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psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
July 23, 2014 - 2019
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - 2022
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
February 17, 2021 - This qualitative study recorded videos of patient–physician interactions and found that 31% of the time
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - team communication behavior, clinicians at this institution participated in interprofessional video-recorded
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psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
March 02, 2022 - Sessions consisted of a pre-recorded scenario of a safety event resulting in a patient's death followed
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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - By reviewing video, audio, and patient physiologic data recorded during 24 laparoscopic surgeries,
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Researchers analyzed 50 video-recorded debrief sessions to assess the interactions between debriefer
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Of the nearly 145 million admissions recorded across 4 years, hospital-acquired conditions occurred in
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
April 01, 2021 - Lastly, items #11 - #13 are general
observations and should be recorded for both hand hygiene with soap … The tab will then automatically
calculate how many “Not Met” observations or failures, were recorded
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-tables-1-2.pdf
June 02, 2025 - Hematologic
• Platelet count < 80,000/mm3 or a decline of 50% in platelet count from
highest value
recorded
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-1-tables-1-2.pdf
June 02, 2025 - Hematologic
• Platelet count < 80,000/mm3 or a decline of 50% in platelet count from highest value
recorded
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-1-tables-1-2.pdf
June 02, 2025 - Hematologic
3 • Platelet count < 80,000/mm or a decline of 50% in platelet count from
highest value recorded
-
www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
January 01, 2025 - A second observer recorded
emotional tone. … All interviews were digitally recorded, and blinded transcripts were created. … Simultaneously, a process observer recorded emotional tone with a validated tool based on facial
expression
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
December 01, 2014 - Four consecutive monthly weights instead of weekly weights
Weight values in weeks when weights were recorded … and blank cells when weights were not recorded
The resident would not display on the report if weekly … weight values were not recorded
None of the above
December 2014
Pressure Ulcer Prevention
18
Check … * An asterisk will display next to the number of behaviors if the behaviors recorded during the current … report week are different from behaviors recorded during the prior week.
# indicates column added in
-
psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - May 2, 2012
Routinely recorded patient safety events in primary care: a literature review
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - April 18, 2012
Routinely recorded patient safety events in primary care: a literature
-
psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
April 07, 2021 - July 31, 2013
Routinely recorded patient safety events in primary care: a literature
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/pbrn-managing-growing-webinar.pdf
August 01, 2024 - • This webinar is being
recorded and will be posted
on AHRQ’s website.
2
Aimee R.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Although we did not perform a formal quality assessment, we recorded the study design as a marker of
-
psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - These might include paper-based reporting, online reporting, email reporting, and even phone calls to a recorded … To derive benefit from a close call, such as the one in this case, it must be recorded or identified, … They represent a common, readily recorded, and relatively painless way to detect hazards. … To derive benefit from a close call, it must be recorded, analyzed, something must be done about it,