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9541. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - The guiding questions were open-ended and designed to elicit the pharmacists’ experiences with and assessments

9542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45741/psn-pdf
      November 16, 2018 - Monitoring the diagnostic process on an inpatient neurology service. November 16, 2018 Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681. https://psnet.ahrq.gov/issue/monitoring-diagnosti…

9543. Ready or Not: Helping Patients Address Tobacco Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/heart-health/smoking/use.html
      August 01, 2018 - Ready or Not: Helping Patients Address Tobacco Use Resource title: Ready or Not…Addressing Tobacco Use Resource description: This script and slide deck from a 14-minute presentation cover the risks of smoking and the benefits of quitting, and reviews 5 A's for treating tobacco use (Ask, Advise, Assess, As…

9544. Exhibit 6.12. Outcomes by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-12.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.12. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

9545. Exhibit 2.12. Outcomes by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-12.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.12. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

9546. Exhibit 1.16. Outcomes by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-16.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.16. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

9547. Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
      July 01, 2023 - Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership AHRQ Safety Program for Perinatal Care Purpose: To enhance communication and shared problem solving between clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit. …

9548. Exhibit 3.17. Outcomes by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-17.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.17. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

9549. Exhibit 4.16. Outcomes by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-16.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.16. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

9550. Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should Have an Assessment by a Mental Health Professional Prior To Discharge From the ED | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/measures/emergency-department-suicide-home.html
      August 01, 2021 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should Have an Assessment by a Mental Health Professional Prior To Discharge From the ED Measure Domain: Management of Acute Conditions Measure Sub-Domain: Pediatric Danger to…

9551. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix C (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apc.pdf
      June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix C Appendix C: NICU Needs Assessment Infant’s Name: Date of Birth: ID#: Male Female Bed#: Caregiver’s Contact #: Address: Pediatrician Name and Number: Birthweight Current Weight Primary Diagnosis Newborn Blood Screening Date: _______…

9552. For Systems Decisionmakers | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
      August 01, 2020 - For Systems Decisionmakers Integrating the efforts of clinicians, health care systems, insurers, and purchasers provides an opportunity to increase rates of delivering tobacco dependence treatments, quit attempts, and successful smoking cessation. This Systems Change material will help advance that endeavor. …

9553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35957/psn-pdf
      August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement. August 2, 2010 Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000205738.45580.5a. https://ps…

9554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865934/psn-pdf
      May 01, 2023 - MHA Person- and Family-Centered Care. May 1, 2023 MHA Keystone Center. Michigan Health and Hospital Association. https://psnet.ahrq.gov/issue/mha-person-and-family-centered-care Person- and family-centered (PFC) care puts the patient and their family at the center of decision making and planning for their health a…

9555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44693/psn-pdf
      June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…

9556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41808/psn-pdf
      October 08, 2024 - ISMP Medication Safety Intensive. October 8, 2024 Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). https://psnet.ahrq.gov/issue/ismp-medication-safety-intensive This virtual workshop will explore tactics for community and specialty pharmacies to ensure medication safety, inc…

9557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35034/psn-pdf
      November 05, 2015 - Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. November 5, 2015 Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008. https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…

9558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36816/psn-pdf
      August 26, 2011 - Embedding quality improvement and patient safety - the UCLA value analysis experience. August 26, 2011 Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. https://psnet.ahrq.gov/issue/embedding-quality-…

9559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40812/psn-pdf
      November 16, 2011 - Introducing the patient safety professional: why, what, who, how, and where? November 16, 2011 Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e585. https://psnet.ahrq.gov/issue/introd…

9560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45287/psn-pdf
      August 03, 2016 - Mistakes We Make in Dialysis. August 3, 2016 Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328. https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal …