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2001. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
      January 01, 2024 - The initial codebook was based on Diagnostic and Statistical Manual of Mental Disorders V (DSM V) criteria

2002. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Statistical Theories of Mental Test Scores. Reading, MA: Addison-Wesley; 1968. 43.

2003. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
      December 01, 2021 - For the NHQDR, adults with disabilities are defined to be those with physical, sensory, and/or mental

2004. Organizational Climate of Staff Working Conditions and Safety—An Integrative Mode (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
      January 01, 2004 - Understanding physicians’ intentions to withdraw from practice: the role of job satisfaction, job stress, mental

2005. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - error in knowledge-based processes are also known to be higher than those associated with automatic mental

2006. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - They include open communication, adaptive response, and the use of a shared mental model.1 Without such

2007. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - socioeconomic status, they also tend to have greater disease burden, including a higher prevalence of mental

2008. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - Reviewers provided comment on covert mental processes cued by viewing the video tapes.

2009. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - - 6 - thoughts, beliefs, and language that shift current mental models about what is (“patients

2010. Final Progress Report: National Trends in Outpatient Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
      January 01, 2024 - were prescribed rose from 47% in 1995-1996 to 52% in 2001-2002, whereas visits where psychotherapy or mental

2011. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
      July 01, 2023 - If all team members have a shared mental model and are on the same page, when these words are spoken,

2012. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - If all team members have a shared mental model and are on the same page, when these words are spoken

2013. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - treatment or preventive services Extended wait times to see specialists, particularly in behavioral or mental

2014. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
      November 01, 2016 - move into and because in Oregon, the new coordinated care organizations for Medicaid include physical, mental

2015. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - So you can browse what the Substance Abuse and Mental Health Services Administration is doing, what the

2016. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
      April 01, 2020 - SBAR: a shared mental model for improving communication between clinicians.

2017. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - concerns 78 Cardiac issue 74 Chest pain 47 Pain control 35 Abdominal pain 35 Bleeding 28 Altered mental … Hypertension 6 Seizure 5 Digestive system obstruction 4 Dehydration 3 Fall 2 Stroke 2 Altered mental … AMA 6 DVT 4 IV insertion 4 Needle count 3 Post-op fever 3 Power outage 3 Wrong side 3 Altered mental

2018. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
      June 01, 2012 - the resident’s nurse practitioner or doctor, if warranted. › Several tools to help with evaluating mental … the resident’s nurse practitioner or doctor, if warranted. › Several tools to help with evaluating mental

2019. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - Significant predisposing factors of ORAEs included mental health conditions, cardiovascular diseases … Exploration, and Evaluation: Addressing Potentially Dangerous Medications in Medicaid Children With a Mental … $1,500,001 Final Report Purpose: (1) Describe epidemiology of potentially dangerous (PD) behavioral and mental

2020. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - SBAR: A Shared Mental Model for Improving Communication Between Clinicians.