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  1. COVID-19 and open notes: a new method to enhance patient safety and trust. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-open-notes-new-method-enhance-patient-safety-and-trust
    December 08, 2021 - December 8, 2021 Filling a gap in safety metrics: development of a patient-centred framework … October 14, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

  2. Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
    July 22, 2020 - June 24, 2020 Filling a gap in safety metrics: development of a patient-centred framework … January 27, 2021 Bridging the gap between culture and safety in a critical care context

  3. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
    January 26, 2022 - January 26, 2022 Bridging the feedback gap: a sociotechnical approach to informing clinicians … June 30, 2021 Filling a gap in safety metrics: development of a patient-centred framework

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - His chemistry panel included a serum glucose of 292 mg/dl and a calculated normal anion gap of 11. … Results included a serum glucose of 787 mg/dL with a markedly elevated anion gap of 22. … the Inpatient Glycemic Team the next morning, which noted hyperglycemia, a slightly elevated anion gap … Other system improvements may include alerting providers when patients have an increasing anion gap or … to facilitate earlier recognition of hyperglycemia and early signs of DKA (e.g., increasing anion gap

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865610/psn-pdf
    April 24, 2024 - a multidisciplinary team is convened, a standard definition of suicide risk is established, and a gap … In addition, the innovating organization should conduct a gap analysis. … The gap analysis will evaluate the current state of managing risk of suicide among patients presenting … In addition, the organization will use data discovered in the gap analysis to monitor the success of … The innovator conducted spot checks using the same measures that were created during the gap analysis

  6. The RHIO as Convener and Catalyst: The Birth of EHR of Rhode Island. (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Adams_051311comp.pdf
    June 05, 2006 - Health Center  Competitors formed as a separate, physician-led company to close the EHR adoption gap … other stakeholders to make this succeed 10 The Vision of EHR of RI: To Close the EHR Adoption Gap … A Snapshot of EHR of RI The Vision of EHR of RI:�To Close the EHR Adoption Gap in RI Key Factors

  7. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet

    psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
    July 23, 2024 - , a multidisciplinary team is convened, a standard definition of suicide risk is established, and a gap … In addition, the innovating organization should conduct a gap analysis. … The gap analysis will evaluate the current state of managing risk of suicide among patients presenting … In addition, the organization will use data discovered in the gap analysis to monitor the success of … The innovator conducted spot checks using the same measures that were created during the gap analysis

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60538/psn-pdf
    May 27, 2020 - process in children’s hospital care, including the use of time outs, case analysis and communication gap

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72484/psn-pdf
    November 18, 2020 - simulation-anaesthesia-and-surgery https://psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality

  10. Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
    July 01, 2021 - a  Similar gap included in key PCR gaps (Table S.3). … a Similar gap included in key HSR gaps ( Table S.2 ). … prioritization mentioned included the potential impact of the research, the potential to address a gap

  11. Preface | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
    March 01, 2016 - This "implementation gap" in VTE prophylaxis between evidence-based best practice and actual practice … that publication and this update is to assist hospital improvement teams to close the implementation gap … Use the Guide and Related Tools and Resources QI projects can help health care facilities close the gap

  12. Preface | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
    March 01, 2016 - This "implementation gap" in VTE prophylaxis between evidence-based best practice and actual practice … that publication and this update is to assist hospital improvement teams to close the implementation gap … Use the Guide and Related Tools and Resources QI projects can help health care facilities close the gap

  13. NRD Database Documentation

    hcup-us.ahrq.gov/db/nation/nrd/nrddbdocumentation.jsp
    April 01, 2025 - This database addresses a large gap in healthcare data - the lack of nationally representative information

  14. Use of Multiple Concurrent Antipsychotics in Children Section 2, Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-2-technical-specs.pdf
    June 02, 2025 - Allowable Gap None Benefits Medical and Pharmacy.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846168/psn-pdf
    March 15, 2023 - missing-evidence-systematic-review-patients-experiences-adverse-events-health-care https://psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise

  16. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - His chemistry panel included a serum glucose of 292 mg/dl and a calculated normal anion gap of 11. … Results included a serum glucose of 787 mg/dL with a markedly elevated anion gap of 22. … the Inpatient Glycemic Team the next morning, which noted hyperglycemia, a slightly elevated anion gap … despite higher glucose levels and greater anion gaps among the former patients. 4 Typically, an anion gap … Other system improvements may include alerting providers when patients have an increasing anion gap or

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865597/psn-pdf
    April 17, 2024 - patient-safety-inpatient-mental-health-settings-systematic-review https://psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada

  18. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
    October 01, 2024 - Other Best Practices for MRSA Prevention 3 Establishing Your Program 4 The CUSP Approach 4 Conducting a Gap … Start by completing both gap analyses. … Once the gap analyses are completed, review the results. … The gap analyses are an excellent place to start. … As a team, review the results of your gap analyses and identify priority areas for improvement.

  19. Candor-Impguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - Module 2: Obtaining Organizational Buy-In and Support – Module 3: Preparing for Implementation: Gap … These activities include: ■ Obtaining organizational buy-in and support ■ Conducting a gap analysis … CANDOR Event Organizational Learning Sustainment Overview of the CANDOR Process Measures Gap … – Building the Business Case Worksheet (see Appendix A) 3 Module 3: Preparing for Implementation: Gap … Should the organization decide to move forward with the CANDOR process, a detailed Gap Analysis will

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866199/psn-pdf
    June 26, 2024 - This scoping review identified a significant gap in the literature examining the role of pediatric nurses
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