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psnet.ahrq.gov/node/39617/psn-pdf
February 18, 2011 - Potential unintended consequences due to Medicare's
"No Pay for Errors Rule"? A randomized controlled trial of
an educational intervention with internal medicine
residents.
February 18, 2011
Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medicare’s “No
Pay for Errors Rule”? …
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psnet.ahrq.gov/issue/hidden-dangers-outsourcing-radiology
December 19, 2007 - Newspaper/Magazine Article
The hidden dangers of outsourcing radiology.
Citation Text:
The hidden dangers of outsourcing radiology. Eban K.
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psnet.ahrq.gov/taxonomy/term/3460
September 01, 2025 - Swiss Cheese Model
Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/john-b-wong-md-macp
March 01, 2024 - Share to Facebook
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John B. Wong, M.D., MACP
Vice chair
John B. Wong, M.D., MACP, is vice chair for academic affairs, chief of the Division of Clinical Decision Making, and, as a primary care …
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integrationacademy.ahrq.gov/sites/default/files/2020-07/HbA1c.pdf
January 01, 2020 - Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%)
Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c)
Control (<8.0%)
Measure Description:
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) whose most
recent HbA1c level is <8.0% during the measurement year.
Num…
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www.ahrq.gov/cahps/surveys-guidance/ich/index.html
November 01, 2023 - CAHPS In-Center Hemodialysis Survey
The CAHPS In-Center Hemodialysis Survey asks adults with end-stage renal disease about their experiences with care from dialysis facilities. The Centers for Medicare & Medicaid Services (CMS) began national implementation of this survey in 2014. Dialysis facilities and End-St…
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www.ahrq.gov/cahps/surveys-guidance/index.html
May 01, 2024 - CAHPS Patient Experience Surveys and Guidance
What Are CAHPS Surveys? CAHPS surveys ask patients to report on their experiences with a range of healthcare services at multiple levels of the delivery system. Some CAHPS surveys ask about patients' experiences with healthcare providers, such as doctors, clinics, a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
June 02, 2025 - Conducting a Morning Briefing
Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges.
What is a Morning Briefing? A morning briefing is a dialogue between two or more people using concise and relevant informati…
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www.ahrq.gov/sops/webcasts/hospital_workplace_safety.html
December 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals (Webcast)
December 16, 2021
Summary
Speakers and Presentation Slides
Recording
About the Surveys on Patient Safety Culture
Summary
This AHRQ webcast introduced the new Surveys on Patient Safety Culture™ (SOPS ® ) Workplace Safety …
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www.ahrq.gov/sops/events/webinars/value-efficiency.html
October 01, 2018 - Webcast: New AHRQ SOPS Value and Efficiency Supplemental Items
January 9, 2018
Summary
Speakers and PowerPoint Slides
Recording
Transcript
Related Material
Summary
On January 9, 2018, the Agency for Healthcare Research and Quality (AHRQ) hosted a webcast featuring the new Value and Efficiency…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - Decision Tree
Also Known As
Decision Process Flowchart
Logic Diagram
Description
Decision trees are tools that can be utilized to navigate several courses of action to arrive on one choice. Their structure allows one to evaluate multiple options and explore what the potential outcomes ar…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find1.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Introduction
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCBS Population
Outcome…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-ginsberg-slides.pdf
October 12, 2017 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast
AHRQ’s CAHPS® Program
Caren Ginsberg, PhD
Director, CAHPS Division
Center for Quality Improvement & Patient Safety
October 12, 2017
www.ahrq.gov/cahps
AHRQ: An R & D Agency
• AHRQ:
• Advances science
• Creates knowledge from data
• Creates to…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
May 01, 2014 - www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0012-1-EF
Concise Antibiogram Toolkit
Background
This toolkit is designed to guide nursing homes in creating their own antibiograms, an important
tool for guiding empiric antimicrobial therapy. Information about antibiograms and instructions
on how to…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
May 01, 2014 - Concise Antibiogram Toolkit
Background
This toolkit is designed to guide nursing homes in creating their own antibiograms, an important tool for guiding empiric antimicrobial therapy. Information about antibiograms and instructions on how to create them is included.
What is an antibiogram?
· Antibiograms are impor…
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www.ahrq.gov/talkingquality/translate/labels/explain.html
January 01, 2019 - Explain Why a Health Care Quality Measure Matters
In some cases, report users will not know why a particular measure is important as an aspect of quality. When people don’t realize the importance of a measure, they are unlikely to look at or use the data. 1 In the case of clinical process measures, for example…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign (Text Description)
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MAT…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix P. Focus Group Risk Factors
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Admini…
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - are typically used to treat other conditions, such as lupus and rheumatoid arthritis, are now being tested
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www.ahrq.gov/sites/default/files/2024-02/wachs1-report.pdf
January 01, 2024 - Final Report: GestureClean: A Touchless Interaction Language for the Operating Room
Title Page
Title of Project: GestureClean: A Touchless Interaction Language for the Operating Room
Principal Investigator:
• Juan P. Wachs, Professor, School of Industrial Engineering, Purdue University.
Co-Investigators:
• Richar…