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8841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48082/psn-pdf
      June 19, 2019 - Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. June 19, 2019 Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. doi:10.1136/bmjopen-2018- 024747. …

8842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41511/psn-pdf
      June 03, 2013 - A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. June 3, 2013 Flowerdew L, Gaunt A, Spedding J, et al. A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. Emerg Med J. 2013;30(6):437-43. doi:10.…

8843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41873/psn-pdf
      November 28, 2012 - A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. November 28, 2012 Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492. do…

8844. Action Planning for the SOPS™ Surveys Infographic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-graphic.pdf
      February 01, 2019 - Action Planning for the SOPS™ Surveys Infographic Action Planning for the SOPSTM  Surveys January 2019 Webcast Highlights AHRQ's Surveys on Patient Safety CultureTM(SOPS TM) Action Planning Tool guides survey users seeking to improve patient safety culture through the action planning process. The Action Plann…

8845. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership Purpose: To enhance communication and shared problem solving between clinic…

8846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60796/psn-pdf
      August 12, 2020 - The challenges and opportunities for shared decision making highlighted by COVID-19. August 12, 2020 Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480.e1. doi:10.1016/j.jaip.2020.07.003. …

8847. Long-term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
      September 01, 2021 - Long-term Care Facilities Resources for long-term care facilities Improving Patient Safety in Long-Term Care Facilities Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient s…

8848. National Action Alliance Webinar: Establishing Psychological Safety for Healthcare Workers | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/webinars/psychological-safety.html
      March 01, 2025 - National Action Alliance Webinar: Establishing Psychological Safety for Healthcare Workers Creating and Maintaining a Culture of Safety Series (Session 1) This webinar was the first of a three-part series on Safety Culture in Healthcare. On February 18, 2025, experts shared how leadership rounding with staff …

8849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47260/psn-pdf
      August 08, 2018 - Building the Case for Health Literacy: Proceedings of a Workshop. August 8, 2018 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2018. ISBN: 9780309474290. https://psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop Health literacy affects p…

8850. Technical Bundles Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/technical-bundles.html
      March 01, 2017 - Technical Bundles Module This module provides evidence-based recommendations, literature reviews, sample protocols, and other resources to help the team address the following topics: Daily Care Processes Early Mobility Low Tidal Volume Ventilation Overview of the AHRQ Safety Program for Mechanically…

8851. Health Information Technology & Patient Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
      June 16, 2021 - Health Information Technology & Patient Safety Health Information Technology & Patient Safety Denni McColm, CIO, Citizens Memorial Healthcare Fast Facts • 74 acute beds • Level III trauma center • 5 LTC facilities • Residential care & independent living • Home care/hospice • 16 physician offices • 1,550 e…

8852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38970/psn-pdf
      July 05, 2013 - Joint Commission Center for Transforming Healthcare. July 5, 2013 Joint Commission. https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality i…

8853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46240/psn-pdf
      June 21, 2017 - Implementation of a modified bedside handoff for a postpartum unit. June 21, 2017 Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. https://psnet.ahrq.gov/issue/implementation-modif…

8854. A Path Forward for Diagnostic Safety Improvement Leadership | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
      June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action A Path Forward for Diagnostic Safety Improvement Leadership Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagno…

8855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836727/psn-pdf
      March 09, 2022 - A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091. https://psnet.ahrq.gov/issue/family-an…

8856. Breathe Michigan Screening Survey | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/breathe-michigan
      January 01, 2023 - Breathe Michigan Screening Survey This is a questionnaire designed to be completed by African American adults with chronic care needs in patient homes. The tool includes questions to assess the current state of patient-generated health data. Survey Document Breathe Michigan Screening Survey …

8857. Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/publication
      January 01, 2023 - Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium. Citation Carayon P, Karsh B-T, Cartmill RS, et al. Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium. (Prepared by the Center for…

8858. #06 Developmental Delays ADHD, and Autism (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_autism_potential_high_impact_june_2012.pdf
      January 01, 2012 - #06 Developmental Delays ADHD, and Autism AHRQ Healthcare Horizon Scanning System – Potential High Impact Interventions Report Priority Area 06: Developmental Delays, ADHD, and Autism Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5…

8859. Surprise Wire | PSNet
      psnet.ahrq.gov/web-mm/surprise-wire
      July 15, 2020 - Surprise Wire Citation Text: Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

8860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49731/psn-pdf
      April 01, 2015 - Fire in the Hole!—An OR Fire April 1, 2015 Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fire-hole-or-fire The Case A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection for a biopsy-proven adenocarcinom…