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7581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36342/psn-pdf
      March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. March 2, 2011 Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488-496. https://psnet.ahrq.gov/issue/missed…

7582. Slide 1 (ppt file)
      digital.ahrq.gov/sites/default/files/docs/page/Downs.PPT
      June 16, 2021 - Slide 1 Health IT and the Robert Wood Johnson Foundation Stephen J. Downs Senior Program Officer www.rwjf.org www.rwjf.org New Program on Public Health and Health Information Exchanges $2M program due out end of June Grants to help state and local public health agencies participate in health information…

7583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44845/psn-pdf
      July 01, 2016 - Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. July 1, 2016 Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…

7584. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
      June 01, 2023 - Tool: Cross-Monitoring Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors. It allows individuals and teams to take steps to correct the issue before harm or injury to the patient occurs. As one example, e-ICUs have proven the value of having remote staff cross-monitoring …

7585. TeamSTEPPS Teamwork Performance Observation Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Performance Observation Tool TeamSTEPPS Team Performance Observation Tool Date: Unit/Department: Team: Shift: Rating Scale Please 1 = Very Poor comment if 1 or 2. 2 = Poor 3 = Acceptable 4 = Good 5 = Excellent 1. Team Structure Rating a. Assembles a team b. Assigns or identifies te…

7586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41049/psn-pdf
      December 31, 2014 - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? December 31, 2014 Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electroni…

7587. 142-Who-Should-Take-Task-Evc-Monitoring-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/142-who-should-take-task-evc-monitoring-one-pager.docx
      October 01, 2024 - Who Should Take on the Task of Environmental Cleaning Monitoring? ICU & Non-ICU When planning an environmental cleaning (EVC) monitoring program, it is crucial to decide who should carry out the monitoring. This document evaluates various roles suitable for the task, and outlines advantages and disadvantages. Effective…

7588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45797/psn-pdf
      October 31, 2017 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. October 31, 2017 Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety. 2016;43(1)…

7589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40024/psn-pdf
      December 21, 2014 - Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. December 21, 2014 Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations in child…

7590. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B. Forms and Training Materials (Appendix Contents) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…

7591. CHIPRA 234: Section 5, Table 2: Evidence for the Focus of the Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-section-5-table-2.pdf
      June 17, 2014 - CHIPRA 234: Section 5, Table 2: Evidence for the Focus of the Measure Table 2: Evidence Supporting the Importance of Availability of Care for Children Needing Dental Care Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citation(s) Clinical guideline The EPSDT benefit for Medicai…

7592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46232/psn-pdf
      February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…

7593. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Tables 9 & 10 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-tables9-10.pdf
      January 01, 2006 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Tables 9 & 10 Table 9: Number of CT Scans Performed without Indication within 30 Days of Evaluation for Atraumatic Headache among Eligible Children in Seven States – MAX Data 2006 2007 2008 2009 2010 COLORADO Nu…

7594. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-b.docx
      June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) Long-Term Care Safety Toolkit AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix B. Your First Checklist Meeting Guide The following document is a sample agenda and topics you should consider discussing when your implementation team meets fo…

7595. Figure S-1. Recommended variables for standardized collection of race, ethnicity, and language need | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldatafig1.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure S-1. Recommended variables for standardized collection of race, ethnicity, and language need Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qu…

7596. Material Use Guide - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-material-guide.html
      May 01, 2017 - Material Use Guide - Implementation Guide Overview of Quality Improvement Study Components A systematic approach to quality improvement work greatly increases the odds of achieving the desired outcomes of a given project. Adherence to a standardized framework ensures that all essential elements of a project a…

7597. Appendix C9: Fall Interventions Monitor Sample | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C9: Fall Interventions Monitor Sample Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program O…

7598. Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-8.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medicati…

7599. Figure 6-1. Recommended variables for standardized collection of race, ethnicity, and language need | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldatafig6-1.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 6-1. Recommended variables for standardized collection of race, ethnicity, and language need Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qu…

7600. Table 4-2. Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-23.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 4-2. Correlations Between Self-Reported English Ability in Speaking, Reading, and Writing Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Qualit…