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3181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33598/psn-pdf
      June 15, 2024 - Falls June 15, 2024 Falls. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/falls PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Background Falls are a common …

3182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safe…

3183. Development and Evaluation of Patient-Reported Outcome Score Visualization to Improve Their Utilization (PROVIZ) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-patient-reported-outcome-score-visualization-improve
      January 01, 2023 - Development and Evaluation of Patient-Reported Outcome Score Visualization to Improve Their Utilization (PROVIZ) Project Final Report ( PDF , 1.06 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its conte…

3184. Appendix A: Interview Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalap.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Appendix A: Interview Questions Previous Page   Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Implementation Program Impact What W…

3185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33589/psn-pdf
      September 15, 2024 - High Reliability September 15, 2024 High Reliability. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/high-reliability PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

3186. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…

3187. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
      January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety 151 Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety Myra A. Kleinpeter Abstract The Medical Center of Louisiana at New Orleans (MCLNO) provides care to primarily in…

3188. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…

3189. ParentLink: Better and Safer Emergency Care for Children (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
      January 01, 2007 - oral liquid” are all displayed as “oral liquid or suspension” with further product differentiation occurring

3190. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
      November 01, 2014 - in more rational organizational theories, visions of and goals for something like Lean are viewed as occurring

3191. Needs Assessment | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/needs-assessment
      January 01, 2023 - Needs Assessment Examples Walker J, Bieber E, Richards F, et al. Appendix 2: physician reporting and digital storage system needs assessment - endoscopy suite. In: Walker J, Bieber E, Richards F, editors. Implementing an electronic health record system. London: Springer; 2005. p. 183-91. Des…

3192. Decision Tree | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
      January 01, 2023 - Decision Tree Also Known As Decision Process Flowchart Logic Diagram Description Decision trees are tools that can be utilized to navigate several courses of action to arrive on one choice. Their structure allows one to evaluate multiple options and explore what the potential outcomes ar…

3193. Arizona State University Uses AHRQ’s Quality and Disparities Reports in Curriculum | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201505.html
      March 01, 2015 - Arizona State University Uses AHRQ’s Quality and Disparities Reports in Curriculum Search All Impact Case Studies March 2015 The College of Health Solutions, created in 2012 at Arizona State University, is using National Healthcare Quality and Disparities Reports in its curriculum for all graduate and und…

3194. Holding out for an apology. | PSNet
      psnet.ahrq.gov/issue/holding-out-apology
      January 19, 2024 - Commentary Holding out for an apology. Citation Text: Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

3195. Tool: STAR | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
      July 01, 2024 - Tool: STAR STAR is a mnemonic tool that is used extensively to help elicit and share key information about activities and their consequences. Its key elements include: Situation monitoring often requires analyzing situations in which tasks were assigned, were completed, and resulted in outcomes that might or mi…

3196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42685/psn-pdf
      December 06, 2013 - Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. December 6, 2013 Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Intensive Care M…

3197. Concept: Conflict in Teams | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
      July 01, 2023 - Concept: Conflict in Teams It is important to acknowledge that conflict can occur between staff members or between staff and patients or family caregivers. Conflict is inevitable in all groups because individuals have different needs, perspectives, and priorities. These differences can result in two distinct ca…

3198. Patients With Devices: Prevent Infections During Your Hospital Stay_BATHE Daily With Chlorhexidine (CHG) Cloths (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.pdf
      March 01, 2022 - Patients With Devices: Prevent Infections During Your Hospital Stay_BATHE Daily With Chlorhexidine (CHG) Cloths AHRQ Pub. No. 20(22)-0036 March 2022 Section 10-7 PATIENT Patients With Devices: Prevent Infections During Your Hospital Stay BATHE Daily With Chlorhexidine (CHG) Cloths During your stay, …

3199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39239/psn-pdf
      September 27, 2017 - NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. September 27, 2017 Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Perinatol. 2010;30(7):459-68. do…

3200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47267/psn-pdf
      September 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. September 5, 2018 Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J Am M…