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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Facilitator Guide: Learning From Defects Through Sensemaking
Slide Title and Commentary
Slide Number and Slide
Learning From Defects Through Sensemaking
SAY:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 1
Learning Objectives
SAY:
At the end of this module, you will …
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Hybrid CR Workgroup
Evalu…
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Ref…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
199
Preventing Medication Errors in
Ambulatory Care: The Importance of
Establishing Regimen Concordance
Dean Schillinger, Eddie Machtinger, Frances Wang,
Maytrella Rodriguez, Andrew Bindman
Objective: Mis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community
TITLE PAGE
Medication List Consistency When Patients Transition from Hospital to Community
Principal Investigator: Korey A. Kennelty
Team Mentors: Betty Chewning, Amy Kind, David Kreling,
Dave Mott, Beth Martin,…
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly
Title:
Proactive Risk Assessment of Primary Care of the Elderly
Principal Investigator and Team Members:
Ben-Tzion Karsh, PhD (PI)
Brian Arndt, MD
John Beasley, MD
Vicki Bier, PhD
Roger Brown, PhD
Pascale Carayon, PhD
Sue Dovey, P…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hospital-linkage-techdoc-021224.pdf
January 01, 2022 - Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2022, Hospital Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health a…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
July 01, 2024 - The authors are solely responsible for this document’s contents, findings, and conclusions,
which do
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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-Walsh_74.pdf
May 28, 2008 - Person primarily responsible for the error:
1Oncologist 2 Fellow 3 Other physician
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - considering patients with medical devices represented
only 10 percent of the total study population but were responsible
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
February 01, 2012 - The
PMCoE measure development team shall not be responsible for any use of the
Measures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - be enhanced via various routes, e.g., through the reputation or high-profile
character of the group responsible
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - teaching
modalities can meet diverse learning styles.32,33 Local champions and topic experts should be
responsible
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
September 01, 2015 - The findings and conclusions in this document are those of the authors, who are responsible for
its
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications
1
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Prevention
Functional Specifications
1. General Information
1.1. Background
The Agency for Health Care Research and Quality (AHRQ) developed…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - Report
Emergency Department Visits for Asthma, Ages 18-39
Importance: Asthma exacerbations were responsible … | 17
Emergency Department Visits for Asthma, Ages 2-17
Importance: Asthma exacerbations were responsible
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
January 01, 2025 - The authors are solely responsible for this document’s contents, findings, and conclusions,
which do
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - CUSP: A Framework for Success (Transcript)
March 7, 2012
Operator: Excuse me, everyone, and thank you for holding, please be aware that each of your lines is 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 to t…