-
www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - pump run out of
insulin, changing only with the next meal
Error with potential for harm; serious
Wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - did not understand the purpose of the call and ended up coming into the practice to “see
what was wrong
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
Page 1 of 26
Interim Update on 2013 Annual Hospital-Acquired Condition
Rate and Estimates of Cost Savings and Deaths Averted
From 2010 to 2013
Summary
Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
June 01, 2017 - bottom left corner of the title page, but I'll let other presenters on this call correct
me if I'm wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - Drop down boxes make it harder to choose the correct answer
and may cause respondents to select the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
April 01, 2022 - Drop down boxes make it harder to choose the correct answer and
may cause respondents to select the wrong
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - It is also common for entry fields on EHRs to have been inadvertently mapped to the wrong
variable labels
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - it is to
understand the process and “customer” experience, not to find out what
they are doing wrong … to assure them that one wants to understand how the process
works, not to catch them doing things wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - There was significant
increase in
proportion of omitted
medications and
wrong dose.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - There are no
right or wrong answers, and often the frst answer that comes to mind is best.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - There are no
right or wrong answers, and often the first answer that comes to mind is best.
-
www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
July 01, 2024 - more recent
investigations114 have brought to light patient-reported concerns (e.g., access problems, wrong
-
www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Confidential Physician
Feedback Reports:
Designing for Optimal
Impact on Performance
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
This guide is a practical resource designe…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - discharge]
[Service provider, such as Aging and
Disability Resource Center]
[Point person] [XXX] [“No wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Advisors can help your hospital move beyond the “what is wrong” stage to developing effective solutions
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - cultivated in an atmosphere of intellectual humility (open-mindedness and a
willingness to admit being wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - when we talk
about these topics, it’s as if there’s a threshold at which it’s a right answer and a
wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
January 28, 2011 - Advisors can help your hospital move beyond
the “what is wrong” stage to developing effective solutions
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - including the National Association of Community Health Workers look at low value care, the Right Question, Wrong