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4581. Exhibit 5-21. Measure 21: The effectiveness of communication between practice and community resource (GP-LI) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex521.html
      March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Exhibit 5-21. Measure 21: The effectiveness of communication between practice and community resource (GP-LI) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. W…

4582. Actions Based on Survey Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Actions Based on Survey Results Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study In…

4583. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
      December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer who experienced wrong-site surgery. Citation Text: Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…

4584. Preventing CAUTI in the ICU Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
      February 01, 2023 - Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps Facilitator Notes Slide 1 No notes for this slide. Slide 2 Say: You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…

4585. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
      January 01, 2014 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans AL CHIP’s Experience with Consumer Assessment Chris Sellers, MPH, Director of Data and Evaluation Children's Health Insurance Program (CHIP), Alabama Department of Public Health Alabama Department of Public Health 25 Who Are We…

4586. Checklists, safety, my culture and me. | PSNet
      psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
      June 19, 2019 - Commentary Checklists, safety, my culture and me. Citation Text: Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

4587. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
      June 02, 2025 - PowerPoint Presentation Use these PowerPoint slides for any presentations for which they may be useful. These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

4588. Disclosing harmful medical errors to patients: tackling three tough cases. | PSNet
      psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
      December 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …

4589. Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
      December 15, 2021 - Press Release/Announcement Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Citation Text: Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Nati…

4590. Beeler A 2009 "Response to request for information by Dr. Angela Beeler of South County Pediatrics on July 6, 2009." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/beeler-2009-response
      January 01, 2009 - Beeler A 2009 "Response to request for information by Dr. Angela Beeler of South County Pediatrics on July 6, 2009." Reference Beeler A. Response to request for information (RFI) by Dr. Angela Beeler of South County Pediatrics on July 6, 2009. Agency for Healthcare Research and Quality; 2009. Ab…

4591. Innovation in safety, and safety in innovation. | PSNet
      psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
      October 27, 2021 - Commentary Innovation in safety, and safety in innovation. Citation Text: Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

4592. Electronic Data Methods (EDM) Forum for Comparative Effectiveness Research (U13) | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/electronic-data-methods-edm-forum-comparative-effectiveness-research-u13
      January 01, 2023 - Electronic Data Methods (EDM) Forum for Comparative Effectiveness Research (U13) Connect, Collaborate, Communicate: The Story of the EDM Forum Citation Adams L, Edmunds M, Johnson B. Connect, Collaborate, Communicate: The Story of the EDM Forum. AcademyHealth. http://www.acade…

4593. Appendix. Example of the SBAR and CUS Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2ap.html
      October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Appendix. Example of the SBAR and CUS Tools Previous Page   Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources …

4594. Privacy and Security Solutions for Interoperable Health Information Exchange / California | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ca2
      January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / California Project Description Project Details - Completed Contract Number 290-05-0015-RTI-045 Funding Mechanism(s) Health Information Security and Privacy C…

4595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847043/psn-pdf
      April 05, 2023 - An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. April 5, 2023 Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. doi:10.1016/j.ijmedinf.2023.105038. …

4596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43847/psn-pdf
      January 28, 2015 - Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. January 28, 2015 Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-7. doi:10.1016/j.jamcollsurg.201…

4597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40563/psn-pdf
      September 09, 2011 - Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. September 9, 2011 Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.…

4598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853970/psn-pdf
      September 27, 2023 - Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. September 27, 2023 Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologist…

4599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73426/psn-pdf
      June 23, 2021 - The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021 Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846. https://psnet.ahrq.gov/iss…

4600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861292/psn-pdf
      January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…