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2761. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
      June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview) Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 12 What is Patient Safety Culture? 13 AHRQ Surveys on Patient Safety Culture • Surveys …

2762. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/index.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report for the request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for volu…

2763. Developing State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (U18) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/state-level-cpcq.pdf
      December 01, 2019 - Developing State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (U18) Developing State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (U18) One of the main goals of this funding opportunity is i…

2764. Procedure Manual Appendix XIV. Decision Framework to Assess and Guide the Need for Searches of Existing Decision Models | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xiv-decision-framework-assess-and-guide-need-searches-existing-decision-models
      July 01, 2017 - Procedure Manual Appendix XIV. Decision Framework to Assess and Guide the Need for Searches of Existing Decision Models Share to Facebook Share to X Share to WhatsApp Share to Email Print Background Comprehensively identifying and evaluatin…

2765. Annual Sustainability Work Plan: Caring for Mechanically Ventilated Patients | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/sustainability/workplan.html
      January 01, 2017 - Annual Sustainability Work Plan: Caring for Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients Year ______________    Hospital Name ____________________________________    Unit _______________________ This Sustainability Plan template is designed to help…

2766. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
      October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…

2767. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet
      psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
      March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

2768. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
      April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

2769. Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-process-enable-parent-escalation-care-deteriorating
      September 16, 2020 - Study Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. Citation Text: Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriora…

2770. Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet
      psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
      September 27, 2016 - Commentary Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. Citation Text: Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…

2771. Processes for identifying and reviewing adverse events and near misses at an academic medical center. | PSNet
      psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
      September 25, 2024 - Study Processes for identifying and reviewing adverse events and near misses at an academic medical center. Citation Text: Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…

2772. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet
      psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
      December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

2773. Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202001.html
      April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools Search All Impact Case Studies April 2020 LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…

2774. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. | PSNet
      psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
      March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…

2775. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet
      psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
      October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

2776. Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
      January 01, 2023 - Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants A hospital-randomized controlled trial of an educational quality improvement intervention in rural and small community hospitals in Texas following implementation of information technology. …

2777. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
      June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS23553 Project Period: 09/30/14–03/29/19 Description: The goal of the Johns Hopkins Armstrong Institute L…

2778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49750/psn-pdf
      January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…

2779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33831/psn-pdf
      April 01, 2017 - In Conversation With… Mark Chassin, MD, MPP, MPH April 1, 2017 In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph Editor's note: Dr. Chassin is president and chief executive officer of The Joint Commission. He is also p…

2780. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
      January 01, 2024 - Final Progress Report: Videotaping communication between physicians and nurses: A methods study TITLE PAGE Title of Project: Videotaping communication between physicians and nurses: A methods study Principal Investigator and Team Members: Milisa Manojlovich (PI), Molly Harrod, Timothy Hofer, Sarah Krein (co-inves…