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  1. www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
    January 01, 2024 - Final Progress Report: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders TITLE PAGE FINAL Progress Report for 1R03HS023656-01A1 FINAL REPORT Period: 08/01/2015 – 07-31/2017 Project Title: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/module-5-slides.pptx
    March 01, 2017 - PowerPoint Presentation Module 5: Resident and Family Engagement AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules AHRQ Pub. No. 16(17)-0003-03-EF March 2017 Resident and Family Engagement | ‹#› 1 Objectives Define resident- and family-centered care Describe the key concepts of res…
  3. Puh-Erepguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
    February 10, 2014 - Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Instructor Guide Slide 1: Introduction to Pressure Ulcer Healing Reports SAY: In this session we will introduce you to the pressure ulcer healing electronic reports. Slide 2: Pressure Ulcer H…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38269/psn-pdf
    October 01, 2024 - Nursing Home Survey on Patient Safety Culture. October 1, 2024 Rockville, MD: Agency for Healthcare Research and Quality; October 2020. https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing …
  5. digital.ahrq.gov/ahrq-funded-projects/maintaining-activity-and-nutrition-through-technology-assisted-innovation/citation/effect
    January 01, 2023 - Effect of electronic health record-based coaching on weight maintenance: a randomized trial. Citation Conroy MB, McTigue KM, Bryce CL, Tudorascu D, Barone Gibbs B, Arnold J, Comer D, Hess R, Huber K, Simkin-Silverman LR, Fischer GS. Effect of Electronic Health Record-Based Coaching on Weight Maintenan…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/assess
    January 01, 2023 - Assess Workflows 1. Examples of flowcharts Physician Assistant (PA) Office Visit ( PDF , 21KB) Nurse Only Visit ( PDF , 21KB)   2. Why and how do we assess workflow using flowcharts postimplementation? You have now implemented your health IT system. If you incur workflow-re…
  7. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
    January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. Citation Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44073/psn-pdf
    April 15, 2015 - Clinician support: five years of lessons learned. April 15, 2015 Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates insights from an academic health care system that developed a…
  9. www.ahrq.gov/sops/resources/data-entry-analysis-tools.html
    September 01, 2022 - Data Entry and Analysis Tools The Data and Entry and Analysis Tools may be used after you administered your SOPS survey to assist with analyzing your survey data. These Microsoft® Excel® Tools have macros enabled to automatically create tables and graphs of your survey results. You can either manually enter you…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43827/psn-pdf
    January 14, 2015 - The surprising way to stay safe in the hospital. January 14, 2015 https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital This news article summarizes the results of a survey exploring how patients' perceptions of respect from hospital staff corresponds with the potential for medical error. Recommended strat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43008/psn-pdf
    November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836935/psn-pdf
    April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. April 13, 2019 Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826. https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition Root cause analysis is a widely use…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48041/psn-pdf
    July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. July 10, 2019 Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375. https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38728/psn-pdf
    June 09, 2011 - Between choice and chance: the role of human factors in acute care equipment decisions. June 9, 2011 Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0b013e3181a974d9. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45637/psn-pdf
    February 17, 2017 - Opportunities to enhance laboratory professionals' role on the diagnostic team. February 17, 2017 Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. https://psnet.ahrq.gov/issue/opportuniti…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865493/psn-pdf
    April 03, 2024 - Implement strategies to prevent persistent medication errors and hazards: 2024. April 3, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024 Systemic failures can perpetuate unsafe care if a lack of p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46882/psn-pdf
    May 23, 2018 - How health care changes when algorithms start making diagnoses. May 23, 2018 Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018. https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47739/psn-pdf
    February 20, 2019 - Artificial intelligence, bias and clinical safety. February 20, 2019 Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370. https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety Artificial intell…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…