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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
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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
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www.ahrq.gov/research/findings/evidence-based-reports/adverse-events.html
April 01, 2018 - CEA for asymptomatic stenosis were identified using published systematic reviews.
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - This page reviews key issues related to adjustments to scores.
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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
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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
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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.
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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