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2041. Medication Reconciliation: Whose Job Is It? | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
      May 01, 2018 - SPOTLIGHT CASE Medication Reconciliation: Whose Job Is It? Citation Text: Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Googl…

2042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840174/psn-pdf
      August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

2043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38358/psn-pdf
      September 12, 2016 - Failure to rescue as a process measure to evaluate fetal safety during labor. September 12, 2016 Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. https://psnet.ahrq.gov/issue/failure-resc…

2044. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
      January 01, 2024 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment Medication Management at Home Final Report Medication Management at Home: Patient-Identified Processes and Risk Assessment Dates of Project: September 1, 2007, to August 31, 2009 Organization: Sacred Heart M…

2045. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
      March 03, 2011 - Study Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Citation Text: Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…

2046. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
      June 02, 2025 - Prologue: Culture and Redesign for Improved Patient Safety Prologue Culture and Redesign for Improved Patient Safety James B. Battles, PhD The articles in this volume explore issues of culture and the redesign of organizations and clinical practices to improve patient safety. Within this broad theme are f…

2047. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. SLIDE 1 SAY: In this module we will— · Define sustainability and understand the importance of maintaining positive change · Describe the link between sustainability and spr…

2048. Simulation Modeling | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/simulation-modeling
      January 01, 2023 - Simulation Modeling Examples Lin L, Paul J. Simulation and lean six-sigma integration for improvement of hospital operations. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007. Jurishica C. Simulation medication: studies show patient flow improvement. 2007 Society for Health …

2049. Evaluating the Process of Creating and Promoting a Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/assess/what-you-evaluate/process.html
      November 01, 2018 - Evaluating the Process of Creating and Promoting a Quality Report An evaluation of the process you went through to develop, release, and promote your report can help you identify which aspects worked well. Just as important, you can learn which ones did not work as well and what could or should be done differen…

2050. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
      January 01, 2024 - Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List AHRQ Safe Practices Implementation Challenge Grants Program Final Progress Report Title Page Project Title: The PeaceHealth Community-wide Electronic Shared Medication List Principal Investigator: Ronald D. Stock, MD (Peace…

2051. Current Processes: Refining Evidence-based Recommendation Development - Table 2 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/current-processes-refining-evidence-based-recommendation-development-table-2
      June 01, 2007 - Current Processes: Refining Evidence-based Recommendation Development - Table 2 Share to Facebook Share to X Share to WhatsApp Share to Email Print Table 2. Aims and Processes of the USPSTF to Ensure Integrity a Goal Process …

2052. Tool: Teach-Back | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
      May 01, 2023 - Tool: Teach-Back A teach‐back is an evidence‐based health literacy intervention that promotes patient engagement, patient safety, adherence, and quality . 1 In a teach-back, you ask the patient or family caregiver to explain the information they need to know or actions they need to take, in their own words. Te…

2053. Slide 1 (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/module_i1.ppt
      May 29, 2025 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigators Numeric

2054. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Principal Investigator Saul N. Weingart, MD, PhD Co-Investigators Maureen Connor, RN, MPH Syl…

2055. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …

2056. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - Compared with the old claims model, the RMCM approach fared better or the same in the length of time for processing

2057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36577/psn-pdf
      January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60680/psn-pdf
      July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. July 15, 2020 Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299. https://psnet.ah…

2059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40925/psn-pdf
      December 07, 2011 - Improving the discharge process by embedding a discharge facilitator in a resident team. December 7, 2011 Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924. https://psnet.ahrq.gov/issue/imp…

2060. Use Case | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/use-case
      January 01, 2023 - Use Case Description A use case is a set of instructions that an individual in a process completes to go through one single step in that process. It describes what the user does to interact with a system. Uses To understand how a user is aided by a system when completing a specific task. …