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  1. Tool: STEP | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
    June 01, 2023 - Tool: STEP STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…

  2. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

  3. Preventing Pressure Ulcers in Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
    February 01, 2024 - Preventing Pressure Ulcers in Hospitals Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer prevention that we want to use? 4. How…

  4. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
    June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality, Health Research &…

  5. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix L. Intensive Care Unit Infographic Poster …

  6. Appendix 1. Definitions of High-Performance Work Practices | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpap.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Appendix 1. Definitions of High-Performance Work Practices Previous Page   Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case…

  7. Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html
    August 01, 2025 - Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry Principal Investigator: Muhammad Walji, Ph.D., University of Texas Health Science Center at Houston, Houston, TX  AHRQ Grant No.: HS027268  Project Period: 09/09/19-08/31/24  Description: OWLL aimed to improve patient safety in dental sett…

  8. Strengthening Patient Engagement to Improve Care and Shared Decision Making - Emerging Research | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary/strengthening-patient-engagement-improve-care-and-shared-decision-making-emerging-research
    January 01, 2020 - Strengthening Patient Engagement to Improve Care and Shared Decision Making - Emerging Research Using Technology to Support Patient-Centered, Shared Decision Making in Care and Treatment Decisions Patient-centered shared decision making refers to the collaborative effort of a healthc…

  9. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

  10. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet

    psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
    February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…

  11. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
    September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Citation Text: Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…

  12. Garcia, Sofia | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/garcia-sofia
    January 01, 2024 - Garcia, Sofia A mixed methods evaluation of patient perspectives on the implementation of an electronic health record-integrated patient-reported symptom and needs monitoring program in cancer care. Citation Lyleroehr MJ, Webster KA, Perry LM, Patten EA, Cantoral J, Smith JD, …

  13. Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/influence-gender-profession-and-managerial-function-clinicians-perceptions-patient-safety
    September 07, 2022 - Study Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. Citation Text: Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' pe…

  14. Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/bedside-notes-multicenter-trial-improve-family-clinical-note-access-and
    September 30, 2024 - Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Project Description Increasing caregiver access to clinical notes during their child’s hospitalization can increase access to trusted health information, improve car…

  15. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet

    psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
    April 15, 2020 - Study Comparison of methods to reduce bias from clinical prediction models of postpartum depression. Citation Text: Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…

  16. Technology for Optimizing Population Care in a Resource-Limited Environment - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2012
    January 01, 2012 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2012 Project Name Technology for Optimizing Population Care in a Resource-Limited Environment Principal Investigator Atlas, Steven J. Organization Massachusetts General Hospital Funding Mech…

  17. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet

    psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
    July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…

  18. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
    December 02, 2020 - Study Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. Citation Text: Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…

  19. Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet

    psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
    December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

  20. Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. | PSNet

    psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
    March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
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