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3701. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
      January 01, 2011 - Slide 1 On the CUSP: STOP BSI Improving Situational Awareness by Conducting a Morning Briefing Situation Awareness -- An Overview Members of the team have an understanding of what’s going on and what is likely to happen next Teams are alert to developing situations, sensitive to cues, and aware of their impli…

3702. 2013 IBH Lexicon | The Academy
      integrationacademy.ahrq.gov/products/ibh-lexicon/2013-lexicon
      January 01, 2013 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

3703. Medicare | Digital Healthcare Research
      digital.ahrq.gov/population/medicare
      January 01, 2024 - Medicare Changes in the appropriateness of US outpatient antibiotic prescribing after the COVID-19 outbreak: An interrupted time series analysis of 2016-2021 data. Citation Chua KP, Fischer MA, Rahman M, Linder JA. Changes in the appropriateness of US outpatient antibiotic pre…

3704. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
      May 01, 2017 - executive should meet with the CUSP for L&D team regularly and be included in any project-related communications

3705. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - Final Progress Report: Technology To Improve Medication Safety in Nursing Homes Nursing Home Medication Safety 1 Technology to Improve Medication Safety in Nursing Homes Jill Scott-Cawiezell, PhD Principal Investigator Marilyn Rantz, PhD, Lanis Hicks, PhD, Richard Madsen, PhD, & Greg Petroski, PhD Investigators …

3706. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

3707. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…

3708. Preventablehospitalandedvisits-Implmatl (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
      June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nurs…

3709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44709/psn-pdf
      November 18, 2016 - Lost information during the handover of critically injured trauma patients: a mixed-methods study. November 18, 2016 Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…

3710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43690/psn-pdf
      March 26, 2015 - Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. March 26, 2015 Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Ve…

3711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43695/psn-pdf
      August 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio…

3712. 2024 CAHPS Health Plan Survey Database Summary Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-health-plan-infographic.pdf
      January 01, 2024 - 2024 CAHPS Health Plan Survey Database Summary Results Cah ps 2024 Health Plan Survey Database Summary Results This overview of results summarizes how Medicaid and Children's Health Insurance Program (CHIP) health plan respondents assess their health plan based on the 2024 Consumer Assessment of Healthcare Pr…

3713. CAHPS 2023 Health Plan Survey Database Summary Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023_chartbook_infographic.pdf
      January 01, 2023 - CAHPS 2023 Health Plan Survey Database Summary Results 2023 Health Plan Survey Database Summary Results This overview of results summarizes how Medicaid and Children's Health Insurance Program (CHIP) health plan respondents assess their health plan based on the 2023 Consumer Assessment of Healthcare Providers a…

3714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49756/psn-pdf
      April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …

3715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49761/psn-pdf
      May 01, 2016 - The Fluidity of Diagnostic "Wet Reads" May 1, 2016 Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads The Case A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain. His electroc…

3716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

3717. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
      March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Overview      How To Use This Guide          LTC Safety Toolkit Modules Sustainability Essentials      Leadership Commitment   …

3718. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department References Previous Page   Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Distributed Cognition Nurses' Role…

3719. Health Information Technology Support for Safe Nursing Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care
      January 01, 2023 - Health Information Technology Support for Safe Nursing Care Project Final Report ( PDF , 147.61 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of…

3720. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - Followup meetings at 30-day intervals and communications should be planned in advance to ensure compliance