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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Introduction
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: O…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health System - Key Driver Diagram
Key Drivers
Strategies Global
Aim
To reduce the
incidence of
stroke in …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Nurses' Role in Diagnosis, Through the Lens of Distributed Cognition
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
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www.ahrq.gov/data/infographics/index.html
July 01, 2025 - Hospital Costs for Seniors with Traditional Medicare 2020 Heart Failure: Most Common and Expensive Reason
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
January 01, 2012 - Clinical Topic
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 Episiotomy (Overuse)
Measure # MC-7
Measure
Description
Percentage of patients, regardl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
17
Premortem Exercise
Step 3
Identify the level of concern for each reason
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-mupirocin.docx
March 01, 2022 - If this 5-day course is interrupted for any reason, then follow the missed doses protocol.
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www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
September 01, 2019 - days to resolve, the Agency will inform the complainant that more time is required and indicate the reason … days to resolve, the Agency will inform the complainant that more time is required and indicate the reason
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - The eighth reason, shown in gray,
refers to work system challenges such as inadequate
communication … The ninth reason, incomplete
knowledge of antibiotics or emerging scientific data,
shown in red, is
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Notable examples include DE-PASS:
Decisive reason for admission,
Evaluation time,
Patient summary
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Reason J. Human Error.
Cambridge: University Press; 1990.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health Plan - Key Driver Diagram
Key Drivers
Strateg…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-sdm-english-557-5a.docx
June 02, 2025 - CAHPS Cancer Care Supplemental Items
CAHPS® Cancer Care Survey Supplemental Items: Shared Decision Making
Population: Adult
Supplemental Items for the CAHPS® Cancer Care Survey
Topic: Shared Decision Making
Population Version: Adult
Language: English
Users of the CAHPS® Cancer Care Survey are free to incorpora…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
July 01, 2023 - mind.“
Step 2: Debrief Responses
After 10 minutes, go around the room asking everyone to share one reason
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
July 01, 2023 - mind.“
Step 2: Debrief Responses
After 10 minutes, go around the room asking everyone to share one reason
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - AHRQ Quality Indicators Prioritization Worksheet Example
AHRQ Quality Indicators Toolkit
Tool C.2
Volume of
Cases at
Risk
Cost of Single
Event
Total Cost
Cost To
Implement
Penalties and
Incentives
Proxies for Cost
Strategic
Alignment
External
Mandates
Public
Perception
Executive-
Level Support
…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-shared-decision-making-items.html
March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Shared Decision Making
Population version: Adult
Download these items: English ( Word [28.6 KB])
Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - manager can a positive tone for error prevention be established.16
Leape argues that the most important reason
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www.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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www.ahrq.gov/talkingquality/distribute/promote/multiple/outreach.html
September 01, 2019 - This is one reason to cultivate relationships with libraries, but it may be true of other groups as well