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  1. Changes in medical errors after implementation of a handoff program. | PSNet

    psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
    April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

  2. Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
    March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

  3. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
    February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

  4. Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
    January 01, 2023 - Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices." Reference Howard J, Clark EC, Friedman A, et al. Electronic health record impact on work burden in small, unaffiliated, community-based primary care p…

  5. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. | PSNet

    psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
    December 09, 2020 - Study A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Citation Text: Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…

  6. Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. | PSNet

    psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
    September 15, 2021 - Study Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. Citation Text: Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…

  7. How To Integrate a CUSP Approach | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/integrate-cusp-approach.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs How To Integrate a CUSP Approach Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tool…

  8. Paramedic | Digital Healthcare Research

    digital.ahrq.gov/population/paramedic
    January 01, 2024 - Paramedic A smart glass telemedicine application for prehospital communication: User-centered design study. Citation Zhang Z, Bai E, Xu Y, Stepanian A, Kutzin JM, Adelgais K, Ozkaynak M. A smart glass telemedicine application for prehospital communication: User-centered design…

  9. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
    January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…

  10. Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
    January 01, 2021 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Enhancing the Access and Quality of MAT for Individuals with Opioid Use Disorder (OUD) in Rural Pennsylvania’s …

  11. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

    psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
    September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …

  13. AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Purpose of the tool: The Umbilical Cord Prolapse …

  14. Sample Scenario for Umbilical Cord Prolapse In Situ Simulation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
    July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…

  15. Resident Physicians as Safety Champions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Resident Physicians as Safety Champions Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50768/psn-pdf
    December 27, 2019 - In Conversation With... Cindy Brach December 27, 2019 In Conversation With.. Cindy Brach. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-cindy-brach Editor’s note: Cindy Brach, MPP is a Senior Healthcare Researcher at the Agency for Healthcare Research and Quality and is the Co-Chair of th…

  17. InfoSage Information Sharing Across Generations and Environments | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments
    January 01, 2023 - InfoSage Information Sharing Across Generations and Environments Project Final Report ( PDF , 673.81 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 vie…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - Falling Through the Crack (in the Bedrails) May 1, 2016 Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails Case Objectives Review the epidemiology of patient falls and associated injuries in the hospital set…

  19. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

  20. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
    May 28, 2015 - Slide 1 Engaging The Nurse, Physician, Patient/Family; CUSP – Learn from Defects Jenny Tuttle, RN, MSNEd, CNRN Clinical Nurse Leader Neuro/Medical/Surgical ICU Tucson Medical Center Tucson, Arizona Christin Ko, MD, MBA, SFHM, FACP Assistant Professor Feinberg School of Medicine Northwestern University Chicago, IL …
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