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7181. Bundaberg and beyond: duty to disclose adverse events to patients. | PSNet
      psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
      January 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

7182. Chapter 1. Background | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 1. Background Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Descript…

7183. Effective approaches to control non-actionable alarms and alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
      January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…

7184. 4 Tk2 T1-Medical Care Referral Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
      May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

7185. Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
      June 02, 2025 - Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications The percentage of children aged 3 through 17 years with an outpatient care visit and a BMI ≥85th percentile who had a blood pressure percentile documented and classified as normal or abnormal during the measure…

7186. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix B Detailed Review Timeline Event Type: Individuals Interviewed: NAME TITLE/ROLE Nurse #1 Charge nurse Nurse #2 RN CNA X Nursing tech Manager MS Manager Pertinent Interview Findings There was only one certifi…

7187. Enhanced time out: an improved communication process. | PSNet
      psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
      October 19, 2022 - Commentary Enhanced time out: an improved communication process. Citation Text: Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

7188. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet
      psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
      January 12, 2011 - Commentary TeamSTEPPS: assuring optimal teamwork in clinical settings. Citation Text: Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

7189. Nursing Home Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
      November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. Citation Text: Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. Copy Citation Save Save to your library Print …

7190. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet
      psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
      February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

7191. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/appendix-a4.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

7192. Talent Release Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Talent-Release-fillable-form.pdf
      April 01, 2024 - Talent Release Form Talent Release Form Instructions This Talent Release Form must be completed by nongovernment people hired as narrators, actors, extras, or models for a scripted video, audio recording, or photo session. This includes paid and unpaid talent – anyone who will be recognizable in the fina…

7193. Healthy Living: Infant Mortality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
      September 01, 2015 - Chartbook on Women's Health Care Healthy Living: Infant Mortality Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coo…

7194. The spectrum of medical errors: when patients sue. | PSNet
      psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
      October 28, 2020 - Review The spectrum of medical errors: when patients sue. Citation Text: Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

7195. Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-4.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. …

7196. COVID-19 Focused Inspection Initiative in Healthcare. | PSNet
      psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
      April 01, 2024 - Press Release/Announcement COVID-19 Focused Inspection Initiative in Healthcare. Citation Text: COVID-19 Focused Inspection Initiative in Healthcare. Occupational Safety and Health Administration. March 2, 2022. Copy Citation Save Save to your library …

7197. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/ambulatory/index.html
      September 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a staff-administered survey that helps ambulatory surgery centers assess how their staff perceive various aspects of safety culture. CAHPS ® Clinician & Group Survey was de…

7198. Patient Safety Awareness Week | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
      July 01, 2022 - Patient Safety Awareness Week AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week. While AHRQ's …

7199. Apologies and medical error. | PSNet
      psnet.ahrq.gov/issue/apologies-and-medical-error
      November 16, 2022 - Commentary Apologies and medical error. Citation Text: Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

7200. Track 6: Using Reporting Systems for Safety and Quality Improvement | Digital Healthcare Research
      digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…