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7681. MammoScreen: Using Interoperable Standards Within a Clinical Decision Support Tool to Increase Appropriate Breast Cancer Screening and Prevention | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/mammoscreen-using-interoperable-standards-within-clinical-decision-support-tool-increase
      January 01, 2020 - MammoScreen: Using Interoperable Standards Within a Clinical Decision Support Tool to Increase Appropriate Breast Cancer Screening and Prevention Integrating patient-generated breast cancer risk information with patients’ electronic health records will enhance decision support for clinicians and patients and improv…

7682. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
      March 23, 2012 - Study Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Citation Text: Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. Copy Citat…

7683. Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet
      psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
      December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

7684. A Machine Learning Algorithm to Improve the Use of Interpreters for Hospitalized Patients with Complex Care Needs | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/machine-learning-algorithm-improve-use-interpreters-hospitalized
      January 01, 2023 - A Machine Learning Algorithm to Improve the Use of Interpreters for Hospitalized Patients with Complex Care Needs Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Improving Equity in Healthcare with Digital Healthcare Solutions A machine learning, predictive analytic i…

7685. Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/understanding-development-methods-other-industries-improve-design-consumer/annual-summary/2010
      January 01, 2010 - Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT - 2010 Project Name Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology Principal Investigator Montague, Enid Or…

7686. Improving Management of Test Results that Return After Hospital Discharge - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2010
      January 01, 2010 - Improving Management of Test Results that Return After Hospital Discharge - 2010 Project Name Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Were, Martin Organization Indiana University Funding Mechanism PAR: HS09-08…

7687. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/tympanostomy-tubes_research-protocol.pdf
      November 16, 2015 - Within the EPC program, the Key Informant role is to provide input into identifying the Key Questions … The EPC solicits input from Key Informants when developing questions for systematic review or when identifying

7688. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - patients included more generic materials, and the staff preparing them did not have an effective method of identifying … Identifying and addressing communication failures as a means of reducing unnecessary malpractice claims

7689. Slide 1
      effectivehealthcare.ahrq.gov/sites/default/files/exposure-definition-and-measurement_chapter-4.pptx
      January 01, 2013 - exposure to these two medications, it would be insufficient to examine medication use in the last week for identifying … Data Sources for Exposure Measurement It is important to use a consistent and accurate method for identifying

7690. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
      January 01, 2004 - By identifying and implementing the elements of the plan TARGET (Table 2), patients could make informed … for patient safety.2 The basic elements include identification of the threats to patient safety, identifying

7691. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
      May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA; Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…

7692. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
      August 01, 2022 - Care for the Caregiver Program Implementation Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To guide an organization in developing and implementing a Care for the Caregiver program. Who should use this tool? The Care for the Caregiver Program Lead How to use this tool: Use this guide…

7693. Selection Criteria and Honorarium Information | PSNet
      psnet.ahrq.gov/Webmm/submit-case-info
      August 10, 2025 - Selection Criteria and Honorarium Information How it works Health care professionals may submit de-identified cases that highlight medical errors or other patient safety/quality issues. Note that you can choose to submit cases either …

7694. Screening for Hepatitis B Virus Infection: A Brief Evidence Update (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/StNCYDfuKfxc2LpwtaN8et
      February 01, 2004 - Screening for Hepatitis B Virus Infection: A Brief Evidence Update Methods This brief update is based on a review of English-language articles published in MEDLINE®, the Cochrane Library, and the National Guideline Clearinghouse between 1994 and 2001. The search was further limited to Abridged Index Medicus publicat…

7695. DEMENTIA INCLUDING ALZHEIMER'S #04 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - The first is identifying and monitoring new and evolving health care interventions that are purported

7696. TeamSTEPPS Teamwork Performance Observation Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Performance Observation Tool TeamSTEPPS Team Performance Observation Tool Date: Unit/Department: Team: Shift: Rating Scale Please 1 = Very Poor comment if 1 or 2. 2 = Poor 3 = Acceptable 4 = Good 5 = Excellent 1. Team Structure Rating a. Assembles a team b. Assigns or identifies te…

7697. Limitations of the Environmental Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/limitations.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Limitations of the Environmental Scan Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introducti…

7698. Learning-Antibiotic-Adverse-Events-Form (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
      November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use Learning From Antibiotic-Associated Adverse Events An antibiotic-related adverse event is any event or situation involving the prescription or administration of antibiotics that you would not want to happen again because it either caused your patient harm …

7699. Define Your Vision | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
      January 01, 2024 - Useful Resource(s) for identifying an implementation leader and planning team Identify Your … Resources Identify Your Champions The AIMS Center offers guidance on identifying

7700. PA-20-070 Integrating Patient-Reported Outcomes into Routine Primary Care: Monitoring Asthma Between Visits – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026432-03s1-rudin-final-report-2023.pdf
      January 01, 2023 - The email contains patient identifying information for the study team to recruit the patient, b “Huddle … To identify patients most likely to benefit from the intervention we are identifying predictors of successful