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3901. Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet
      psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
      August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

3902. Adverse events during dental care for children: implications for practitioner health and wellness. | PSNet
      psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
      December 22, 2021 - Review Adverse events during dental care for children: implications for practitioner health and wellness. Citation Text: Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326. Copy Citation Fo…

3903. Association between ophthalmologist age and unsolicited patient complaints. | PSNet
      psnet.ahrq.gov/issue/association-between-ophthalmologist-age-and-unsolicited-patient-complaints
      June 27, 2018 - Study Association between ophthalmologist age and unsolicited patient complaints. Citation Text: Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154.…

3904. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
      January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …

3905. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart for a suspected catheter-associated urinar…

3906. It Takes a Team: Preventing Infections in Ambulatory Surgery Centers (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
      May 01, 2017 - It Takes a Team: Preventing Infections in Ambulatory Surgery Centers Appendix L. Infection Prevention Infographic AHRQ Safety Program for Ambulatory Surgery Implementation Guide • Follow fully the instructions on how to use cleaning and disinfection supplies. • Follow the manufacturers’ and ASC’s instructions …

3907. 131-What-Are-The-4-Es-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
      May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…

3908. IMPLEMENT California Asthma QI Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
      June 02, 2025 - IMPLEMENT California Asthma QI Collaborative IMPLEMENT California Asthma QI Collaborative 11 REQUIRED MEASURES numbered 1 - 4 Measures 1 – 4 are for children/adolescents between the ages of 3-21 # Measure name Definition for Data Collection; Excl…

3909. Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0: Access | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-child.html
      December 01, 2018 - Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0: Access Population version: Child Download these items: English ( Word , 31 KB ) Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/o…

3910. 114-Fvc-Aspects-Steps-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
      April 01, 2025 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

3911. How Will You Pay for a Health Care Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/pay.html
      November 01, 2018 - How Will You Pay for a Health Care Quality Report? A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…

3912. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
      October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …

3913. Suppl-Access Items Cg-Cahps-Adult-Survey 2357-1A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-adult-survey_2357-1a.docx
      June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Access Population Version: Adult Supplemental Access Items for the CAHPS® Clinician & Group Survey 3.0 Population Version: Adult Language: English Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental items in order to meet the n…

3914. Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
      December 01, 2023 - Grantee Profile Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections Amy Vogelsmeier, Ph.D., R.N., FAAN. Associate Professor Sinclair School of Nursing University of Missouri–Colombia Amy Vogelsmeier, Ph.D., R.N., FAAN “AHRQ as a funding agency has provided an imp…

3915. Paramedic intubation errors: isolated events or symptoms of larger problems? | PSNet
      psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
      February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems? Citation Text: Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9. Copy Citation Format: …

3916. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet
      psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
      January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

3917. Intralipid medication errors in the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
      January 02, 2017 - Study Intralipid medication errors in the neonatal intensive care unit. Citation Text: Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. Copy Citation Format: Google Scholar PubMed B…

3918. Labeling solutions and medications in sterile procedural settings. | PSNet
      psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
      July 13, 2016 - Commentary Labeling solutions and medications in sterile procedural settings. Citation Text: Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82. Copy Citation Format: Google Scholar PubMed BibTeX End…

3919. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet
      psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
      September 24, 2010 - Commentary A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Citation Text: Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51. Copy Citati…

3920. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet
      psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
      August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …