideration – Please do not cite or distribute
15
Denominator
Exceptions
Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider)
Documentation of system reason
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
June 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Margarita E. Pena, MD, FACEP
Medical Director, Clinical Decision Unit
St. John Hospital and Medical Center
Detroit, MI
Learning Objectives
Explain how to establish gui…