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2861. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - documenting this type of encounter, possibly due to higher cognitive burden.65,67,68 Audit log data allow a detailed

2862. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - There are comprehensive electronic medical records and related health care datasets that allow for the detailed

2863. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
      September 01, 2024 - PROMs are increasingly valuable in enhancing diagnostic safety 9 e by providing detailed insights

2864. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Integrated MicroSystems (AIMS) interventions, which our research team developed from available evidence, a detailed

2865. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Needs manual check: 5 Passed manually: 0 Failed manually: 0 Skipped: 1 Passed: 26 Failed: 0 Detailed

2866. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
      September 01, 2024 - PROMs are increasingly valuable in enhancing diagnostic safety 9 e by providing detailed insights

2867. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
      January 01, 2014 - barrier preventing them from getting the service, all of this tracked through a color coded, very detailed

2868. 2025 HCBS CAHPS Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-hcbs-chartbook.pdf
      January 01, 2025 - More detailed information on how these scores are calculated is available in Appendix C.

2869. Case 1. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 1. Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case…

2870. Workplace Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
      October 01, 2021 - Workplace Safety Resource List Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Items I. Purpose This document includes references to websites and other publicly available resources hospitals can use to improve the extent to which their organizational …

2871. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
      May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures Hospital Language Services: Quality Improvement and Performance Measures Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN; Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA Abstract For a growing segment…

2872. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…

2873. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Blood Culture Practices and Stewardship ICU & Non-ICU AHRQ Safety Program for MRSA Prevention AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Blood Culture Practices and Steward…

2874. How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
      January 01, 2020 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled …

2875. Training Program Summary: Millard Fillmore College Practice Facilitator Certificate Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/case-studies/fillmore.html
      April 01, 2022 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Training Program Summary: Millard Fillmore College Practice Facilitator Certificate Program Previous Page Next Page Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Overvi…

2876. A Tale of Three Practices: How Medical Groups are Improving the Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
      July 01, 2011 - A Tale of Three Practices: How Medical Groups are Improving the Patient Experience 1 CASE STUDY A Tale of Three Practices: How Medical Groups are Improving the Patient Experience July 2011 Introduction Medical practices are facing increasing pressure to improve their patient experience survey scores…

2877. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Optimize Briefings and Debriefings Say: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement are a big part of this project. Evidence supports that addre…

2878. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…

2879. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
      June 01, 2020 - References Health Services and Primary Care Research Study: Comprehensive Report 42 CFR 67.13, 42 CFR 67.13, Public Health Service Act. 42 U.S.C. ch. 6A § 201 et seq. 42 U.S.C. 299 et seq, “Healthcare Research and Quality Act of 1999. S.580.” AcademyHealth, “HSRProj,” undated. As of October 3, 2019: ht…

2880. Depression Care for Adolescents and Adults: 2014 Testing Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
      January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report Depression Care for Adolescents and Adults 2014 Testing Report Executive Summary This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and variation in performance at the health plan level for …