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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
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Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Ev…
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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 …
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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…
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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
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Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the…
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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…
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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
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Table of Contents
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Rationale for Use
C…
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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
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e
Issue Brief 17
Cognitive Load Theory and Its Impact
on Diagnostic Accuracy
Prepared for:
Agency for…
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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…
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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.
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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
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapt…
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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…
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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
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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…
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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…
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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
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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
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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
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Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between…
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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 …
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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
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Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
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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…