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8901. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
      January 01, 2025 - safety improvement work, were able to use Measure Dx to guide their efforts to detect, analyze, and learn

8902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49797/psn-pdf
      June 01, 2017 - with objective evidence, such as data from prescription data monitoring programs.(15) Also, we can learn

8903. Collect and Use Data for Quality Improvement | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
      September 01, 2025 - The PDSA cycle is an iterative, four-step process that will allow your practice to learn and adapt as

8904. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
      January 13, 2022 - [Facilitator’s Tip: To learn more about SBAR and watch a video demonstrating the SBAR technique, visit … Slide 14 Teach‐back may take longer initially as you learn to adopt it into your standard workflow

8905. Module 3: Communication
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
      January 13, 2022 - [Facilitator’s Tip: To learn more about SBAR and watch a video demonstrating the SBAR technique, visit … Teach-back may take longer initially as you learn to adopt it into your standard workflow.

8906. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
      March 01, 2017 - The committee leader may also need to help the resident and family adviser learn ways to express the … We can learn a lot from the experiences of resident and family advisers.

8907. S23 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s23.pdf
      October 01, 2007 - One cannot learn about the balance of the benefits and harms without having the frequency information … If women were to learn that the benefits are not certain and a large number of women will not benefit

8908. Value and Efficiency Supplemental Items for Hospitals and Medical Offices - GINSBERG (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-ginsberg.pdf
      January 01, 2012 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - GINSBERG Background and Overview: Value and Efficiency in Healthcare Caren Ginsberg, PhD Director, CAHPS Division Agency for Healthcare Research and Quality 8 Value and Efficiency in Health Care Best Care at Lower Cost: The Path to Con…

8909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850938/psn-pdf
      June 21, 2023 - AI in medicine needs to be carefully deployed to counter bias – and not entrench it. June 21, 2023 Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023. https://psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it Systemic biases are present in data …

8910. Portland Research Network | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/communities/pbrn/registry/portland-research-network.html
      January 01, 2012 - Portland Research Network Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: PRN PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Network Category: Established City: Portland …

8911. Report on AHRQ Conference Spending, Fiscal Year 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/mission/ahrq-fy2018-conf-spending.html
      February 01, 2019 - Report on AHRQ Conference Spending, Fiscal Year 2018 Summary of AHRQ’s Conference Spending for Fiscal Year 2018. Center for Evidence and Practice Improvement Learning Health System Panel Meetings Date(s):  10/1/2018 Venue, City, State or Country:  5600 Fishers Lane, Rockville, MD 20857 How the Confere…

8912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47585/psn-pdf
      December 05, 2018 - Insulin pumps have most reported problems in FDA database. December 5, 2018 Mohr H, Weiss M. Associated Press. November 27, 2018. https://psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database Usability issues, poor design, and lack of effective instruction hinder safe use of medical equipment…

8913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47332/psn-pdf
      November 02, 2018 - Interventions for postsurgical opioid prescribing: a systematic review. November 2, 2018 Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…

8914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42456/psn-pdf
      September 09, 2013 - A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). September 9, 2013 Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medication reconciliation: multi-center medicat…

8915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38854/psn-pdf
      August 12, 2009 - Implementation of resident work hour restrictions is associated with a reduction in mortality and provider- related complications on the surgical service: a concurrent analysis of 14,610 patients. August 12, 2009 Privette AR, Shackford SR, Osler T, et al. Implementation of resident work hour restrictions is associ…

8916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39060/psn-pdf
      October 28, 2009 - Impact of duty-hour restriction on resident inpatient teaching. October 28, 2009 Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…

8917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43455/psn-pdf
      December 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica…

8918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846445/psn-pdf
      March 22, 2023 - Formalizing the hidden curriculum of performance enhancing errors. March 22, 2023 Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-perform…

8919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43588/psn-pdf
      January 21, 2015 - Resident Duty Hours Across Borders: An International Perspective. January 21, 2015 Imrie KR, Frank JR, Parshuram CS, eds. BMC Med Educ. 2014;14(suppl1):S1-S18. https://psnet.ahrq.gov/issue/resident-duty-hours-across-borders-international-perspective Articles in this special issue discuss the impact of resident dut…

8920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60604/psn-pdf
      June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…