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4081. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - The most common area in which assessments were conducted was internal medicine and family medicine. … Although a handful of studies developed tools to conduct assessments, the psychometric properties of … Researchers successfully enrolled 41 teams in the real OR assessments (pre- and post-tests), with 22

4082. CA Asthma Quality Improvement Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/practice-level-baseline-data.pdf
      January 01, 2016 - CA Asthma Quality Improvement Collaborative CA Asthma Quality Improvement Collaborative Michael Cabana, MD MPH Naomi S. Bardach, MD MAS This project is supported by grant number U18HS025297 from the Agency for Healthcare Research and Quality (AHRQ). 0 10 20 30 40 50 60 In ci de nc e ra te …

4083. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
      February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients Say: Today, we will give you an overview of the…

4084. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
      December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Performing an SSI Investigation – Facilitator Notes Slide Title and Commentary Slide Number and Slide Performing an SSI Investigation SAY: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide …

4085. Performing an SSI Investigation: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
      December 01, 2017 - Performing an SSI Investigation: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Performing an SSI Investigation Say: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide 2: Learning Objectives Say: Here are the objectives. We want to d…

4086. !Directions Fall 03 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_II.pdf
      June 01, 2003 - !Directions Fall 03 Fall 2003 Volume 5, No. 4 Directions Tools and ideas to improve your group practice — from the Medical Group Management Association Health Care Consulting Group Info Technology Self-Assessment – Part II Enhance clinical operations with technology – Stepping stones to an EMR See “Info…

4087. App-F2-Surv-Report-1-Nonopioid-Pharmacol-Chronic-Pain (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-f2-surv-report-1-nonopioid-pharmacol-chronic-pain.xlsx
      October 08, 2025 - TCA_PCT Table F-2a. Harms of tricyclic antidepressants versus placebo Author, Year Quality Pain Population Drug Class Drug Assessment Time (Wk) Time Category WAE: n WAE: N SAE: n SAE: N Cardiac Rhythm Abnormalities: Specific AE Cardiac Rhythm Abnormalities: n Cardiac Rhythm Abnormalities: N N Randomized Cognitive Eff…

4088. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Continuous vital & trends-The biosensors, electronic record, and clinical assessments need to be continuous

4089. Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered Medication Therapy Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
      January 01, 2019 - Medication Indication and Safety Analysts’ assessments of heuristics for alerts targeting medication

4090. Improving Teen Care with HIT - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023383-mccarty-final-report-2020.pdf
      January 01, 2020 - Based on the design of the study, missing data only occurred during outcome assessments.

4091. Evaluation of Effectiveness and Safety of Antiepileptic Medications in Patients With Epilepsy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/epilepsy-medicine_research-protocol.pdf
      February 01, 2008 - All assessments will be made by two investigators (with disagreements resolved through discussion).

4092. Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. | PSNet
      psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
      March 03, 2011 - Study Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. Citation Text: Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sl…

4093. Appendix D | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apd.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Appendix D Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qualit…

4094. Measure 1, Section 2, Attachment 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
      June 02, 2025 - Measure 1, Section 2, Attachment 2 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications Attachment 2: EHR Recommended Data Locations This table describes where to look for and find the elements of ADHD measures in the chart Locations in the record where this info…

4095. 114-Fvc-Aspects-Steps-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
      April 01, 2025 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

4096. Management reasoning: beyond the diagnosis. | PSNet
      psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
      June 26, 2019 - Commentary Management reasoning: beyond the diagnosis. Citation Text: Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA. 2018;319(22):2267-2268. doi:10.1001/jama.2018.4385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

4097. Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
      July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…

4098. The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet
      psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
      March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …

4099. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. | PSNet
      psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
      September 20, 2011 - Study Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. Citation Text: Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…

4100. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. | PSNet
      psnet.ahrq.gov/issue/assessing-organisational-culture-quality-and-safety-improvement-national-survey-tools-and
      March 08, 2017 - Study Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Citation Text: Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf He…