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2461. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/waever.html
      August 01, 2017 - interdisciplinary approach to identify factors that affect cliniciansʼ compliance with evidence-based guidelines

2462. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - (i.e., negligent care with failure to follow accepted diagnostic guidelines, expected practices, pursue … We struggled to delineate guidelines that would accurately identify high-risk patients and to design

2463. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - In addition, OR team members may not necessarily agree on their perceptions of rules and guidelines … Rules and guidelines in clinical practice: A qualitative study in operating theatres of doctors’ and

2464. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - upon trauma code data from an American College of Surgeons level 1 trauma center and supported by ATLS guidelines … events as well as standards of trauma care, including ATLS.37 Subject matter experts reviewed the guidelines … current translational research, as existing recommendations do not provide mechanisms to operationalize guidelines

2465. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2: Evaluation Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
      January 01, 2025 - setting (the broader community and state context within which the sites operate) Policy, regulatory guidelines … For example, using the MCC eCare Plan FHIR® IG in conjunction with FHIR® Clinical Guidelines (“Clinical … Practice Guidelines [CPG]-on-FHIR®”) IG can provide a care plan with CDS to support shared decision-making … Enterprise (IHE), work continues to improve health IT standards to integrate care informed by multiple guidelines

2466. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - variances in patient care, such as when oxytocin is switched off at a point inconsistent with standard guidelines … In addition, hemorrhage staging guidelines were posted in each patient room so that the steps and person

2467. Follow-Up With Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
      January 01, 2014 - In addition, the prevention guidelines for children (Bright Futures and the Periodicity Schedule) as … The prevention guidelines for children (Bright Futures and the Periodicity Schedule) as included in

2468. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - In addition, the prevention guidelines for children (Bright Futures and the Periodicity Schedule) as … In order for a provider to comply with the AAP’s medical home guidelines, referrals must be tracked.

2469. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - variances in patient care, such as when oxytocin is switched off at a point inconsistent with standard guidelines … In addition, hemorrhage staging guidelines were posted in each patient room so that the steps and person

2470. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
      December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use Slide presentation Slide 1 Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use David A. Pegues, MD Professor of Medicine, Division of Infectious Diseases Medical Director, Healthcare Epidemiol…

2471. Appendix R. Infection Prevention Support Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix R. Infection Prevention Support Tool Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter …

2472. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
      January 01, 2024 - AHRQ Patient Safety Tools and Resources Diagnostic Excellence Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone whose scope of practice i…

2473. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
      November 01, 2014 - it was detected that 75 percent of medical residents' discharge orders contradicted the scheduling guidelines … The CEO also described another Lean project where clinical guidelines and patient safety guidelines were

2474. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - that they use your joining the group as an opportunity to take a step back and create some rules and guidelines … Set guidelines for encouraging productive conflict. … You can share Table 22.1 with the group and ask them to create some guidelines for productive conflict

2475. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - The Patient Safety Education Project: An international Collaboration The Patient Safety Education Project: An International Collaboration Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD; Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD Abstract The Patient Safety Edu…

2476. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - Assess the impact of prescriptions incorporating patient medications, allergies, weights, dosing guidelines … and evaluate an innovative, validated electronic clinical decision support tool based on consensus guidelines

2477. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
      January 01, 2024 - Finally, a grand score is computed using the guidelines described by McAtamney and Corlett4 via a score … Conclusions: The study findings will not only provide guidelines to design workflows, workspaces, and

2478. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
      January 01, 2024 - The team was also asked to identify any existing safeguards to mitigate a failure (e.g., protocols, guidelines

2479. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
      January 01, 2025 - .  Review emergency department infection prevention (IP) education/curricular expectations & guidelines

2480. 004-Cusp-Learning-From-Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
      October 01, 2024 - These practices are offered as helpful options for consideration by healthcare practitioners, not as guidelines