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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/nac-meeting-minutes-2021-nov.pdf
January 01, 2021 - AHRQ National Advisory Council (NAC) Meeting Minutes from November 17, 2021
National Advisory Council, November 17, 2021 Page 1
Agency for Healthcare Research and Quality (AHRQ)
National Advisory Council (NAC)
Virtual Meeting
November 17, 2021
SUMMARY
NAC Members Present
Edmondo J. Robinson, M.D., M.B.A., …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docx
January 01, 2011 - IMPaCT Multi-State Conference
February 21-22, 2013
Final Progress Report
Award Information
Principle Investigator: James W. Mold, MD, MPH
Grant Recipient: University of Oklahoma Health Sciences Center
Team Members: Daren DeWalt, MD (North Carolina), Arthur Kaufman, MD (New Mexico), Robert Gabbay, MD (Pennsylvania), …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
January 09, 2018 - SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript
January 2018 https://www.ahrq.gov/sops/index.html 1
New AHRQ SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices
January 9, 2018 – Webcast Transcript
Sp…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
June 01, 2019 - Action Planning for the SOPS Surveys Webcast Transcript
February 2019 https://www.ahrq.gov/sops/index.html 1
Action Planning for the SOPS Surveys
January 17, 2019 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016
June 2018
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2016
Summary
New patient safety data for 2014 through 2016 continue to show a do…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017
July 2020
AHRQ National Scorecard on Hospital-Acquired Conditions
Final Results for 2014 Through 2017
Summary
Final patient safety data for 2014 through 2017 showed a downward trend in the annual
number of hospital-acq…
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report
Contract Final Report
Designing Consumer Reporting
Systems for Patient Safety Events
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report
Contract Final Report
Designing Consumer Reporting
Systems for Patient Safety Events
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - Chartbook on Patient Safety
Network of
Patient Safety
Databases
Chartbook, 2020
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2020. Rockville, MD: Agency for H…
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www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - Both direct-to-patient outreach via phone calls and requests to surgeons to report
SSIs have been shown
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
April 01, 2006 - distribute content on a global basis in electronic form or print should
submit specific permission requests
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
April 01, 2006 - distribute content on a global basis in electronic form or print should submit specific permission requests
-
www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - Physicians’ diagnostic accuracy, confidence, and resource
requests: a vignette study.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - conducted other quality improvement projects similar to this one, so we can repeat and reuse query requests
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www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
January 01, 2024 - Background
Profound changes in the structure of the U.S. healthcare system have led to increasingly vocal
requests
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - The
health informatics team responds to physicians’ requests for customizing the EHR for tailored
queries
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - The health informatics team responds to physicians' requests for customizing the EHR for tailored queries
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Suggestions for resources you would like added to the list, questions about the survey, or
requests