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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-table1.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Ev…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.pdf
    March 01, 2022 - Addressing Questions Asked by 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 …
  3. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
    June 01, 2021 - PowerPoint Presentation Partnering With a Senior Executive AHRQ Safety Program for Improving Antibiotic Use Long-Term Care AHRQ Pub. No. 17(21)-0029 June 2021 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Senior Executive 1 Objectives Identify the qualities a senior executive brings to a team a…
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Probability and the Diagnostic Pathway Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 02, 2025 - 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…
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Why Checklists for Diagnosis Are Not Performing as Expected Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use C…
  7. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief PATIENT SAFETY e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy This page intentionally left blank. e Issue Brief 17 Cognitive Load Theory and Its Impact on Diagnostic Accuracy Prepared for: Agency for…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
    July 01, 2025 - Diagnostic Safety Issue Briefs Starting in 2019, AHRQ supported the development of a series of papers on different diagnostic safety topics. The purpose of the papers was to develop, based on research conducted to date, more resources to improve diagnostic safety and quality, during a time when research to impr…
  9. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-scale-improvements.pdf
    June 02, 2025 - Identify reason for stall and provide additional information to address those reasons.
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B17: Handout for Inservice #1, Why Falls Happen in Nursing Facilities Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapt…
  11. www.ahrq.gov/talkingquality/plan/objectives.html
    November 01, 2018 - What Are the Objectives for Your Health Care Quality Report? While all reporting projects aim to inform consumers about health care quality, each project may also have additional goals. Sponsors of quality measurement projects need to be clear about what exactly you are trying to accomplish with a report card a…
  12. www.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
  13. www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference Final Progress Report Grant Number 1R13HS018321-01 Project Period 8/1/2009 - 1/31/2010 Conference: Diagnostic Error In Medicine PI: Mark L. Graber, MD SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
  14. www.ahrq.gov/policy/lep.html
    July 01, 2025 - Limited English Proficiency Language/Culture Matching  Title VI  of the Civil Rights Act of 1964 requires recipients of Federal financial assistance to take reasonable steps to make their programs, services, and activities accessible by eligible persons with limited English proficiency. AHRQ Materials HHS LEP G…
  15. www.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
  16. www.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
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Measures of Cognitive Load Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay Between…
  18. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
    June 02, 2025 - 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 …
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 3. Results Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…
  20. www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-slides.html
    December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Slide Presentation Slide 1 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 Image: Photo…

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