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6621. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events VI. Summary and Conclusions Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety…

6622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34856/psn-pdf
      March 07, 2005 - The horror of awakening during surgery. March 7, 2005 Foreman J https://psnet.ahrq.gov/issue/horror-awakening-during-surgery A patient shares her story of awakening during surgery and describes the psychological impact of the experience. https://psnet.ahrq.gov/issue/horror-awakening-during-surgery

6623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35261/psn-pdf
      August 24, 2005 - Bringing patient safety technology to the bedside. August 24, 2005 https://psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside This case study presents a Louisiana hospital's experience in implementing a bedside bar-coding system. https://psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside

6624. Methods for Evaluating Natural Experiments in Obesity: A Systematic Evidence Review | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/obesity-research-methods/systematic-review

6625. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
      June 02, 2025 - Consider guiding them: (1) Ask them to describe their own experiences related to the scenario, (2) Direct … A mix of clinical backgrounds and experiences is ideal but not necessary.

6626. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
      January 01, 2024 - At the outset of any coaching session, a coach would ask the team to reflect on their experiences and … Med RN: It is good exposure for me because most of the time, I haven’t had such experiences having to … Taking the pulse of health care systems: experiences of patients with health problems in six countries … Risk Managers' attitudes and experiences regarding patient safety and error disclosure: A national survey

6627. Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
      October 01, 2022 - Members were chosen for their expertise and their ability to bring a diversity of experiences and perspectives … • Given the breadth of professional roles and experiences, the members could provide input on the … outcomes of concurrent models of pediatric palliative care; and an assessment of the quality, patient experiences … At AHRQ, she hopes to build on these experiences and support Federal cross-agency teams to generate,

6628. Nursing Home IT: Optimal Medication and Care Delivery (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
      January 01, 2008 - designed to integrate HIT implementation and quality improvement activities and to assess impact on staff experiences … CMS PrU quality measure (high risk residents) and unintended weight loss quality measure • Staff Experiences … PrU quality measure (high risk residents) and unintended weight loss quality measure • Staff Experiences … Outcomes Baseline data collection was completed at all facilities and included: staff experiences,

6629. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
      December 01, 2017 - impact of the tools and resources on quality and patient safety outcomes and patient and clinician experiences … improved communication among patients and clinicians as a means to achieve positive health outcomes and experiences … Improved provider-patient partnerships ■ Improved quality of care/patient safety ■ Improved patient experiences … analysis was primarily conducted after the pilot test in order to refine the toolkit based on pilot site experiences

6630. Diagnostic error in mental health: a review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
      April 15, 2024 - mental disorders have prompted concerns that clinicians could inadvertently pathol- ogise normal experiences … social determinants are related to differential exposure to risk factors (eg, adverse childhood experiences … Seeing the complete picture: a systematic review of mental health consumer and health professional experiences … Family experiences with the diagnosis of autism spectrum disorder: system barriers and Facilitators

6631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38087/psn-pdf
      July 28, 2013 - Bar-Coded Medication Administration (BCMA). July 28, 2013 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma This document summarizes the experience of numerous AHRQ-funded programs in implementing bar- coded medication administration. https://p…

6632. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …

6633. In Conversation With… Robert M. Wachter, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
      August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

6634. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
      July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? David Studdert, LLB, ScD | July 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Studdert DM. Doctors With Multiple Malprac…

6635. Cancer-Pancreas Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-pancreas_research-protocol.pdf
      August 09, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: August 9, 2013 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Systematic Review of Imaging Tests for the Diagnosis and Staging of Pancreatic Adenocarcinoma I. Background and Objectives for the Systematic Review Pancr…

6636. Introducing PSNet's New Shared Libraries Feature | PSNet
      psnet.ahrq.gov/shared-libraries
      May 19, 2025 - Introducing PSNet's New Shared Libraries Feature Registered PSNet users can create private libraries to house collections of PSNet content for easy reference. The new Shared Libraries feature allows you to add other users to any of your libraries to create a collaborative experience. Login or Registe…

6637. Case 1. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
      November 01, 2014 - Organizational Background This report presents the results of the study of Lakeview Healthcare (LHC) and its experiences … organization, particularly the CEO, stated that they felt an obligation to share their findings and experiences … widely, not only so others can learn from their experiences but also so they can get different viewpoints

6638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33766/psn-pdf
      May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014 In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control Programme and WHO Co…

6639. Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
      January 01, 2024 - Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units Title of Project: Care Interventions and Quality of Care in Rural and Urban Nursing Units Principal Investigator and Team Members: PI: Marianne Baernholdt, PhD, MPH, RN, Virginia Commonwealth University, School of N…

6640. Meeting Minutes, March 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
      July 01, 2023 - Meeting Minutes, March 2023 Virtual Meeting Minutes from the March 6, 2023, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 17, 2022, Meeting Summary AHRQ Director’s Highlights Update on AHRQ’s Pat…