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2981. advanced-care-decision-aids-protocol-131209 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_research-protocol.pdf
      December 09, 2013 - advanced-care-decision-aids-protocol-131209 Evidence-based Practice Center Technical Brief Protocol Project Title: Decision Aids for Advanced Care Planning…

2982. Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/materials/staffing.html
      June 01, 2021 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders This resource guide from the Project ECHO and IHI Teams was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or eliminate urgent staff shortages, particularly shortages of …

2983. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Define components of a rapid …

2984. Teaching Implementation Planning | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
      January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…

2985. HIT Readiness Instrument (xls file)
      digital.ahrq.gov/sites/default/files/docs/page/E-PrescribingPhysicianTool4.1.xlsx
      June 16, 2021 - HIT Readiness Instrument Introduction & Instructions Readiness Assessment for HIT[1] How do you know if your clinic is ready for an electronic health record or ePrescribing? Successful transition from paper-based charts to an e-prescribing system or electronic health record (EHR) requires organization-wide commi…

2986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49421/psn-pdf
      October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…

2987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73106/psn-pdf
      April 01, 2021 - Strategies and Approaches for Tracking Improvements in Patient Safety April 1, 2021 Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety Background An essential aspect …

2988. Medication Turnaround Time in the Inpatient Setting (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/medication-turnaround-time-quick-reference-guide.pdf
      August 05, 2025 - Medication Turnaround Time in the Inpatient Setting Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Health IT Medication Turnaround Time in the Inpatient Setting Medication turnaround time is defined as the interval from the time a medication order is written (man…

2989. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4g Selected Best Practices and Suggestions for Improvement PSI 10: Postoperative Physiologic and Metabolic Derangement Why Focus on Postoperative Phys…

2990. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
      April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL) Principal Investigator:  Sara Singer, Ph.D., Harvard University, Cambridge, MA AHRQ Grant No.:  HS24453 Project Period:  09/30/15–09/29/21 Description:  The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…

2991. Document Workflow Assessment Guide - Hospital (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
      January 26, 2009 - Document Workflow Assessment Guide - Hospital Document Workflow Assessment Guide: Hospital HealthInsight, Salt Lake City UT This is an interview guide designed to be conducted with staff in an inpatient setting. The tool includes questions to assess user's needs of health information exchange. Permission has been…

2992. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet
      psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
      April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

2993. 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
      March 11, 2013 - Commentary 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. Citation Text: Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…

2994. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. | PSNet
      psnet.ahrq.gov/issue/impact-performance-obstacles-intensive-care-nurses-workload-perceived-quality-and-safety-care
      March 11, 2020 - Study Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. Citation Text: Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of …

2995. Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet
      psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
      December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…

2996. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. | PSNet
      psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
      October 27, 2021 - Study Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. Citation Text: Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…

2997. Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
      January 01, 2023 - Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Digital Healthcare Tools to Improve Patient Safety Implementing a postoperative handoff intervention augmented with telemedicine an…

2998. Augmenting health care failure modes and effects analysis with simulation. | PSNet
      psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
      December 18, 2024 - Study Augmenting health care failure modes and effects analysis with simulation. Citation Text: Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd. Copy Cit…

2999. Policy Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
      October 01, 2014 - Policy Projects Research Initiative in Clinical Economics Clinical Economics Resource Links Policy Projects Evaluation of the Academy for Managed Care Pharmacy Format for Formulary Submissions Deliberative Focus Groups: Citizen Input to Health Policy Evaluation of the Academy for Man…

3000. Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
      October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…