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  1. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
    June 01, 2023 - Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS) The five‐question mnemonic “KAICS” can help develop a reflective mindset and aid in the situation monitoring process. What do I KNOW? Review objective and subjective data given the evidence, possible biases, and assumptions.  What are the A…
  2. www.ahrq.gov/patient-safety/reports/sepsis/index.html
    September 01, 2024 - An Assessment of Sepsis in the United States and Its Burden on Hospital Care Report to Congress Summary In the Fiscal Year 2023 Omnibus Spending Bill, the U.S. Congress directed the Agency for Healthcare Research and Quality (AHRQ) to "conduct a comprehensive set of studies that calculate the morb…
  3. pso.ahrq.gov/resources/ai-healthcare-safety
    February 01, 2025 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Resources for Artificial Intelligence (AI) in …
  4. www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/northshore.html
    March 01, 2021 - Using Data To Tackle Undiagnosed Hypertension and Improve Care NorthShore Health Centers is a primary care organization dedicated to providing high quality, affordable health care to 14,600 people monthly in northwest Indiana. NorthShore's medical teams are committed to constantly innovating and improving the c…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Implications for Research, Policy, and Practice Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Te…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
    January 01, 2023 - Pareto Chart Also Known As Pareto Diagram Description A pareto chart is a bar graph where the bars appear in decreasing length from left to right. The bar length corresponds to time, frequency, or amount. Uses When you want to find the most significant causes or problems from a l…
  7. digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/untapped-potential-telemedicine-primary-care
    January 01, 2018 - Why Do Patients Choose Telemedicine for Primary Care? The Untapped Potential of Telemedicine for Primary Care Significance and Potential Impact: This research will provide evidence to inform emerging telehealth policies including reimbursement, technology adoption decisions, and real-world use by patients and…
  8. digital.ahrq.gov/ahrq-funded-projects/central-kenai-peninsula-health-collaborative-technology
    January 01, 2023 - Central Kenai Peninsula Health Collaborative Technology Project Description Project Details - Completed Grant Number P20 HS014902 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gra…
  9. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
    January 01, 2023 - Root Cause Analysis Acronym RCA Examples Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86. Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …
  10. psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
    July 18, 2024 - Press Release/Announcement Preventing accidents and injuries in the MRI suite. Citation Text: Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  11. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
    January 01, 2023 - Critical-to-Quality Analysis Acronym CTQ Description A critical-to-quality (CTQ) analysis is a means of examining a process’s flowchart in order to find quality features or characteristics that are significant and to identify problems. The method looks at inputs and outputs and identifies s…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39084/psn-pdf
    March 05, 2010 - The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. March 5, 2010 Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes--a follow-up study. Resu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46959/psn-pdf
    August 20, 2018 - Education outcomes from a duty-hour flexibility trial in internal medicine. August 20, 2018 Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:10.1056/nejmoa1800965. https://psnet.ahrq.gov/issue/education-outco…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47922/psn-pdf
    May 29, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. May 29, 2019 Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44976/psn-pdf
    February 14, 2017 - Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. February 14, 2017 Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45615/psn-pdf
    October 26, 2016 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. October 26, 2016 Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39620/psn-pdf
    September 20, 2011 - The relationship between patients' perception of care and measures of hospital quality and safety. September 20, 2011 Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475- …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43862/psn-pdf
    March 20, 2015 - The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. March 20, 2015 Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. I…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/carbohydrate-intake-executive-summary.pdf
    May 01, 2025 - o No studies were identified that examined digestible carbohydrate intake and infant body composition