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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measure…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-module-handouts.docx
July 01, 2023 - Implementation Module Handouts
Implementation Module Handouts
Use these handouts to help your team implement the Safety Program in Perinatal Care. For each tool, follow the actions listed to develop information to fill in the tables.
Hospital AIM Team Staff List
Actions:
Select members for a multidisciplinary Hospit…
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psnet.ahrq.gov/node/49685/psn-pdf
May 01, 2013 - Polypharmacy
May 1, 2013
Guglielmo JB. Polypharmacy. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/polypharmacy
The Case
A 65-year-old man with schizophrenia receives his routine outpatient psychiatric care through an agency.
His case manager visits him weekly regarding medication adherence, which include…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies
Previous Page
Table of Contents
Reinforcing the Value and Roles of Nurse…
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cdsic.ahrq.gov/sites/default/files/2025-06/TPC%20Topic%20Highlight%20Patient%20Preferences.pdf
January 01, 2025 - Incorporating Patient Preferences in Patient-Centered Clinical Decision Support
AHRQ Pub. No. 25-0055
June 2025
Incorporating Patient Preferences in
Patient-Centered Clinical Decision Support
Patient preferences can support a patient’s care experience and healthcare decision making. This
resource shows differe…
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - ............................................................................... 4
Preventive Health Scenarios … The artifact supported the following scenarios during the pilot implementation of this CDS
expression … Scenarios 1a and 1b provide examples
of the range of notifications that might be provided.
1. … Portions of the coded CDS expression can be reused to support
additional scenarios that drive preventive … Additional preventive health scenarios that could be supported by enhancing portions of this
CDS logic
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/473PPVwoRhapCkN9SC-rue
May 18, 2021 - full adherence,
screening outcomes and efficient strategies were similar by sex and race and across 3
scenarios … In all scenarios, the
increase in incidence was assumed to arise from an increase in ad-
enoma risk that … For each modality, efficient strategies were similar for the 3 colo-
rectal cancer population risk scenarios … These tumors were excluded
from analysis of SEER data used to inform risk scenarios for
the USPSTF.
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Simulations have the potential
to improve communication and teamwork during high acuity clinical scenarios
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - mnemonics in clinical medicine is unknown ( 6 ), they can improve retention of knowledge in other clinical scenarios
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - likely outcome and would operate less frequently than junior colleagues when presented with the same scenarios
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Discussing all possible scenarios is not useful, because securing the airway is only one component of
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - exploration of both patients’ and physicians’ attitudes toward medical error disclosure, which used scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/empowerment-slides-spanish.pptx
January 01, 2014 - octubre de 2012. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/longtermcare/scenarios
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digital.ahrq.gov/ahrq-funded-projects/finding-safer-way-novel-interaction-design-approaches-health-it-safety
January 01, 2023 - effect of composable and conventional approaches on clinical reasoning and errors, including high-stress scenarios
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury
January 01, 2023 - Frequently overused in the ED setting, CT scans are often ordered in scenarios where there is no evidence
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - Considering these contributing factors, what can be learned from this case to prevent future similar case scenarios
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - devices and modems to be placed
in subject/patient homes until it had been well tested under various scenarios
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - Risk Assessment
Cause-and-Effect Diagram
Description
Cause-and-effect diagrams provide a visual means of conveying all suspected and possible causes and consequences of a specific problem.
Contingency Diagram
Description
The contingency diagram …
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digital.ahrq.gov/principal-investigator/zayas-caban-teresa
January 01, 2023 - Zayas-Caban, Teresa
Human factors and ergonomics in home care.
Citation
Zayas-Cabán T, Valdez RS. Human factors and ergonomics in home care. In: Carayon P, ed. Handbook of human factors and ergonomics in healthcare and patient safety. 2nd ed. Boca Raton: CRC Press; 2012; p. …
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - CHD) death, nonfatal
stroke, or fatal stroke.3
This artifact addresses the third of three clinical scenarios … It addresses the last of three clinical scenarios where CMS’s Million Hearts® Model Longitudinal ASCVD