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3101. Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet
      psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
      September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…

3102. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet
      psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
      February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

3103. Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet
      psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
      June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before and after handoff. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…

3104. Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
      June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. Citation Text: OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…

3105. Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet
      psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
      June 25, 2018 - Study Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Citation Text: Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…

3106. Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
      August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

3107. Patient perspectives on test result communication in primary care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
      November 20, 2015 - Study Patient perspectives on test result communication in primary care: a qualitative study. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.…

3108. CANDOR Event Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
      August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …

3109. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
      February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

3110. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
      July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dy…

3111. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
      September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans Primary Care Practice Facilitation Curriculum Module 20: Creating Quality Improvement Teams and QI Plans Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

3112. CER 226: Evidence summary_Labor Dystocia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/Evidence%20Summary_2.pdf
      May 01, 2020 - CER 226: Evidence summary_Labor Dystocia Purpose of Review To review the evidence on the definition of “normal” labor progression and the comparative effectiveness of different strategies for treating labor dystocia in women with otherwise uncomplicated pregnancies. Strategies assessed include amniotomy, suppo…

3113. Urine a Tough Position | PSNet
      psnet.ahrq.gov/web-mm/urine-tough-position
      January 01, 2009 - Urine a Tough Position Citation Text: Gandhi TK. Urine a Tough Position. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

3114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49463/psn-pdf
      October 14, 2004 - Moved Too Soon October 1, 2004 Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/moved-too-soon The Case A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours after arriving, while the patient was still groggy from anesthesia, a nurs…

3115. NQMC Measure Domain Definitions | Agency for Healthcare Research and Quality
      www.ahrq.gov/gam/summaries/domain-definitions/index.html
      July 01, 2018 - NQMC Measure Domain Definitions Health Care Delivery Measure Domains Measures of care delivered to individuals and populations defined by their relationship to clinicians, clinical delivery teams, delivery organizations, or health insurance plans. Denominators for these measures are defined by some form of af…

3116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - An Untimely End Despite End-of-Life Care Planning August 1, 2018 Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning The Case A 76-year-old man was admitted to the intensive care unit (…

3117. AHRQ Tips for Grant Applicants | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/process/grant-app-basics/apptips.html
      February 01, 2025 - AHRQ Tips for Grant Applicants The Agency for Healthcare Research and Quality (AHRQ) funds grants for research to support the Agency’s mission to improve the safety and quality of the health care system. This page provides links to information regarding grant application basics, such as the funding process; fun…

3118. Barrier Identification and Mitigation Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
      December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery AHRQ Safety Program for Surgery Barrier Identification and Mitigation Tool Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…

3119. Barrier Identification and Mitigation Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
      December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…

3120. Idea Generation | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/idea
      January 01, 2023 - Idea Generation Benchmarking Description Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization. Brainwriting Description B…