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psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - "They say they listen. But do they really listen?": A
qualitative study of hospital doctors' experiences of
organisational deafness, disconnect and denial.
July 10, 2024
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of
hospital doctors’ experiences of …
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Safety and risk management interventions in hospitals: a
systematic review of the literature.
December 17, 2009
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a
systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S.
doi:10.1177/10775587093…
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psnet.ahrq.gov/node/72572/psn-pdf
January 01, 2021 - "At home, with care": lessons from New York City home-
based primary care practices managing COVID-19.
December 16, 2020
Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based
primary care practices managing COVID-19. J Am Geriatr Soc. 2021;69(2):300-306.
doi:10.1111/j…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/73134/psn-pdf
April 14, 2021 - Management and patient safety of complex elderly
patients in primary care during the COVID-19 pandemic in
the UK-Qualitative assessment.
April 14, 2021
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in
primary care during the COVID-19 pandemic in the UK - qualitat…
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psnet.ahrq.gov/node/47045/psn-pdf
January 21, 2019 - Information management goals and process failures
during home visits for middle-aged and older adults
receiving skilled home healthcare services after hospital
discharge: a multisite, qualitative study.
January 21, 2019
Arbaje AI, Hughes A, Werner N, et al. Information management goals and process failures during …
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www.ahrq.gov/funding/process/award-process/index.html
June 01, 2017 - Funding Award Process at AHRQ
Description of the process through which AHRQ funding decisions are made.
After an application has completed the peer review process it is evaluated by AHRQ staff for possible funding. Several factors are taken into consideration, including:
Reviewers' priority or percentile …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - Patient Reminders and Notifications - Final Report
Title Page
Title of Project: Patient Reminders and Notifications
Principal Investigator: James D. Ralston, MD MPH
Other …
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction an…
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digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical
January 01, 2023 - Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support
Project Final Report ( PDF , 1.31 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and…
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psnet.ahrq.gov/node/42357/psn-pdf
December 04, 2016 - Disclosing medical mistakes: a communication
management plan for physicians.
December 4, 2016
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for
physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
https://psnet.ahrq.gov/issue/disclosing-medical-mistakes…
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psnet.ahrq.gov/node/44583/psn-pdf
February 17, 2016 - Root Cause Analysis Playbook.
February 17, 2016
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/root-cause-analysis-playbook
Risk management has recently focused on organization-wide improvement in patient safety. This
publication discusses root cause analysis metho…
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions
Final Progress Report of “Patient-Centric Risk Model for Medication Safety During Care Transitions”
1. TITLE PAGE
Project Title: Patient-Centric Risk Model for Medication Safety During Care Transitions
Principal Investi…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 13)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - Hard to Swallow
October 1, 2004
Driver J. Hard to Swallow. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/hard-swallow
The Case
An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic
attack (TIA) and respiratory difficulties. The nurses noted that the patient, …
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psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - The Case for Patient Flow Management
November 1, 2011
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/case-patient-flow-management
The Case
A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse
wa…
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Acute Respiratory Arrest in Pregnancy
June 1, 2010
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
The Case
A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of
shortness of breath an…
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 4)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
-
psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis.
December 16, 2009
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using
cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f.
https://psnet.ahrq.gov/is…