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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/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Module 7: Putting It All Together
Module 7
Putting It All Together
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator.
The purpose of this summary module is…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-phone-interview.pdf
June 02, 2025 - Section 1, FECC Survey—Telephone Interview Version
Version 10.1.2015
FAMILY EXPERIENCES WITH COORDINATION OF CARE SURVEY
TELEPHONE INTERVIEW VERSION
LABEL VALUE TEXT INSTRUCTIONS
1. Your child’s main provider
is the doctor, physician
assistant, nurse or other
health care provider who
knows the most abou…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - Events at this level reach the
patient and either lead to harm or require an increase in monitoring.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Additionally, administrative costs are lower than with some alternative
pharmacologic prophylaxis agents that require
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www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - Final Progress Report: SAFER: Standardizing Admissions for Elderly residents
SAFER: Standardizing Admissions for Elderly Residents
FINAL REPORT
Principal Investigator: Andrew Coburn, PhD
Team Members: Judith Tupper, Carolyn Gray, Karen Pearson
Organization: Muskie School of Public Service, University of South…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013)
Webinar Transcript
Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator:
This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, December 10th, 2013, scheduled for 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding; we now have our speake…
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www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
January 01, 2024 - Final Progress Report A Randomized Trial of Home Self-Efficacy Enhancement
1
Title of Project: A Randomized Trial of Home Self-Efficacy Enhancement
Principal Investigator: Anthony Jerant, MD
Team Members: Peter Franks, MD; Kate Lorig, RN, DrPH; Monique Moore-Hill, MA; Rahman
Azari, PhD; J. Paul Leigh, PhD; Marth…
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www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - The Relationship Between Hospital Workload and Patient Safety
The Relationship between Hospital Workload and
Patient Safety
Final Research Report to AHRQ
Principal Investigator: Joel S. Weissman, PhD
Co- Principal Investigator: Jeffrey Rothschild, MD
Co-Investigators and Study Staff (In alphabetical order):
----…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - Two More “Es” and How To Spread (Transcript)
December 13, 2011
Operator: Excuse me, everyone, and thank you for holding. Please be aware that each of your lines in a listen-only mode. At the conclusion of today’s presentation, we will open the floor for questions. At that time, instructions will be given as …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - Paul Tedrick
AHA – Chicago
May National Content Call
May 13, 2014
11:00AM CT
Operator:
This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all speakers in conference. Please be aware that each of y…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU
Webinar Transcript
AHA – Chicago
May National Content Call
May 13, 2014
11:00AM CT
Operator: This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-
Performing Medical Practices
October 2014 Webcast
Speakers
Mon L. Yee, MD, Family Medicine, Meriter DeForest-Windsor Clinic, DeForest, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
October 01, 2015 - clinical data: laboratory, electronic clinical data: registry NQF 446 Some denominator exclusions may require … Clinician: individual Administrative claims, paper medical records NQF 458 Some denominator exclusions may require