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381. 18. Development Process (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide18.html
     October 01, 2014 - 18. Development Process (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Panel reviewed updated evidence and made recommendations based on evidence. Manuscript drafted and reviewed by panel. Additional manuscript drafts reviewed by panel. Manuscript …

382. 17. Development Process (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide17.html
     October 01, 2014 - 17. Development Process (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Evidence tables created by literature reviewers. Initial meta-analyses conducted. Panel reviewed relevant literature and meta-analytic results. Panel formed tentative conclusion…

383. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - Improving the Emergency Department Discharge Process: Environmental Scan Report Improving the Emergency Department Discharge Process: Environmental Scan Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare…

384. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation 379 Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation David Anthony, VK Chetty, Anand Kartha, Kathleen McKenna, Maria Rizzo DePaoli, Brian Jack Abstract Introduction: The transfe…

385. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement 109 A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement R. B. Akins Abstract This paper presents a patient safety applicator tool for implementing and assessin…

386. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
     January 01, 2025 - Sensory processing differences factor prominently in what oral formulation a child with ASD will tolerate … from clinic about what to do Information may be outdated (patient worsened while the clinic was processing

387. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
     June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

388. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - Purpose: The Communication and Optimal Resolution (CANDOR) Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementation phases, resources, and responsibilities to support s…

389. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
     January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions Principal Investigator: J.B. Jones, PhD, MBA Mark J. Selna (original Principal Investigator) Team Members: Mark Selna, MD …

390. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
     June 21, 2021 - well integrated into clinicians' workfow to minimise effort required in delivering, receiving and processing

391. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
     July 17, 2008 - This order is transcribed from the patient’s medical record for processing.

392. How To Manage Change
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     June 02, 2025 - How To Manage Change How To Manage Change ADD Hospital Name Module 2 QI Change Process Change process strategies can be applied to other quality improvement (QI) efforts: Hospital falls Catheter-associated urinary tract infections Deep vein thrombosis or pulmonary embolism after knee and hip replacement Blood inco…

393. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - nurse, phlebotomy staff drawing blood, transport staff bringing the specimen to the lab, and the lab processing

394. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - CUSP Toolkit Spread Facilitator Notes CUSP Toolkit The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture…

395. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - defined, patients with limited health literacy have an increased likelihood of experiencing difficulty processing

396. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care Title: Medication Reconciliation: Bridging Communications Across the Continuum of Care Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh, Melissa Blanchard, MP, Amy Caster-Winegeart, …

397. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
     September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workfow Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facili…

398. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - Learning From Defects is a powerful tool and teams may benefit from processing the content over an extended

399. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - Module 2: Obtaining Organizational Buy-in and Support AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational support for CANDOR implementation. This module focuses on the role of organizational le…

400. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
     November 01, 2014 - Improve billing and medical records processing. Encourage hand washing.