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4641. NICU Family Information Packet, Appendix B, Neurodevelopment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment Neurodevelopment Risk Factors for Poor Neurodevelopmental Outcome ■ Developmental progress may be variable for motor and language skills. ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. ■ Peri- or intra…

4642. 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…

4643. Human-AI Interaction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
      July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Human-AI Interaction Previous Page Next Page Table of Contents Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction Understanding the AI Wave—What Is AI? Understand…

4644. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/debra-rosen-slides.pdf
      March 15, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores Improving CG-CAHPS Scores in a Federally Qualified Health Center Presented By Debra Rosen, RN, MPH Director, Quality & Health Education “Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores” A Webcast Pres…

4645. Leadership Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence5.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Leadership Support Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion A…

4646. Improving Diagnosis in the Context of Rurality | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
      October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action Improving Diagnosis in the Context of Rurality Previous Page Next Page Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the Context of R…

4647. Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
      January 12, 2022 - Study Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. Citation Text: Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. Copy Citation Format: D…

4648. Medication errors' causes analysis in home care setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
      August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

4649. Patient-Centered CDS for Postpartum Hypertension Monitoring (pdf file)
      digital.ahrq.gov/sites/default/files/Real%20World%20PC%20CDS_Patient-Centered%20CDS%20for%20Postpartum%20Hypertension%20Monitoring_508_Jan26.pdf
      August 20, 2025 - Patient-Centered CDS for Postpartum Hypertension Monitoring Patient-Centered CDS for Postpartum Hypertension Monitoring At age 42, Brittany McFarland was excited about her first pregnancy after over a year of trying to conceive. All was going well with the pregnancy until she developed preeclampsia in her third…

4650. Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
      January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

4651. Failure to rescue female patients undergoing high-risk surgery. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
      October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …

4652. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet
      psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
      August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

4653. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
      November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

4654. The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
      December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

4655. Decision Support in the Emergency Department to Improve Medication Safety for Older Adults | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safety
      January 01, 2023 - Decision Support in the Emergency Department to Improve Medication Safety for Older Adults Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Real-Time Digital Healthcare Data to Improve Timely Treatment or Diagnosis Using the clinical decision support system Enhancing Quality …

4656. Nurses' experiences of organizational learning. | PSNet
      psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
      July 21, 2021 - Study Nurses' experiences of organizational learning. Citation Text: Lyman B, Biddulph ME, Hopper VG, et al. Nurses' experiences of organisational learning: a qualitative descriptive study. J Nurs Manag. 2020;28(6):1241-1249. doi:10.1111/jonm.13070. Copy Citation Format: DO…

4657. Building and Implementing a Predictive Decision Support System Based on a Proactive Full Capacity Protocol to Mitigate Emergency Department Overcrowding Problems | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/building-and-implementing-predictive-decision-support-system-based-proactive
      September 29, 2025 - Building and Implementing a Predictive Decision Support System Based on a Proactive Full Capacity Protocol to Mitigate Emergency Department Overcrowding Problems Project Description Publications Using deep learning and predictive analytics, this research has the potential…

4658. Summary of USPSTF Final Recommendation: Screening for Syphilis Infection During Pregnancy (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_CqYnP2r9XUSuDgkPpF9y8
      May 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Syphilis Infection During Pregnancy Clinicians Summary of USPSTF Final Recommendation Screening for Syphilis Infection During Pregnancy May 2025 What does the USPSTF recommend? A Grade For pregnant women: Provi…

4659. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet
      psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
      July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

4660. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
      May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …