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6001. American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202302.html
      September 01, 2023 - American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research Search All Impact Case Studies September 2023 The American College of Obstetricians and Gynecologists (ACOG) relies on AHRQ’s Effective Health Care Program systematic reviews…

6002. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

6003. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/intro.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Introduction Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamental…

6004. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

6005. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
      June 02, 2025 - PowerPoint Presentation Use these PowerPoint slides for any presentations for which they may be useful. These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

6006. SNAC Member: Peter Pronovost, M.D., Ph.D. | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/snac-pronovost.html
      December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D. Chief Quality and Clinical Transformation Officer, University Hospitals Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing Case Western Reserve University Peter Pronovost, M.D., Ph.D., is a patient safety cha…

6007. Index of Clinical Topics | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clinical-topics.html
      October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Index of Clinical Topics Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & Reso…

6008. How Collective Design Triumphed Over Competition in the Fight Against HAIs. | PSNet
      psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
      February 05, 2019 - Book/Report How Collective Design Triumphed Over Competition in the Fight Against HAIs. Citation Text: How Collective Design Triumphed Over Competition in the Fight Against HAIs. Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. Copy Citation Save S…

6009. Special Section: IEA Health Care 2021. | PSNet
      psnet.ahrq.gov/issue/special-section-iea-health-care-2021
      August 02, 2010 - Special or Theme Issue Special Section: IEA Health Care 2021. Citation Text: Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

6010. Plan for quality to improve patient safety at the point of care. | PSNet
      psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
      February 01, 2017 - Review Plan for quality to improve patient safety at the point of care. Citation Text: Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203. Copy Citation Format: DOI Google Scholar BibTeX End…

6011. Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. | PSNet
      psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
      May 25, 2010 - Study Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. Citation Text: Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…

6012. Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet
      psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
      January 21, 2011 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…

6013. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. | PSNet
      psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
      March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…

6014. Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. | PSNet
      psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
      March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…

6015. Addressing medication errors - the role of undergraduate nurse education. | PSNet
      psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
      October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…

6016. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet
      psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
      August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

6017. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet
      psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
      January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …

6018. Decision-making and safety in anesthesiology. | PSNet
      psnet.ahrq.gov/issue/decision-making-and-safety-anesthesiology
      December 02, 2020 - Review Decision-making and safety in anesthesiology. Citation Text: Stiegler MP, Ruskin KJ. Decision-making and safety in anesthesiology. Curr Opin Anaesthesiol. 2012;25(6):724-729. doi:10.1097/ACO.0b013e328359307a. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

6019. 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…

6020. Hospital safety climate surveys: measurement issues. | PSNet
      psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
      December 16, 2009 - Review Hospital safety climate surveys: measurement issues. Citation Text: Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6. Copy Citation Format: DOI Google Scholar Pu…