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8501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73571/psn-pdf
      August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…

8502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855096/psn-pdf
      November 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i…

8503. Chapter 3 Figure 2 (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3fig2txt.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 3 Figure 2 (Text Description) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging T…

8504. Figure 1. Care Coordination Ring (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2fig1txt.html
      June 01, 2014 - Care Coordination Measures Atlas Update Figure 1. Care Coordination Ring (Text Description) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter…

8505. Exhibit 3. Inclusion and exclusion criteria for literature review | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 3. Inclusion and exclusion criteria for literature review Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…

8506. Exhibit 3.1. Care management population selection and enrollment process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Exhibit 3.1. Care management population selection and enrollment process Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a …

8507. How to Map Workflows in Health Care Settings | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/workflow-mapping.html
      February 01, 2025 - How to Map Workflows in Health Care Settings Resource: Mapping and Redesigning Workflow  (PDF, 8.8 MB, 69 (Including 54 pages of slides in appendices) pages) Part of an AHRQ curriculum used to train practice facilitators, this resource explains the purpose and process of workflow mapping in a primary care se…

8508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50735/psn-pdf
      December 11, 2019 - Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach December 11, 2019 Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practitioners on Their Frequency and A…

8509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35405/psn-pdf
      December 14, 2007 - Use of administrative data to find substandard care: validation of the complications screening program. December 14, 2007 Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. doi:10.1097/00005650-200008000-00004. https://psnet.ahrq.gov/issue/u…

8510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43463/psn-pdf
      October 06, 2016 - Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. October 6, 2016 Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-61. doi:10.1097/NNA.0000000000000…

8511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73466/psn-pdf
      July 07, 2021 - COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. https://psnet.ahrq.gov/issue/covid-19-and-open-notes-new-m…

8512. Exhibit 3. Literature Review Inclusion and Exclusion Criteria | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex3.html
      July 01, 2018 - Guide to Patient and Family Engagement Exhibit 3. Literature Review Inclusion and Exclusion Criteria Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next S…

8513. Figure 1-2. Williams, Lavizzo-Mourey, and Warren's framework for understanding the relationships between race, medical/health care, and health | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig1-2.html
      April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 1-2. Williams, Lavizzo-Mourey, and Warren's framework for understanding the relationships between race, medical/health care, and health Previous Page Next Page Table of Contents Race, Ethnicity, and Langua…

8514. Figure 4-2: Karliner algorithm | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4fig4-2.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 4-2: Karliner algorithm Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Eviden…

8515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45230/psn-pdf
      July 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu…

8516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39009/psn-pdf
      April 08, 2011 - Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. April 8, 2011 Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds.2008-3505. https://psnet.ahrq.gov/i…

8517. Appendix B. Figure 3. Normalized Percent Distribution for Surgical Procedures with Incision (California 2008 SASD) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig3.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix B. Figure 3. Normalized Percent Distribution for Surgical Procedures with Incision (California 2008 SASD) Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambu…

8518. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.14. Major Factors that Facilitated Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Hea…

8519. Exhibit 6.1. LHC and Horizon Hospital Interviewees by Type of Participant and Clinical Role | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-1.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.1. LHC and Horizon Hospital Interviewees by Type of Participant and Clinical Role Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies…

8520. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
      April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 2. Literature review search terms by category Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Intro…