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3021. Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
      April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

3022. Fifteen years after To Err Is Human: a success story to learn from. | PSNet
      psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
      August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

3023. Quality of care and quality of life: balancing patient safety and physician burnout. | PSNet
      psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
      September 27, 2023 - Commentary Quality of care and quality of life: balancing patient safety and physician burnout. Citation Text: Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…

3024. Serologic Screening for Genital Herpes Infection: Clinician Summary of USPSTF Recommendation (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/24UGzEg8G-xxaNn5AdyK7J
      February 01, 2023 - Serologic Screening for Genital Herpes Infection: Clinician Summary of USPSTF Recommendation Clinician Summary of USPSTF Recommendation Serologic Screening for Genital Herpes Infection February 2023 What does the USPSTF recommend? D Grade For asymptomatic adolescents and adults, including pregnant persons: Do …

3025. 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 Action Plan Template AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…

3026. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Attitudes Questionnaire TeamSTEPPS Teamwork Attitudes Questionnaire The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self- report tool uses 5…

3027. Examples of Technical and Adaptive Solutions for Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tools.html
      March 01, 2017 - Examples of Technical and Adaptive Solutions for Change AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To provide senior leaders with a deeper explanation of technical and adaptive solutions for change Who should use this tool? Senior leaders (long-term care facility administrator…

3028. Preventing Infections in Endoscopic Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-m.pdf
      May 01, 2017 - Preventing Infections in Endoscopic Procedures Appendix M. Endoscopy Infographic AHRQ Safety Program for Ambulatory Surgery Implementation Guide Empower patients and families to insist that all team members wash their hands before providing care; encourage patients and families to perform hand hygie…

3029. For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
      December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families DEC 20 2022 By Members of AHRQ’s National Advisory Council: Krista Hughes, B.C.P.A., and Andrew D. Auerbach, M.D., M.P.H. Krista Hughes, B.C.P.A. …

3030. Step 2: Form an Advisory Group | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-an-Advisory-Group.html
      December 01, 2019 - Step 2: Form an Advisory Group Review all steps in the process of planning a survey project: Step 1: Form a Project Team .  Step 2: Form an Advisory Group.   Step 3: Define Your Goals . Step 4: Plan a Communications Strategy . Step 5: Set the Stage for Conducting the Survey . Step 6: Develop an Ev…

3031. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201419.html
      November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety Search All Impact Case Studies November 2014 Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…

3032. The Theory of Distributed Cognition | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The Theory of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Dis…

3033. Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
      August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Ke…

3034. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
      November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

3035. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. | PSNet
      psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
      October 07, 2020 - Commentary The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. Citation Text: Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …

3036. Rapidly increasing rapid response team activation rates. | PSNet
      psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates
      February 18, 2015 - Study Rapidly increasing rapid response team activation rates. Citation Text: Braaten JS, deGunst G, Bilys K. Rapidly Increasing Rapid Response Team Activation Rates. Jt Comm J Qual Patient Saf. 2015;41(9):421-427. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

3037. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet
      psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
      May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

3038. Debunking the myth that the majority of medical errors are attributed to communication. | PSNet
      psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
      February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

3039. Improving the governance of patient safety in emergency care: a systematic review of interventions. | PSNet
      psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
      March 06, 2013 - Review Improving the governance of patient safety in emergency care: a systematic review of interventions. Citation Text: Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…

3040. The accuracy of medical dispatch—a systematic review. | PSNet
      psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review
      March 12, 2025 - Review The accuracy of medical dispatch—a systematic review. Citation Text: Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8. Copy Citation Format: DOI Google Scholar Pub…