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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - Swiss Cheese Model
September 13, 2021
Anonymous (not verified)
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 safe…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-guiding-concepts.pdf
September 01, 2015 - Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Hays
GUIDING CONCEPTS FOR THE
NEW CAHPS® SURVEY
Ron Hays, Ph.D.
University Of California – Los Angeles and RAND Health Program
CAHPS Core Surveys:
Some Examples
Patient Experience with Providers
► Clinician & Group
► Hospice
► Home Health Car…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Infographic
TeamSTEPPS® for Diagnosis
Improvement
AHRQ Publication No. 22-0015
February 2022
References
1. National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies
Press; 2015. https://doi.org/10.17226/21…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
May 01, 2023 - Tool: Teach-Back
A teach‐back is an evidence‐based health literacy intervention that promotes patient engagement, patient safety, adherence, and quality . 1 In a teach-back, you ask the patient or family caregiver to explain the information they need to know or actions they need to take, in their own words. Te…
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - Conducting a Morning Briefing
CUSP Toolkit
Improve communication with nursing staff
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 dial…
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www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-fact-sheet.pdf
October 01, 2024 - The SHARE Approach: A Flexible Training Program for Shared Decision Making
The SHARE Approach:
A Flexible Training Program for
Shared Decision Making
The SHARE Approach is a training program developed by the Agency for Healthcare
Research and Quality to help healthcare professionals work with patients to …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hahn.pdf
December 19, 2014 - A Low Literacy Multimedia Approach to Disseminate Bilingual Diabetes CERSGs
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
A Low Literacy Multimedia Approach to Disseminate Bilingual Diabetes CERSGs
Purpose/Description
Type…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
December 19, 2014 - Technologically Enhanced Community Health Worker Delivery of Personalized Decision Aid: iDecide.Decido
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Technologically Enhanced Community Health Worker Delivery of Personalized …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testing Process
Diagnostic Stewardship Interventions T…
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psnet.ahrq.gov/issue/escape-room
April 30, 2024 - Tools/Toolkit
Escape Room.
Citation Text:
Escape Room. Harrisburg, PA: Pennsylvania Safety Authority; 2020.
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…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/khoury-1998-support
January 01, 1998 - Khoury A 1998 "Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio."
Reference
Khoury A. Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio. Eff Clin Pract 1998;1(2):73-82. …
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psnet.ahrq.gov/issue/long-way-go
June 13, 2011 - Newspaper/Magazine Article
A long way to go.
Citation Text:
A long way to go. DerGurahian J.
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December 16…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/bakken.html
November 01, 2022 - Subcommittee Member: Suzanne Bakken
Suzanne Bakken, Ph.D., R.N., F.A.A.N., F.A.C.M.I., F.I.A.H.S.I.
The Alumni Professor of Nursing and Professor of Biomedical Informatics
Columbia University
Director, Precision in Symptom Self-Management Center
Director, Reducing Health Disparities Through Informatics Pre…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
January 01, 1999 - Berner ES et al. 1999 "Effects of a decision support system on physicians' diagnostic performance."
Reference
Berner ES, Maisiak RS, Cobbs CG, et al. Effects of a decision support system on physicians' diagnostic performance. J Am Med Inform Assoc 1999;6(5):420-427.
[Link]
Abstract
"Purpose:…
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www.ahrq.gov/coronavirus/ahrq-publications.html
July 01, 2023 - AHRQ-Supported Publications and Resources
AHRQ has a robust collection of research findings and analyses published by AHRQ-supported grantees.
Patient Adverse Financial Outcomes Before and After COVID-19 Infection (May 2023)
Primary Care's Challenges and Responses in the Face of the COVID-19 Pandemic: In…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/benchmarking
January 01, 2023 - Benchmarking
Examples
Workflow-Related Questions for Benchmarking ( PDF , 675KB)
Description
Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization.
Uses
To f…
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
April 01, 2020 - Making Healthcare Safer III Patient Safety Practices
Below is a list of the 47 patient safety practices examined in Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices . The practices are listed among the report’s 17 chapters, which represent harm areas researched…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
February 01, 2014 - A New Model of Thinking in Clinical Preventive Services
ACHIEVEMENTS IN PREVENTION
A New Model of Thinking in Clinical Preventive Services
The Harms of Screening: an Unseen Problem
Most of us know that screening for cancer and other preventive services
can help save lives…
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digital.ahrq.gov/ahrq-funded-projects/development-model-electronic-health-record-format-children/annual-summary/2010
January 01, 2010 - Development of a Model Electronic Health Record Format for Children - 2010
Project Name
Development of an Electronic Health Record Format for Children
Principal Investigator
Finley, Scott
Organization
Westat
Contract Number
290-2009-00023I-3
Project Period
M…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool6.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 6. Worksheet: Establishing Protocols for BMI Screening
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
F…