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3961. Kick-off Visit Check List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
      June 02, 2025 - Kick-off Visit Check List KICK-OFF VISIT CHECK LIST PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER Four weeks before visit Contact AD and introduce yourself Determine ABCS assignment Print Baseline Reports & send to AD Four weeks before visit   Negotiate with Nicole Travis date/time   Record ABCS …

3962. Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet
      psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
      February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

3963. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
      May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

3964. Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
      June 14, 2023 - Study Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. Citation Text: Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…

3965. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet
      psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication
      December 05, 2018 - Study Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. Citation Text: Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.113…

3966. Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. | PSNet
      psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient
      June 01, 2016 - Study Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. Citation Text: Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factor…

3967. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet
      psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
      October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…

3968. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
      psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
      September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Citation Text: Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…

3969. Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. | PSNet
      psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
      July 06, 2022 - Study Emerging Classic Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. Citation Text: Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…

3970. 1d2 Workflow Assessment Guide (doc file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WorkflowInterviewGuide.doc
      December 18, 2021 - 1d2 Workflow Assessment Guide 1d2 Workflow Assessment Guide CFMC Staff Use Only (this box) Individuals interviewed: Workflow Assessors: Workflow Assessment date: Number/type of providers observed: General Information Clinic Name: Total number of exam rooms: Number of patients typica…

3971. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
      March 04, 2015 - Study Design and implementation of an automated email notification system for results of tests pending at discharge. Citation Text: Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…

3972. Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition
      January 01, 2023 - Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System Project Final Report ( PDF , 830.22 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its c…

3973. Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet
      psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
      July 20, 2022 - Study Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. Citation Text: McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…

3974. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet
      psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
      April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

3975. Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet
      psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
      June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

3976. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
      December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…

3977. Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet
      psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
      September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

3978. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. | PSNet
      psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
      March 02, 2022 - Study Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. Citation Text: Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…

3979. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. | PSNet
      psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
      May 22, 2019 - Commentary Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Citation Text: Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…

3980. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet
      psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality
      March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…