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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36338/psn-pdf
    October 26, 2010 - Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. October 26, 2010 Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Int J Med Inform. 200…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44848/psn-pdf
    April 22, 2016 - Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. April 22, 2016 Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40535/psn-pdf
    July 22, 2011 - A framework for classifying patient safety practices: results from an expert consensus process. July 22, 2011 Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296. https://psn…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39156/psn-pdf
    April 17, 2011 - Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. April 17, 2011 Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary health care teams: using simulation des…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - A recent study examined heuristics related to type 1 processing in a primary care setting, noting that

  6. Making Healthcare Safer IV: Supply Chain Disruption Monitoring Programs (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-protocol.pdf
    January 01, 2024 - medical supply chain is a complex network of interconnected parts related to procuring raw materials, processing

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…

  8. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Module 5: Response and Disclosure AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. Slide 1 Say: The goal of this module is to: Define…

  9. Impact of Health IT Implementation on Diabetes Process and Outcome Measures - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
    January 01, 2011 - Impact of Health IT Implementation on Diabetes Process and Outcome Measures - 2011 Project Name Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures Principal Investigator Ballard, David J. Organization Baylor Research Institute …

  10. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Data Collection Strategy, Assessment, and Process Evaluation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliati…

  11. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6a.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Data Collection Strategy, Assessment, and Process Evaluation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliati…

  12. Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting Checklist (pdf file)

    cdsic.ahrq.gov/sites/default/files/2023-08/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
    January 01, 2023 - Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting Checklist 1 PC CDS Planning, Implementation, and Reporting Checklist  What is the Checklist’s Purpose? The patient-centered clinical decision support (PC CDS) Planning, Implementation, and Reporting Checkl…

  13. Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting Checklist (pdf file)

    digital.ahrq.gov/sites/default/files/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
    August 20, 2025 - Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting Checklist 1 PC CDS Planning, Implementation, and Reporting Checklist  What is the Checklist’s Purpose? The patient-centered clinical decision support (PC CDS) Planning, Implementation, and Reporting Checkl…

  14. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

  15. Common Cause Analysis: Focus on Institutional Change (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN; Annette Bollig, MSN, RN; James Steven, MD, SM Abstract The Children’s Hospital of Philadelphia has created a mechanism …

  16. Dorr_Care_Mgmt_Disc_Guide (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Dorr_Care_Mgmt_Disc_Guide.pdf
    November 18, 2008 - Dorr_Care_Mgmt_Disc_Guide             OHSU Care Management (CMP) Discussion Guide Ver4.0 CMP Team 11/18/2008 Life of a case under Care Management Outline 1. Introduction (15 minutes) 2. Day in the life (30 minutes) 3. Process mapping (30 minutes) 4. Bene…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72836/psn-pdf
    January 26, 2021 - Meaningful Measurement in Patient and Family Engagement March 10, 2021 Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement Defining Patient and Family Engagement Pat…

  18. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
    November 01, 2011 - Since this information is required by the reference lab for processing, laboratory staff must either

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45668/psn-pdf
    September 29, 2017 - Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. September 29, 2017 Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017;26(6):475-483. doi:10.1136/bm…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40690/psn-pdf
    August 17, 2011 - Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. August 17, 2011 Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):132-41. doi:10.1016/j.aorn.2010.09.…
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