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3001. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - for help when programming a device”; “You always can tell whether something is malfunctioning or just … This tendency might even be amplified if people work in an organization marked by a culture of blame

3002. Optimizing Acute Post-Operative Dental Pain Management Using New Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u18hs026135-white-final-report-2022.pdf
      January 01, 2022 - As such, a more targeted intervention, focusing on just oral surgical and periodontal patients needing … Provider acceptance was initially just at a C grade level when normalizing the SUS questionnaire score

3003. AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
      October 19, 2021 - that AHRQ lead endeavors to use quality measurement to address and eliminate disparities rather than just … In just 12 months, this work fueled a reduction in annual costs per patient in the UH ACO by 9 percent

3004. Opportunistic Decision Making Information Needs and Workflow in Emergency Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
      January 01, 2017 - chart listing the boarding times for admitted patients, and the count of patients in waiting room are just … These factors are important not just for behavioral outcomes (decision making) but also hold clinical

3005. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Patient safety culture in primary care: developing a theoretical framework for practical use. … Patient safety culture in primary care: developing a theoretical framework for practical use. … Is ambulatory patient safety just like hospital safety, only without the “stat”? … Using the Health Belief Model to explain patient involvement in patient safety.

3006. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/labor-nitrous-oxide_research-protocol.pdf
      August 24, 2011 - studies must include twenty women using nitrous oxide during labor and reporting outcomes, not just

3007. In Conversation with…Eric G. Poon, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
      September 01, 2008 - have accepted it very well, and when nurses are in a rush to finish the medication passes, they might just

3008. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
      June 01, 2010 - This is just one component of the four-pronged approach to monitoring the waivers.

3009. Venous-Ulcers-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_executive.pdf
      January 01, 2014 - Clinicians often use empiric therapy or “culture- based treatment” for wounds that are not healing, even … division of the sapheno-femoral junction, followed by stripping a segment of the great saphenous vein to just

3010. Optimizing Display of Blood Pressure Data to Support Clinical Decision Making - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023328-koopman-final-report-2021.pdf
      January 01, 2021 - The medication timeline shown in Figure 2 was implemented in the MU health system EHR, also stacked just … ” — Round 1 patient focus group participant “Neato…It’s really just creating a story where you see … future implementations for CDS and data visualizations.20,21,35 Additionally, our work incorporates not just

3011. Integrating Patient-Reported Outcomes into Practice: Benefits, Challenges, and Recommendations for Action (pdf file)
      digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-slides-02272024.pdf
      February 27, 2024 - Regarding Facilitators and Barriers: CFIR Inner Setting Facilitators included rheumatologist support & a culture … Observations and interviews point to three potential reasons: o Did not wish to take clinical action so just

3012. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
      January 01, 2025 - AIM 3: Understand and improve workspace design and safety culture to influences anesthesia medication … predominant cause of variability in the management of a case; an anesthesia provider may diverge in just … Not all clinicians are equally aware of just how tasks, technologies, workspace, and organization interact

3013. Primary Care Behavioral Counseling Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/r77BgfGVeBPRDME-DpBvFk
      April 08, 2025 - postpar- tum periods) tend to have greater effects compared with those that occur over a single period (just … Understanding Black matriarchal role models in the US attitudes and beliefs about breastfeeding.

3014. Cognitive Testing Protocol AHRQ QI template (pdf file)
      qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
      January 01, 2000 - Whether you are choosing a hospital for yourself or a loved one, or just want to see where a particular … Or, it may just happen. This information is for patients admitted during [insert year]. … The numbers are so small that it is hard to know when a difference means something or just happens … Equitable: The same level of care is available to everyone, including men, women and children of all cultures

3015. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
      January 01, 2024 - structure of the questions and their wording provides information about ourselves, our intent, our beliefs … significant covariates, SOME visits were about 6 seconds longer than controls (p=.89), and ANY visits were just

3016. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - – Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … ■ Suprastomal collapse – Pressure on tracheal cartilage just superior to the stoma may cause chondritis … ■ Send swab for culture and treat with appropriate topical or systemic antibiotics. … ■ Obtain stool sample for culture. ■ Ask dietician to review feed and rate.

3017. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - – Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … ■ Suprastomal collapse – Pressure on tracheal cartilage just superior to the stoma may cause chondritis … ■ Send swab for culture and treat with appropriate topical or systemic antibiotics. … ■ Obtain stool sample for culture. ■ Ask dietician to review feed and rate.

3018. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - compare and contrast methods applied and challenges encountered and addressed across projects, not just … Reducing Hospital Errors: Interventions that Build Safety Culture. … Is ambulatory patient safety just like hospital safety, only without the “stat”? … The culture of safety: Results of an organization-wide survey in 15 California hospitals.

3019. Disposition of Comments Report for The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
      September 29, 2014 - As our focus is on clinical effectiveness, we are interested not just in outcomes associated with … For these specific harms, just as an exception was made for outcomes occurring before 1 year of opioid … analgesic drugs of choice • drugs are the treatment of choice for pain These assumptions demonstrate just … Data from the Centers for Disease Control and Prevention (CDC) indicate that methadone accounts for just … But, promoting a culture of fear of opioids could result in much more suffering.

3020. An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Preventive Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017046-krist-final-report-2011.pdf
      January 01, 2011 - staff.33 Each practice operated independently for clinical activities and had a unique practice culture … IPHR to be helpful and would likely use the system; many reported not having done so because they “just