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2541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45771/psn-pdf
      January 11, 2017 - Closing the loop: a process evaluation of inpatient care team communication. January 11, 2017 Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. https://psnet.ahrq.gov/issue/closing-loop-…

2542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865681/psn-pdf
      April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o…

2543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836858/psn-pdf
      April 06, 2022 - Psychological safety during the test of new work processes in an emergency department. April 6, 2022 Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y. https://psnet.…

2544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39959/psn-pdf
      December 21, 2014 - Hospital process compliance and surgical outcomes in Medicare beneficiaries. December 21, 2014 Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191. https://psnet.ahrq.gov/issue/hos…

2545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45794/psn-pdf
      February 15, 2017 - Teaching the diagnostic process as a model to improve medical education. February 15, 2017 Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…

2546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46222/psn-pdf
      June 21, 2017 - Enhanced time out: an improved communication process. June 21, 2017 Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals t…

2547. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Conclusion Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …

2548. Stanford Health Care TAKEheart Profile | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/about/initiative/partner-hospitals/stanford-health.html
      November 01, 2022 - Stanford Health Care TAKEheart Profile "Participating in TAKEheart provided me with strategies to automate our referral processes, resulting in increased enrollment in our cardiac rehabilitation program." Challenges to CR participation at Stanford Health Care Stanford Health Care is a large academic med…

2549. What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. | PSNet
      psnet.ahrq.gov/issue/whats-going-well-qualitative-analysis-positive-patient-and-family-feedback-context-diagnostic
      October 27, 2021 - Study What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. Citation Text: Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the d…

2550. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet
      psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
      July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…

2551. Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition
      January 01, 2023 - Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System Project Final Report ( PDF , 830.22 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its c…

2552. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
      January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 Project Name Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System Principal Investigator Levick, Donald Organization Lehigh Valley Hospital Funding Mechanism PAR: HS08-270:…

2553. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
      psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
      October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

2554. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet
      psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
      September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

2555. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…

2556. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
      October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots Search All Impact Case Studies May 2012 Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…

2557. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…

2558. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - During report processing, however, the physical server holding study data at any particular time could

2559. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on 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-Valade_46.pdf
      May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …

2560. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit Final Progress Report 1. TITLE PAGE Grant Number: 5R13HS021824-03 FAIN: R13HS021824 Principal Investigator: Anjali Joseph Project Title: Developing and disseminating a Patient Safety Risk Assessment (PSRA) toolkit …