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2021. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - Veterans Affairs Non- profit Computerized Patient Record System (CPRS) *456 Acute Beds, 150 Mental

2022. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - Alterations in mental status Total % 22.1 83.8 Inpatient 7/26 (26.9) 8/15 (53.3) Causing admission

2023. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
      January 01, 2013 - skills supporting team performance that empowers ‘experts on the spot’ to ensure all have a shared mental

2024. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Sleep Duration Affects the Amount of Fatigue, Stress, Physical Exhaustion, and Mental Exhaustion Reported

2025. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
      January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU Final Progress Report NPSF Joint Medical-Legal Conference at SMU October 27 – 29, 2003 Principal Investigator: John J. Nance, JD Team members: Thomas Wm. Mayo, JD Robert Krawisz Deborah Cummins, PhD Organization: National Patient Safety Found…

2026. Final Progress Report: Communicating Probabilities through Interactive Computer Graphics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
      January 01, 2024 - low numeracy, because they might exploit associative learning and experience rather than effortful mental

2027. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
      January 01, 2024 - From the remaining Missouri and Iowa hospital samples, we excluded mental health hospitals (n=15),

2028. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
      January 01, 2024 - interviewer, a study coordinator collected informed consents and screened patients using the mini-mental

2029. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
      January 01, 2024 - medication errors through ED pharmacist platform Patterson, M Cincinnati Children's Use of Shared Mental

2030. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - It also enables all to have a shared mental model while delivering care. 5 Strategies Individual

2031. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - It also enables all to have a shared mental model while delivering care. 3 Strategies Individual Awareness

2032. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - From the patient perspective, delays in diagnosis can add to mental distress by prolonging uncertainty

2033. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - There's yet other CAHPS Surveys that address care received for a particular condition, cancer care or mental

2034. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
      March 01, 2018 - Laboratory 17,241 5% Rehabilitation 16,037 4% Obstetrics 15,120 4% Pharmacy 11,727 3% Psychiatry/mental … • ICU (any type) and Psych/Mental Health had the largest increase (5 percentage points) of respondents

2035. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - Laboratory 17,241 5% Rehabilitation 16,037 4% Obstetrics 15,120 4% Pharmacy 11,727 3% Psychiatry/mental … • ICU (any type) and Psych/Mental Health had the largest increase (5 percentage points) of respondents

2036. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
      January 01, 2025 - Clients at this clinic have numerous problems associated with chemical dependency and co-occurring mental

2037. AHRQ CONFERENCE GRANT PROGRAMS (R13): Angela Smith (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
      March 31, 2020 - Prev Med 2015; 49: 409. 5 Center for Behavioral Health Statistics and Quality: Key substance use and mental

2038. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
      January 01, 2024 - all-cause mortality by antipsychotic drugs: Updated review and meta-analysis in dementia and general mental

2039. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - Leadership activities may include sharing of a mental model, assigning tasks, or sharing of information

2040. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - providers to another. 5 At the conclusion of an effective sign-out, caregivers should have a clear mental