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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37945/psn-pdf
     July 26, 2010 - crossing-quality-chasm-new-health-system-21st-century https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead … https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead https://psnet.ahrq.gov/primer

322. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. | PSNet
     psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
     May 27, 2015 - Without prescribing a specific approach, the authors call on health care professionals to take the lead … January 23, 2019 Improving the quality of health care: who will lead?

323. Improving Electronic Health Record Usability for Patient Safety | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
     January 01, 2023 - Poor design and usability can lead to errors that compromise patient safety and disrupt provider workflow … Such challenges can lead to provider burnout, resulting in providers leaving the profession.

324. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
     psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
     September 29, 2021 - Author(s) Open Notes shines light on errors in patient medical records — will the new rule lead … May 15, 2024 Will prosecuting medical errors lead to a culture of silence?

325. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet
     psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
     June 01, 2022 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … April 20, 2022 Will prosecuting medical errors lead to a culture of silence?

326. Error analysis leading technology development. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles/citation/error-analysis
     January 01, 2023 - Error analysis leading technology development. Citation Carstens D. Error analysis leading technology development. TIES 2006;7(6):525-49. Link http://www.tandfonline.com/doi/abs/10.1080/14639220600983856 Principal Investigator Laird, Rosemary Project Name Promoting Patie…

327. Screening for Autism Spectrum Disorder in Young Children: Clinical Summary (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/kQWchAnAnGxbQmpV9Gwo2H
     A positive finding should lead to a follow-up interview, which, if positive, should lead to a full diagnostic

328. Core Measures TCNY AQA eQARR (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Mostashari_List_of_Measures_TCNY_AQA_eQARR_Crosswalk_1_30_08_Mostashari.pdf
     June 16, 2021 - Lead Testing- Age 1 One-year olds receiving blood lead testing Lead Testing- Age 2 … Two-year olds receiving blood lead testing Lead Testing The percentage of two-year olds that … had their blood tested for lead poisoning at least once.

329. Medical error—the third leading cause of death in the US. | PSNet
     psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
     September 16, 2020 - 2025 The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead

330. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet
     psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
     July 30, 2020 - global pandemic, delayed diagnosis of infection with SARS-CoV-2, the virus that causes COVID-19, may lead … However, these same heuristics that support “fast and frugal” decision-making can lead to diagnostic … To avoid such errors, it is useful to understand why these heuristics potentially lead to biases in the … Availability Bias The availability heuristic may lead clinicians to overdiagnose conditions that are … Premature closure may also lead clinicians to make a presumptive diagnosis of COVID-19 (allowing the

331. Closing the Communication Gap Between Prescribers and Pharmacists to Decrease Medication Safety Risks | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/closing-communication-gap-between-prescribers-and-pharmacists
     January 01, 2023 - A gap in relaying a prescription change can lead to an adverse drug event When a medical provider discontinues … However, this update is not always reflected in a pharmacy’s medication list for the patient, which can lead

332. Cancer drug shortages are creating dire circumstances for some patients. | PSNet
     psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
     September 21, 2022 - Doctors worry that could lead to errors. … September 15, 2021 Covid-19 surge could lead to another drop in patient visits, doctors

333. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
     November 16, 2022 - September 30, 2020 Does increased schedule flexibility lead to change? … September 23, 2020 View More Related Resources Unlabeled containers lead

334. CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. | PSNet
     psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
     June 15, 2022 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … April 20, 2022 Will prosecuting medical errors lead to a culture of silence?

335. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
     January 01, 2023 - Such challenges can lead to provider burnout, resulting in providers leaving the profession. … Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead … “Poor interface design and poor technology implementations can lead to errors that may result in patient … Improving EHR design and usability will reduce errors that can lead to patient harm. … to establish clear guidelines for both EHR vendors and healthcare provider organizations that will lead

336. Facility Action Plan Template | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
     March 01, 2017 - Facility team lead Meeting with senior leadership held and they agree to support an annual safety culture … Facility team lead Administrator HR director IT director By 10/15/17 share success of project

337. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
     June 01, 2017 - testing unit Box 2: Determine who should attend the huddle from your staff Box 3: Determine who should lead … consecutive days" to text box reading "four weeks" Additional tests to consider: Alternative staff lead

338. The medical liability climate and prospects for reform. | PSNet
     psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
     September 29, 2017 - systems (which use an adjudication process rather than usual courts) will all play a larger role and lead … Formation of accountable care organizations may lead to reform in the liability system such that organizations

339. COVID-19 leads to increased need for dialysis machines. | PSNet
     psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
     April 29, 2020 - Audiovisual COVID-19 leads to increased need for dialysis machines. Citation Text: COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. Boston Public Radio. April 27, 2020. Copy Citation Save Save to your library Print Dow…

340. Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
     January 01, 2019 - Record-Related Safety Hazards Happen Funded Amount: $297,840 Does inadequate EHR design lead … new features and minor adjustments to the EHR over time—impacts the usability of the system and may lead … How small inconsistencies can lead to increased errors A second example found from the black box analysis