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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - Video on Transforming Hospitals: Designing for Safety and Quality This video reviews the case for how
  2. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - Preoperative briefing The briefing reviews the plan ahead for patient care and the risks or concerns … Interdisciplinary case reviews. … ) technician ___ Pediatrics ___ Primary maternity provider (if other than surgeon) Team reviews … technician ___ Pediatric provider ___ Primary maternity provider (if other than surgeon) Team reviews
  3. www.ahrq.gov/research/findings/evidence-based-reports/adverse-events.html
    April 01, 2018 - CEA for asymptomatic stenosis were identified using published systematic reviews.
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VA.pdf
    January 01, 2014 - Clinical staff scores, reviews screening tool answers.
  5. www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-info.html
    December 01, 2018 - Accessible ( PDF , 2.25 MB) This online learning module developed by the Emergency Nurses Association reviews
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/043-ss-training-preop-nasal-mupirocin.pptx
    April 01, 2025 - How to conduct nasal decolonization with mupirocin ointment in the pre-op area This training module reviews
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
    December 01, 2017 - Review Pressure Ulcer Prevention Reports Team reviews reports with facilitator to understand purpose … Facilitator reviews ways risk information is transmitted to clinical staff, and ways care plans are updated
  8. www.ahrq.gov/patient-safety/news-events/summit-research-2020/appendix.html
    March 01, 2021 - Existing and Emerging Patient Safety Practices Published in Spring 2020, this AHRQ evidence report reviews
  9. www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
    January 01, 2024 - the review (e.g., skill assessment, compliance assessment), the clinical domains in which peer reviews … were conducted, and description of the process of conducting peer reviews. … Most articles (n = 30, 57%) described processes for conducting peer reviews. … The most common clinical domain in which peer reviews were conducted was internal medicine (n = 14, … There were several commonalities in the process of conducting peer reviews, including generating items
  10. www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - STRUCTURED ABSTRACT Purpose: We aimed to (1) develop a framework for investigating errors through reviews … Data Collection: The Claim File Review The reviews were conducted at the insurers’ offices or insured … Reviews took 1.6 hours per file on average and were conducted by one reviewer. … 10% of the files were re-reviewed by a second reviewer who was unaware of the first review. 6 Reviews … scored adverse outcomes on a 9-point severity scale ranging from emotional injury only to death.36 Reviews
  11. www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/cahps-improvement-guide.pdf
    January 01, 2016 - The research team reviews both published and grey literature to identify both promising strategies for
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
    January 01, 2009 - Before Patient Leaves Room/Debriefing Nurse Reviews With Team: · Instrument, sponge and needle counts
  13. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VA.pdf
    August 22, 2014 - Clinical staff scores, reviews screening tool answers.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
    June 02, 2025 - readmission rate tracking (internally derived or externally provided) · Periodic readmission case reviews
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
    August 01, 2024 - Interpretive errors can lead to misdiagnosis; for example, in a study of second-opinion pathology reviews
  16. www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
    January 01, 2023 - This page reviews key issues related to adjustments to scores.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
    January 01, 2004 - When a sentinel event occurs in a hospital, a PHA field representative reviews the hospital’s corrective … subcommittees Safe Medication Use Subcommittee (SMU) Members: pharmacists, nurses, physicians • Reviews … problems • Identifies and promotes safe medication use system designs and practices • Analyzes and reviews … Best Practices Subcommittee Members: physicians, nurses, pharmacists, risk managers, QI/PI staff • Reviews … Closing the gap between research and practice: an overview of systematic reviews of interventions to
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - A professional medical record reviewer performed chart reviews, which were then checked for coding efficiency … action and further in-service training sessions were held based on the needs and findings from the reviews … In addition, retrospective chart reviews were conducted after patients were discharged. … Nurses working in QCRM performed concurrent reviews of medical records and reported SSI to Infection … A second database was analyzed, which included information from reviews of all SSIs that were reportable
  19. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
    July 01, 2019 - BHCs perform chart reviews and screenings, and consult with the PCP to integrate information from multiple … BHC or practice manager reviews exception report. Checking patients in Front desk. … Four supervising CHCs oversee the cadre of CHCs, and clinical staff lead reviews of the case plans. … The Cherokee leadership team reviews the clinical data regularly. … In addition, treatment teams perform regular clinical reviews of high-risk patients.
  20. www.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_child_hp_survey.html
    April 01, 2020 - Based on findings from literature reviews, expert interviews, and public comments from the FRN, the team

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