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psnet.ahrq.gov/node/865932/psn-pdf
May 22, 2024 - Cognitive Load Theory and its Impact on Diagnostic
Accuracy.
May 22, 2024
Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May
2024. Publication No. 24-0010-2-EF.
https://psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
Cognition plays a…
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psnet.ahrq.gov/node/46613/psn-pdf
May 17, 2018 - Dynamics of dignity and safety: a discussion.
May 17, 2018
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf.
2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
Patient engagement is predicated on re…
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psnet.ahrq.gov/node/46331/psn-pdf
September 14, 2018 - Health IT Patient Safety Supplemental Items for Hospitals.
September 14, 2018
Agency for Healthcare Research and Quality. July 25, 2018.
https://psnet.ahrq.gov/issue/health-it-patient-safety-supplemental-items-hospitals
Tracking the intersection of organizational culture with health information technology use can …
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psnet.ahrq.gov/node/837600/psn-pdf
June 29, 2022 - Handoffs and teamwork: a framework for care transition
communication.
June 29, 2022
Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition
communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001.
https://psnet.ahrq.gov/issue/handoffs…
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digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual/citation/effect
January 01, 2023 - Effect of electronic health record clinical decision support on contextualization of care: A randomized clinical trial.
Citation
Weiner SJ, Schwartz A, Weaver F, Galanter W, Olender S, Kochendorfer K, Binns-Calvey A, Saini R, Iqbal S, Diaz M, Michelfelder A, Varkey A. Effect of electronic health recor…
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www.ahrq.gov/evidencenow/tools/pdsa-worksheet.html
November 01, 2018 - Worksheet for Plan-Do-Study-Act (PDSA) Cycle Planning
Resource: PDSA Worksheet (PDF, 162 KB, 2 pages)
This worksheet is for primary care staff to help plan a quality improvement (QI) Plan-Do-Study-Act (PDSA) cycle, outlining the QI goals and how the practice will try to reach them, as well as providing sp…
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psnet.ahrq.gov/node/43432/psn-pdf
October 01, 2014 - The ethical imperative to think about thinking.
October 1, 2014
Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical
professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061.
https://psnet.ahrq.gov/issue/ethical-imperative-think-a…
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psnet.ahrq.gov/node/47954/psn-pdf
August 07, 2019 - Special Issue on Resilience Engineering and High
Reliability Organizations.
August 7, 2019
Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
Resilience is an organizational characteristic that enables indivi…
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www.ahrq.gov/evidencenow/tools/workflow-analysis-qi.html
November 01, 2018 - Workflow Analysis for Quality Improvement (QI) in Primary Care
Resource: Workflow Analysis for Quality Improvement (PDF, 1.7 MB, 17 pages) This presentation explains how primary care practices can use workflow analysis for quality improvement in all office systems—such as scheduling, patient flow, and billin…
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psnet.ahrq.gov/node/42955/psn-pdf
May 11, 2016 - National Patient Safety Alerting System.
May 11, 2016
National Health Service England
https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system
In response to the Francis report, this three-stage reporting system was launched to help National Health
Service organizations learn from incidents and incorpo…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry
AHRQ Publication No. 22-0015
TeamSTEPPS® for Diagnosis Improvement
February 2022
TeamSTEPPS® for Diagnosis Improvement
Reflective Practice Tool:
The Spirit of Inquiry
ASK
Questions are the path to discovery and questions convey
…
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psnet.ahrq.gov/node/836762/psn-pdf
March 16, 2022 - Physician liability in the age of data reliance and errors.
March 16, 2022
Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215.
https://psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
Health information technologies (HIT) and advanced learning systems, if poorly designed, used,
ma…
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digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
June 16, 2021 - Defined appropriate products & services
required for integration
l.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - The
integration of the performance measures involved the translation and mapping of the measure
specifications … Collaborative for Performance
Measure Integration with EHR Systems. … physician-
resources/clinical-practice-improvement/programs-
events/collaborative-performance-measure-
integration-ehr-systems.shtml
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Part of that capacity building is integration of best practices, such as communication-based strategies … bundle emphasizes that other bundles may not mention is the topic of pediatric well-child visits and integration … Patient navigators can be one strategy to address that lack of integration.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - adding “such
as a centralized display of consolidated data” to the PSP
designated as “operating room integration … simply
involves
more
frequent
manual
counting;
high if
RFID is
used
Little
Operating room integration … adding “such as a centralized display of consolidated data” to the PSP designated
as “operating room integration
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/obtain-training-and-support/clinicwide-orientation
January 01, 2021 - Initiatives
Stay Informed
Search
Search Integration
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - Department of Health and Human Services, 2018b ), and of SAMHSA’s Primary and Behavioral Health Care Integration
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www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
November 01, 2019 - Much information is lacking: understanding environments, levels, support systems, and integration of
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs014625-ralston-final-report-2006.pdf
January 01, 2006 - organization would be adopted and how it might
impact the quality of care in the absence of its formal integration … Other studies looking at the
formal integration of SM into online diabetes disease management programs