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3181. Improvement Tools | PSNet
      psnet.ahrq.gov/improvement-tools
      February 26, 2025 - Improvement Resources Overview Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…

3182. Health Plan and Sickle Cell Clinic Communication Process and Meeting Planning (2c.6) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/communication-documents.pdf
      June 02, 2025 - Health Plan and Sickle Cell Clinic Communication Process and Meeting Planning (2c.6) Health Plan and Sickle Cell Clinic Communication Process and Meeting Planning (2c.6) This diagram illustrates the process for communications between clinic and health plan staff to ensure patients with SCD are receiving appropriate…

3183. Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
      October 01, 2014 - Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, MPRO, the Michigan Quality Improvement Organization (QIO), worked with providers in the State to improv…

3184. Introduction on Diagnostic Documentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
      July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic Documentation Previous Page Next Page Table of Contents Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic …

3185. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201501.html
      March 01, 2015 - AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital Search All Impact Case Studies March 2015 Nacogdoches Memorial Hospital, a 216-bed Level III trauma center in Nacogdoches, Texas, saw 30-day all-cause readmissions drop from 18.6 percent to 16.6 percent in the six-month …

3186. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
      March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…

3187. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
      January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…

3188. Innovations in Stakeholder Engagement Conference Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/innovations_in_stakeholder_engagement_conference_summary2.pdf
      October 01, 2011 - Innovations in Stakeholder Engagement Conference Summary Innovations in Stakeholder Engagement Conference Summary 2 AHRQ Community Forum Overview of Types of Online Collaborative Platforms Chris Haller, Founder and CEO, Urban Interactive Studios Online collaborative platforms provide an avenue for individua…

3189. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…

3190. How hospitals reengineer their discharge processes to reduce readmissions. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/citation/hospitals
      January 01, 2023 - How hospitals reengineer their discharge processes to reduce readmissions. Citation Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. J Healthc Qual. 2016 Mar-Apr;38(2):116-26. PMID: 26042743. Link https://www.ncbi.nlm.nih.gov/p…

3191. Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet
      psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
      June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…

3192. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet
      psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
      December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

3193. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. | PSNet
      psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
      April 25, 2012 - Commentary The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Citation Text: Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…

3194. Process indicators of quality clinical pharmacy services during transitions of care. | PSNet
      psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
      December 05, 2012 - Commentary Process indicators of quality clinical pharmacy services during transitions of care. Citation Text: Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…

3195. A clinical data warehouse-based process for refining medication orders alerts. | PSNet
      psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
      March 10, 2011 - Study A clinical data warehouse-based process for refining medication orders alerts. Citation Text: Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…

3196. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. | PSNet
      psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
      August 04, 2021 - Study Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Citation Text: Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…

3197. Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet
      psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
      April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

3198. Understanding the root cause analysis process to increase safety event reporting. | PSNet
      psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
      August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

3199. Psychological safety during the test of new work processes in an emergency department. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
      September 08, 2021 - Study Psychological safety during the test of new work processes in an emergency department. Citation Text: 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/…

3200. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
      October 19, 2022 - Study Failure to rescue as a process measure to evaluate fetal safety during labor. Citation Text: Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. Copy Citat…