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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/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…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
    August 10, 2012 - 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…
  5. 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…
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
    April 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…
  7. 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…
  8. 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…
  9. 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…
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - Disruptive Behavior Policy/Standards 20 Slide 28 Unsafe Acts Algorithm 7 Adapted from James ReasonReason, J. (1997). Managing the Risks of Organizational Accidents .
  11. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy - Issue Brief 17 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…
  12. 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…
  13. 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
  14. 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…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - 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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
    May 18, 2021 - 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 …
  17. www.ahrq.gov/patient-safety/reports/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…
  18. 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…
  19. www.ahrq.gov/patient-safety/reports/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 Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department …
  20. 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 Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department …

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