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9721. Critical Opportunity Lost | PSNet
      psnet.ahrq.gov/web-mm/critical-opportunity-lost
      February 17, 2017 - Critical Opportunity Lost Citation Text: Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

9722. OR Peeping | PSNet
      psnet.ahrq.gov/web-mm/or-peeping
      May 01, 2015 - OR Peeping Citation Text: Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

9723. Antibiotic Audit Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
      December 01, 2017 - Antibiotic Audit Tool Antibiotic Audit Tool Introduction Problem Statement Perioperative antimicrobial prophylaxis is an important strategy to prevent surgical site infection. Appropriate selection, dosing, and redosing ensure that the antibiotic concentration in surgical site tissue is maintained above the minimum…

9724. Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
      April 01, 2025 - Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis Workforce Safety and Well-being Webinar Series (Session 3) Resolving The Workforce Turnover Crisis NATIONAL WEBINAR SERIES December 10, 2024 Housekeeping Instructions • This webinar will be recor…

9725. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
      July 26, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare March 2024 Meeting Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations request…

9726. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

9727. Health System Participation in Accountable Care Organizations, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief4-aco-participation.pdf
      January 01, 2019 - Health System Participation in Accountable Care Organizations, 2016 1 Comparative Health System Performance Initiative Health System Participation in Accountable Care Organizations (ACOs), 2016 Rachel M. Machta, Ph.D., David J. Jones, Ph.D., Michael F. Furukawa, Ph.D., Daniel Miller, M.S., and Eugene C. Rich…

9728. Transforming Hospitals: Designing for Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
      January 01, 2020 - Transforming Hospitals: Designing for Safety and Quality 1 Background The 1999 Institute of Medicine’s landmark report, To Err is Human: Building a Safer Health System, exposed the tremendous costs, both in human and financial terms, of medical errors in the U.S. health care system.1 Two studies cited in the rep…

9729. Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
      April 20, 2021 - Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide Table of Contents Introduction ......................................................................................................................................1 What Is the Monitor and Sustain Guide?....................................…

9730. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
      April 01, 2025 - PowerPoint Presentation AHRQ Safety Program for MRSA Prevention: Targeting SSI MRSA Surveillance Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgical Services MRSA Surveillance 1 Educational …

9731. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - Don’t Bite Your Tongue. Citation Text: Singh NS. Don’t Bite Your Tongue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

9732. Turn the Other Cheek | PSNet
      psnet.ahrq.gov/web-mm/turn-other-cheek
      October 26, 2010 - Turn the Other Cheek Citation Text: Starling J. Turn the Other Cheek. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

9733. Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
      June 01, 2009 - unplanned ways.136 What needs to be appreciated is that adding automation is like adding another team member … - automation interaction research are as follows: • Adding automation is like adding another team member … , because when work is distributed, as it is in a primary care clinic, surgery-center, or ED, each member … • CDS must be designed to recognize that each member of the collaboration or team may have different

9734. Machine Learning Methods in Systematic Reviews: Identifying Quality Improvement Intervention Evaluations (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/machine-learning-quality_research.pdf
      September 01, 2012 - were 590 patients who died in the ICU or within 24 hours of transfer; 496 had an identified family member

9735. Future Research Needs for Noncyclic Chronic Pelvic Pain Therapies for Women (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/pelvic-pain-therapies-future_research.pdf
      January 01, 2015 - participate as stakeholders, five served previously as a Key Informant or a Technical Expert Panel member

9736. Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1 (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2020-06/mat_for_oud_environmental_scan_volume_1_1.pdf
      January 01, 2020 - Most of these individuals (54%) obtained the pain reliever from a friend or family member, while about

9737. Preventing Pressure Ulcers in Hospitals: A Toolkit - Section 7, Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
      January 01, 2004 - Tips:  Take time to brainstorm and listen to every team member. … Use: Use this tool to assign and clarify the roles and responsibilities of each staff member.

9738. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - The Family component verifies and collects additional demographic information on each member from each … Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member

9739. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - The Family component verifies and collects additional demographic information on each member from each … Supplement was sent to 6,253 nonfederal acute care hospitals in the United States, including non-AHA member

9740. Making Healthcare Safer IV Rapid Response: Acute Care Nursing Staff Shortages That Compromise Patient-to-Nurse Ratios (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
      April 01, 2025 - A team member used the criteria developed by the United States Preventive Services Task Force Methods … The title and abstract of each citation were screened by a team member based on predefined eligibility … Citations were included for full text review if both a team member and the AI Classifier Manager agreed