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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - To Err Is Human , 2 a report published by the Institute of Medicine in 1999, was one of the first publications … This report suggested that diagnostic errors may contribute to 10 percent of all patient deaths.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
November 01, 2014 - Executives report a $29 million return on investment since 2000 when use of the external consultant's
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
June 02, 2025 - What is Patient Experience and How Does CAHPS Measure It?
WHAT IS PATIENT EXPERIENCE
AND HOW DOES CAHPS
MEASURE IT?
Stephanie Fry
Senior Study Director
Westat
14
What is Patient Experience?
Patient experience refers to what happened in a health care setting. It
encompasses the range of interactions that pat…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-prelim-phase-one.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
Preliminary Findings
from Phase One
Rachel Grob, Ph.D.
Director of National Initiatives and Clinical Professor,
Center for Patient Partnerships
Madison, WI
www.ahrq.gov/cahps
0%
10%
20%
30%
40%
50%
60%
32
What’s Impor…
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit
Search All Impact Case Studies
May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
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www.ahrq.gov/diagnostic-safety/research/index.html
November 01, 2024 - Pediatricians self-report an appreciable number of diagnostic errors .
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Centers for Disease Control and Prevention. 2019 National and State Healthcare-Associated Infections Progress … Report. https://www.cdc.gov/hai/data/portal/progress-report.html#2018.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
May 01, 2017 - A Progress Report on the National On the CUSP: Stop BSI Project. AHRQ Publication No. 11-0037-EF.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - Policymakers are placing greater emphasis on quality performance and expect hospitals to report
on clinical … It is recommended that there be an ongoing process in place to audit coding, track and
report errors … Query the physician:
• If the physician’s postoperative/procedure note and operative/procedure report … • If the postoperative/procedure note documentation conflicts with the operative/procedure
report
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - Toolkit for the Safe Use of Copy and Paste Report
https://www.ecri.org/Resources/HIT/CP_Toolkit/Toolkit_CopyPaste_final.pdf … Technology Toolkit for Critical Access and Small Hospitals
Toolkit for the Safe Use of Copy and Paste Report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - MEDMARX data report, during 2003, 361 facilities submitted 8,862
records (4.1 percent) citing the dispensing … Making health care safer: A critical
analysis of patient safety practices Evidence
report/technology … MEDMARX 5th anniversary data report: A chartbook
of 2003 findings and trends 1999-2003.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - To ensure that environmental cleaning is optimized, it is also important to monitor, measure, and report
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www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
August 01, 2024 - The health system uses an anonymous incident
reporting system, enabling employees to report potential … While the comparison is not direct, we show the data from an AHRQ report on the results obtained
from … Furthermore, a QR code was created in the report
itself to facilitate diagnostic interactions with the … When the code is scanned, the team can
report queries, make suggestions, and give feedback on the results … of the report.
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Since the landmark Institute of Medicine (IOM) report focused national attention on patient
safety, … In 1999, the IOM’s
Committee on Quality of Health Care in America published the report, To Err is Human … Individuals in an organization must feel
empowered to report errors, while organization leaders must … problems as they occur: Give people an easy avenue to
report and communicate issues … A user's manual for the IOM’s “Quality
Chasm” report. Health Aff 2002; 21: 80-90.
19.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
September 15, 2016 - Skilled teach-back users report that it adds about 1 minute to the office visit, but
the gain in patient … Start Guide: Teach-Back | 6
Implementation Notes
Acrobat Accessibility Report … Accessibility Report
Filename:
TB-QSG-E-L-0.pdf
Report created by:
PFE Guide, PFEGuide@medstar.net … manual check: 2
Passed manually: 0
Failed manually: 0
Skipped: 0
Passed: 30
Failed: 0
Detailed Report
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
July 01, 2013 - "Yes" Let me see if I have a copy of that report. … If you have a copy of that report, update health maintenance tab or make a note of date on progress … you do not have a copy, ask when/where it was done and give patient a record release to send for report
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - Rice welcomed everyone and reminded the group that the final report on these measures is due the end … Dermatology, Transplant Surgery, Trauma Service (Implementation)
Will include this feedback on final report
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - Rice welcomed everyone and reminded the group that the final report on these measures is due the end … Dermatology, Transplant Surgery, Trauma Service (Implementation)
Will include this feedback on final report
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - in Action ׀ 25
25
Resources6-9
ICU Action Plan Template
CUSP Learn From Defects Tool
CAUTI Event Report … Tool
CLABSI Event Report Tool
Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Worksheet … CAUTI Event Report Template. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools … Central Venous Catheter-Associated Laboratory-Confirmed Blood Stream Infection Event Report Template