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  1. www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
  2. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
    December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Building Your Surgical Site Infection Prevention Bundle SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 1 Learning Objectives SA…
  4. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
    December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Building Your SSI Prevention Bundle Say: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. Slide 2: Learning Objectives Say: After reviewing this mod…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
    September 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action Three Areas To Immediately Advance Diagnosis In Rural Healthcare Previous Page Next Page Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis i…
  6. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
    April 01, 2019 - Standardized Library of Asthma Outcome Measures Research White Paper Standardized Library of Asthma Outcome Measures Research White Paper Standardized Library of Asthma Outcome Measures Prepared for: Agency for Healthcare Research and Quality Center for Outcomes and Ev…
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
    May 01, 2016 - Management and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence Management and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the effectiveness, comparative effectiv…
  8. digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
    September 13, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Q&A Dr. Farris: Dr. Schnipper: …
  9. psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
    April 10, 2024 - Commentary Emerging Classic Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. Citation Text: Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake thr…
  10. digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
    January 01, 2012 - Virtual Continuity and its Impact on Complex Hospitalized Patients’ Care - 2012 Project Name Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Principal Investigator Smith, Kenneth J. Organization University of Pittsburgh Funding Mechanism PAR…
  11. psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical
    July 02, 2014 - Study Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Citation Text: Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…
  12. psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
    February 21, 2018 - Study Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. Citation Text: Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…
  13. psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
    September 01, 2021 - Study "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. Citation Text: Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …
  14. psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
    June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…
  15. psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
    November 10, 2015 - Study Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. Citation Text: Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acu…
  16. psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
    August 17, 2016 - Study Classic Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. Citation Text: Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…
  17. digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
    January 01, 2011 - Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 Project Name State and Regional Demonstration in Health Information Technology: Utah …
  18. digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
    January 01, 2010 - Patient Safety Metadata - 2010 Project Name Patient Safety Metadata Principal Investigator Penoza, Chuck Organization Data Consulting Group Contract Number 290-08-10005M Project Period January 2008 – December 2010, Completion of Contract AHRQ Funding A…
  19. psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
    July 22, 2020 - Commentary Bracing for the storm: one health care system's planning for the COVID-19 surge. Citation Text: Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.202…
  20. psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
    September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…