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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
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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/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/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/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/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … SAY:
If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … Say:
If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
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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/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/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/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - ISC No† Bladder scanner‡
Acute retention WITH bladder outlet obstruction Appropriateness varies by reason … for obstruction§ Appropriateness varies by reason for obstruction§ No† Bladder scanner‡
External catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Reason presents a good review of the
development of taxonomies for such applications and develops a … that failure was (such as missing the detection of a situation
deviating from normal), but on the reason … Reason J. Human Error. Cambridge: Cambridge
University Press; 1990.
2. Norman D.
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - The reason is that in the U.S. some respondents do not know what patient safety culture means—they tend … In other words, the reason mistakes do not happen more often is good luck, not because procedures or
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
November 01, 2019 - • If the patient was found to have an alternate reason for the presenting symptoms and/or has no
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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
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/coordination-of-care/strategy6l-planned-visits.html
March 01, 2020 - Sometimes, the problem is that they are trying to fit it into an acute care visit, whether or not the reason
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www.ahrq.gov/evidencenow/heart-health/smoking/self-management.html
August 01, 2018 - Tobacco Use Self-Management Tool for Patients
Resource title: Tobacco Use Self-Management Tool
Resource description: This fact sheet for patients reviews reasons to manage and/or quit tobacco use as well as steps, tips, and resources for increasing chances of success.
Document author(s)/institution of or…