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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - focusing on the technical piece—care of mechanically ventilated patients and all the evidence-based processes—as
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - All licensed staff should understand the processes related to assessment, care plan development and monitoring
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www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
January 01, 2024 - purpose of identifying lessons learned, is needed to efficiently and effectively
improve healthcare processes … training in order for clinical staff to participate and be effective in designing and launching
new processes
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2023-12/2023-annual-report-to-congress.pdf
January 01, 2023 - More details are available on the “Task Force at a Glance” and “Methods and Processes” pages. … This work includes two processes to clearly communicate the most important gaps:
• The first process
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digital.ahrq.gov/sites/default/files/docs/citation/securemessagingpediatricrespiratorysettingreport_013012comp.pdf
January 01, 2011 - Secure Messaging in a Pediatric Respiratory Medicine Setting
Secure Messaging in a
Pediatric Respiratory
Medicine Setting
Final ACTION Contract Report
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Final Report
Secu…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
October 01, 2021 - Since the challenges facing PLWMCC are so fundamentally
grounded in poorly-designed processes and structures … coordinated care models to link with key resources, and use
of information technology to better coordinate processes … PLWMCC will require building
systems that can constantly monitor for, and adapt to, variations in the processes
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citation/identification
January 01, 2023 - Identification of documented medication non-adherence in physician notes.
Citation
Turchin A, Wheeler HI, Labreche M, et al. Identification of documented medication non-adherence in physician notes. AMIA Annu Symp Proc 2008 Nov 6:732-6.
Link
http://www.ncbi.nlm.nih.gov/pubmed/18998827
Pr…
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psnet.ahrq.gov/node/37889/psn-pdf
July 02, 2008 - Minimising treatment-associated risks in systemic cancer
therapy.
July 2, 2008
Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy.
Pharm World Sci. 2008;30(2):161-8.
https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
This …
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psnet.ahrq.gov/node/37418/psn-pdf
October 01, 2024 - Systems Analysis of Critical Incidents: the London
Protocol.
October 1, 2024
Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration,
Imperial College London; 2024.
https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
This revised report docu…
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/citation/rxnorm
January 01, 2023 - Mapping partners master drug dictionary to RxNorm using an NLP-based approach.
Citation
Zhou L, Plasek JM, Mahoney LM, et al. Mapping partners master drug dictionary to RxNorm using an NLP-based approach. J Biomed Inform 2012;45(4):626-33.
Link
http://www.ncbi.nlm.nih.gov/pubmed/22142948
…
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citatio-2
January 01, 2023 - Encounter frequency and blood pressure in hypertensive patients with diabetes mellitus.
Citation
Turchin A, Goldberg SI, Shubina M, et al. Encounter frequency and blood pressure in hypertensive patients with diabetes mellitus. Hypertension 2010 Jul;56(1):68-74.
Link
Turchin A, Goldberg SI, Shu…
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citatio-3
January 01, 2023 - The doctor needs to see you now: accelerating the care of patients with uncontrolled hypertension.
Citation
Turchin A, Conlin PR. The doctor needs to see you now: accelerating the care of patients with uncontrolled hypertension. Expert Rev Cardiovasc Ther 2010 Nov;8(11):1501-3.
Link
Turchin A,…
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psnet.ahrq.gov/node/38862/psn-pdf
August 12, 2009 - Resilience in healthcare and clinical handover.
August 12, 2009
Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health
Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163.
https://psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
This commentary introd…
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psnet.ahrq.gov/node/37397/psn-pdf
January 16, 2008 - The Selective Attention Task.
January 16, 2008
Simons DJ. Visual Cognition Lab. Champaign, IL: University of Illinois; 2010.
https://psnet.ahrq.gov/issue/selective-attention-task
This instructional tool, commonly known as the "gorilla video," illustrates the importance of selective
attention theories. These theori…
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psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
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psnet.ahrq.gov/node/37641/psn-pdf
March 10, 2011 - EHR safety: the way forward to safe and effective
systems.
March 10, 2011
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am
Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
https://psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-syste…
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/37971/psn-pdf
April 21, 2011 - Managing an acute adverse event in a radiology
department.
April 21, 2011
Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department.
Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064.
https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department…
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www.ahrq.gov/research/shuttered/toolkitchecklist/secint.html
July 01, 2018 - Security/General Interior
Evaluate securing fixed assets and maintaining safety of patients and staff by inspecting access control and monitoring issues and equipment such as alarm systems, door locks, card readers, and security camera systems.
Date: ____________ Location: _______________________ Team membe…
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psnet.ahrq.gov/node/39181/psn-pdf
December 16, 2009 - Decreasing patient misidentification before chemotherapy
administration.
December 16, 2009
Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration.
Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717.
https://psnet.ahrq.gov/issue/decreasing-patient-…