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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - shopping” for patients, bringing in-house specialists to the primary care clinics and providing onsite lab … to care & information
Health care for all
After-hours access coverage
Accessible patient & lab … Along with exam rooms and a reception area, the clinic has onsite x-ray and lab services, and a room … Ordering lab tests and collecting vital signs
MA greets the patient in the lobby by name, takes them … Necessary lab tests are confirmed by the PCP and ordered by the MA.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
January 01, 2024 - McGinn received another 4-year AHRQ grant in 2013 to establish a usability lab at Northwell’s Feinstein
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - Several strategies outlined here were also tested as part of the lab. … The lab used several sources of data,
including existing risk management data, clinician reporting, … Tests (Lab/Radiology) Ordering (traditionally called “pre-analytic phase”)
a. … Erroneous lab/radiology reading of test
j. … Failure/delay in needed monitoring or lab (BP, INR, repeat CXR)
d.
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www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - Several strategies outlined here were also tested as part of the lab. … The lab used several sources of data,
including existing risk management data, clinician reporting, … Tests (Lab/Radiology) Ordering (traditionally called “pre-analytic phase”)
a. … Erroneous lab/radiology reading of test
j. … Failure/delay in needed monitoring or lab (BP, INR, repeat CXR)
d.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Her Ambulatory Pediatric Safety Learning Lab focuses on preventing harm in children caused by the outpatient
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www.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - This current Patient Safety Learning Lab, Applying Human Factors Science, Design Thinking, and Systems
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
SPPC-II
Toolkit
Introduction
to the SPPC-II Teamwork Toolkit
for Obstetric Hemorrhage
Module 1 of 8
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - completing handoff
communication (turnaround time); reduce time to obtaining vital laboratory results (lab … patient arrival to handoff completion (turnaround time), time to obtaining vital
laboratory studies (lab … improvement
interventions resulted in a
reduction of turnaround
time (15.3 min to 9.6 min;
P <0.001) and lab … Time to critical lab draw.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - Ordering lab tests and
collecting vital signs
MA collects vital signs and initiates lab orders; provider … The pilot
engages patients who are hard to reach, inconsistent about following through with lab tests … HFHS also provides care
that is out of PCP scope at CHASS-specialty care; this includes imaging and lab
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
September 01, 2015 - For example, in a practice interested in improving its lab reporting process, observation and
document … reviews can help track patients who failed to receive their lab results within the
specified time period … diabetic Report to I2I registry, Daily as able Partial: Computer in Ethnicity: Entered from
Diabetes lab … visit input from BPC PHQ 9s are Gonzales Race: patient on
data billing
system; auto
input from
lab
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - The results from a lab or imaging test were not available when needed.
A9. … A critical abnormal result from a lab or imaging test was not followed up within 1 business
day.
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www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - The results from a lab or imaging test were not available when needed.
A9. … A critical abnormal result from a lab or imaging test was not followed up within 1 business day.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - ratios):
Location of insertion:
☐ Emergency department ☐ Operating room ☐ Cardiac catheterization lab … other unit ☐ Attending physician ☐ Resident/fellow
☐ Intern/student ☐ Anesthesia ☐ Lab … patient was transported to a non-nursing unit such as radiology, anesthesia, or the cardiac catheter lab
-
www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - hospital varied,
and, in some cases, it used an existing process for
notification about critical lab … chest
pain, issues of resident and
attending communication,
insufficiency of documentation
about lab … In addition to ECG and demographic data, lab test results, ED
triage disposition, and ICD-9 discharge … diagnoses, other cardiac
symptoms, devices (e.g., pacemakers, defibrillators), stress test and cath lab … care
- Provide more information about patient outcomes including stress
test and catheterization lab
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
March 01, 2017 - I think she is stable to stay here but should we get a urine sample, chest x ray, or any lab work?" … and complaints, vital signs and symptoms
S Situation—Current status
S Safety Concerns—Critical lab
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist-letter.pdf
June 02, 2025 - Checklist: Conducting a Warm Handoff
Checklist: Conducting a Warm Handoff
Guide to Patient and Family
Engagement in Primary Care
Present to the Clinician
� Reason for the visit.
� Patient visit goals and health concerns.
� Vital signs, BMI/weight, significant changes.
� Medication issues (e.g., refills, s…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist.pdf
June 02, 2025 - Checklisk: Conducting a Warm Handoff
Present to the Clinician
� Reason for the visit.
� Patient visit goals and health concerns.
� Vital signs, BMI/weight, significant
changes.
� Medication issues (e.g., refills, side effects).
� Updates on reports:
¤ Labs.
¤ Imaging.
¤ Specialist visits.
¤ Hospita…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-checklist-508.pdf
June 02, 2025 - Checklist: Conducting a Warm Handoff Plus
Checklist: Conducting a Warm
Handoff Plus
Present to the Clinician
� Reason for the visit.
� Patient visit goals and health concerns.
� Vital signs, BMI/weight, significant changes.
� Medication issues (e.g., refills, side effects).
� Updates on reports:
¤ Labs.
…
-
www.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - PROMIS Learning Lab: Partnership in Resilience for Medication Safety.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Proper tests not ordered
48.4%
18.1%
Results misplaced or disregarded
17.9%
18.0%
Lab … or pathology lab mistake
7.1%
11.7%
Key: n = sample size.