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3281. Human factors in anaesthesia: a narrative review. | PSNet
      psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
      March 01, 2023 - Review Human factors in anaesthesia: a narrative review. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia. 2023;78(4):479-490. doi:10.1111/anae.15920. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

3282. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet
      psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
      September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…

3283. Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." | PSNet
      psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
      March 02, 2010 - Commentary Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." Citation Text: Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…

3284. Hospital RNs' experiences with disruptive behavior: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
      September 09, 2015 - Study Hospital RNs' experiences with disruptive behavior: a qualitative study. Citation Text: Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. Copy Citation …

3285. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. | PSNet
      psnet.ahrq.gov/issue/e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using
      January 07, 2015 - Study e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. Citation Text: Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approac…

3286. Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/online-counseling-enable-lifestyle-focused-obesity-treatment-primary-care/annual-summary/2010
      January 01, 2010 - Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 Project Name Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care Principal Investigator McTigue, Kathleen M. Organization University of Pittsburgh at Pittsburgh …

3287. Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. | PSNet
      psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
      August 15, 2018 - Press Release/Announcement Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. Citation Text: Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …

3288. Nursing and patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
      November 03, 2010 - Study Nursing and patient safety in the operating room. Citation Text: Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x. Copy Citation Format: DOI Google Scholar BibTeX En…

3289. Tamper-resistant drugs cannot solve the opioid crisis. | PSNet
      psnet.ahrq.gov/issue/tamper-resistant-drugs-cannot-solve-opioid-crisis
      May 01, 2019 - Commentary Tamper-resistant drugs cannot solve the opioid crisis. Citation Text: Leece P, Orkin AM, Kahan M. Tamper-resistant drugs cannot solve the opioid crisis. CMAJ. 2015;187(10):717-718. doi:10.1503/cmaj.150329. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

3290. Interventions for postsurgical opioid prescribing: a systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
      October 03, 2012 - Review Emerging Classic Interventions for postsurgical opioid prescribing: a systematic review. Citation Text: Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. Copy Cit…

3291. Job Aid: Introduction to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
      June 02, 2025 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…

3292. Anesthesia medication handling needs a new vision. | PSNet
      psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
      July 10, 2017 - Commentary Anesthesia medication handling needs a new vision. Citation Text: Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

3293. AHRQ’s Medical Office Survey Helps Colorado Hospital Provide Better Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201525.html
      September 01, 2015 - AHRQ’s Medical Office Survey Helps Colorado Hospital Provide Better Care Search All Impact Case Studies September 2015 Yuma District Hospital and Clinics, a 15-bed hospital with two rural health clinics in northeast Colorado, has used results from an AHRQ-developed patient safety survey, the Medical Office…

3294. Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201524.html
      August 01, 2015 - Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety Search All Impact Case Studies August 2015 Fourteen hospitals operated by Aurora Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive care units by 65 percent after adopting pat…

3295. Sustainability-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…

3296. NQMC Measure Domain Framework | Agency for Healthcare Research and Quality
      www.ahrq.gov/gam/summaries/domain-framework/index.html
      July 01, 2018 - NQMC Measure Domain Framework The National Quality Measures Clearinghouse (NQMC) was a database of measures meeting specific criteria for inclusion. Measures in NQMC were classified into domains according to the domain framework below. There are many dimensions of performance related to clinical health care d…

3297. The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
      September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

3298. CAHPS Elicitation Protocol Webcast (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
      January 01, 2017 - CAHPS Elicitation Protocol Webcast Introducing a Protocol To Obtain Patient Comments Using the CAHPS Clinician & Group Survey A Webcast Presented by the AHRQ CAHPS User Network January 26, 2017 1:00 – 2:00 pm EST www.ahrq.gov/cahps CAHPS Webcast Series • Consumer Assessment of Healthcare Providers and System…

3299. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet
      psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
      January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

3300. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet
      psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
      June 14, 2011 - Study Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Citation Text: Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…