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9421. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - For example, researchers used HFE methods and principles to create a clinical decision support (CDS

9422. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet
      psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
      June 01, 2015 - Strongyloides stercoralis , for example, responds to treatment with thiabendazole and ivermectin, and

9423. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - ideate promising ideas in low-fidelity and higher-fidelity storyboards (see Figure 3 below for an example … For example, we partnered with hospital operations to shape the newly formed CHOP Center for Healthcare

9424. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - reduce the risk of priority medical injuries, yet these strategies are not always implemented.11 For example … For example, we reinforce the 1996 Joint Commission on the Accreditation of Healthcare Organizations

9425. Assessing the Impact of the Patient-Centered Medical Home (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/assessing-impact-of-pcmh-final-report.pdf
      November 16, 2010 - For example, we wanted to better understand cost/benefit of their enlarged clinic footprint. … on success with achieving prevention goals such as hemoglobin A1C and LDL- cholesterol levels, for example … For example, health coaches ultimately proved more effective if located within the clinic. … For example, we wanted to better understand cost/benefit of their enlarged clinic footprint. … For example, health coaches ultimately proved more effective if located within the clinic.

9426. Mixed MethodsReview -Integrating Palliative Care with Chronic Disease Management in Ambulatory Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-research-amended-protocol.pdf
      November 21, 2019 - For example, for Key Question 5c, we will include studies summarized in recent relevant reviews12-16 … These tables will include details of what is included in the interventions; for example, for models

9427. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - For example, impairment for motor vehicle operators performing emergency braking and evasive maneuvers … It might be argued that, by knowing that their performance is under evaluation, for example in an alcohol

9428. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - Defining an accurate peer group can also be a problem, because, for example, many physician directory … For example, she suggested that, if a measure is submitted to NQF and it is not endorsed, it should

9429. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - For example, one hospital struggles with the ultimate outcome of the smoking cessation measure. … Measuring key outcomes is important, but we should be selective (for example, coronary bypass surgery

9430. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/psoriasis-chronic_research-protocol.pdf
      January 10, 2012 - FDA-approved phototherapy for use in plaque psoriasis Modality Description of Therapy Example Models … For example, when a meta-analysis is performed, we will evaluate the confidence interval around the

9431. Safety in the Retail Pharmacy | PSNet
      psnet.ahrq.gov/perspective/safety-retail-pharmacy
      May 11, 2016 - Safety in the Retail Pharmacy Michelle A. Chui, PharmD, PhD | October 1, 2018  View more articles from the same authors. Citation Text: Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…

9432. Webinar Lean Redesigns-Slides
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
      March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Presenter: Dorothy Hung, Ph.D., Associate Scientist Palo Alto Medical Foundation Research Institute Moderator: Michael Harrison, Ph.D., Senior Social Scientist Center for Delivery, Organization, and Markets, AHRQ Discussant: Arlene Bierman…

9433. Fleisher (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/fleisher.pdf
      January 01, 2010 - Fleisher Slide  1: Health Communication Practice  and Web 2.0: Addressing  Health Disparities Linda  Fleisher, Ph.D., M.P.H. Assistant Vice President, Office of Health Communications & Health Disparities Fo Chase Cancer Center, Philadelphia, PA Slide  2: Collaborators Sa…

9434. #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…

9435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33666/psn-pdf
      October 01, 2008 - Methicillin-Resistant Staphylococcus aureus April 1, 2008 Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus Perspective Methicillin-resistant Staphylococcus aureus (MRSA) has received a great deal of media …

9436. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Physician and Staff Engagement SAY: Today, we will give you an overview of physician and staff engagement. Slide 1 Learning Objectives SAY: After this session, you will be able to identify the imp…

9437. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
      February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Slide 2: Lear…

9438. Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
      April 01, 2025 - Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis Workforce Safety and Well-being Webinar Series (Session 3) Resolving The Workforce Turnover Crisis NATIONAL WEBINAR SERIES December 10, 2024 Housekeeping Instructions • This webinar will be recor…

9439. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
      July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…

9440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49797/psn-pdf
      June 01, 2017 - Diagnostic Overshadowing Dangers June 1, 2017 Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers The Case A 72-year-old woman with history of opioid abuse was sent to the emergency department (ED) from a methadone clinic because she a…