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  1. An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about/final-report
    January 01, 2023 - An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report Citation Glanz J. An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - Final Report. (Prepared by Kaiser F…

  2. Impact of Health Information Technology on Clinical Care - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care/final-report
    January 01, 2023 - Impact of Health Information Technology on Clinical Care - Final Report Citation Hsu, J. Impact of Health Information Technology on Clinical Care - Final Report. (Prepared by Kaiser Foundation Research Institute under Grant No. R01 HS015280). Rockville, MD: Agency for Healthcare Research and Quality…

  3. Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk/final-report
    January 01, 2023 - Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report Citation Selby JV. Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report. (Prepared by the Kaiser Foundation Research Institute, a Division of Kaiser Foundation Hospita…

  4. Latent Error (or Latent Condition) | PSNet

    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Latent Error (or Latent Condition) September 13, 2021 Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838925/psn-pdf
    March 03, 2025 - Improving Quality and Safety in Healthcare. March 3, 2025 Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare Improvement activities are complex initiatives that require synergistic actions by organizations to be s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60574/psn-pdf
    June 10, 2020 - Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. June 10, 2020 Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well- being. N Engl J Med. 2020;383(6):513-515. doi:10.1056/nejmp2011027. https://psnet.ahrq.gov/issue/preven…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60972/psn-pdf
    January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…

  8. Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/final-report
    January 01, 2023 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report Citation Ballard D. Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report. (Prepared by Baylor Research Institute under Grant No. R21 …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72865/psn-pdf
    March 17, 2021 - 5 pandemic mistakes we keep repeating. We can learn from our failures. March 17, 2021 Zeynep Tufekci. The Atlantic. February 26, 2021 https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures Failures in communication have impacts on patients, teams, organizations and society. Th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…

  11. Electronic Health Record End User Survey | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/electronic-health-record-end-user-survey
    January 01, 2023 - Electronic Health Record End User Survey This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records. Survey Document Electronic Health Record End User Survey (Person…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41246/psn-pdf
    April 06, 2012 - Utilizing improvement science methods to improve physician compliance with proper hand hygiene. April 6, 2012 White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50. doi:10.1542/peds.2011-1864. https:/…

  13. Impact of Health Information Technology on Primary Care Workflow and Financial Measures - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/final-report
    January 01, 2023 - Impact of Health Information Technology on Primary Care Workflow and Financial Measures - Final Report Citation Fleming N. Impact of Health Information Technology on Primary Care Workflow and Financial Measures - Final Report. (Prepared by Baylor Research Institute under Grant No. R03 HS018220). Rock…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36620/psn-pdf
    January 14, 2024 - ISMP's List of High-Alert Medications in Acute Care Settings. January 14, 2024 Horsham, PA; Institute for Safe Medication Practices: 2024. https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings This fact sheet lists medications with a high risk of causing significant harm to patients wh…

  15. Building Rapport with Patients: OARS Communication Skills | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/oars-model.html
    November 01, 2018 - Building Rapport with Patients: OARS Communication Skills Resource: The OARS Model: Essential Communication Skills   This short tool describes OARS—a set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60285/psn-pdf
    April 29, 2020 - How Collective Design Triumphed Over Competition in the Fight Against HAIs. April 29, 2020 Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais Health care environment design can affect safety. This report sh…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40883/psn-pdf
    February 10, 2012 - Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. February 10, 2012 Nakhleh RE, Myers JL, Allen TC, et al. Conse…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844556/psn-pdf
    February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022. https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults T…
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