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  1. psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
    October 13, 2021 - Study An act of performance: exploring residents' decision-making processes to seek help. Citation Text: Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision‐making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465.…
  2. psnet.ahrq.gov/issue/effects-screen-point-care-computer-reminders-processes-and-outcomes-care
    September 20, 2011 - Review The effects of on-screen, point of care computer reminders on processes and outcomes of care. Citation Text: Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…
  3. psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
    July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
  4. psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
    March 09, 2022 - Review Surgical count process for prevention of retained surgical items: an integrative review. Citation Text: Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi…
  5. psnet.ahrq.gov/issue/developing-medication-patient-safety-program-part-2-process-and-implementation
    May 11, 2014 - Commentary Developing a medication patient safety program, part 2: process and implementation. Citation Text: Developing a medication patient safety program, part 2: process and implementation. Mark SM, Weber RJ. Hosp Pharm. 2007;42(3):249-254. Copy Citation Save …
  6. www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
    February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD, RN, FAAN, FRCN Abstract Patient falls account …
  7. psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
    July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…
  8. psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
    November 16, 2022 - Study Medication reconciliation improvement utilizing process redesign and clinical decision support. Citation Text: Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
  9. psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
    November 16, 2022 - Commentary Clinical perspective: creating an effective practice peer review process—a primer. Citation Text: Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…
  10. psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
    February 13, 2013 - Newspaper/Magazine Article Near-miss event analysis enhances the barcode medication administration process. Citation Text: Near-miss event analysis enhances the barcode medication administration process. Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. Copy Citation …
  11. psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
    July 16, 2015 - Study Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Citation Text: Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…
  12. www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix D. Site Visit Process Comparison Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Ch…
  13. www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
    January 01, 2017 - Daily Care Processes Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Hospital # ___________     Unit # ___________     Date (mm/dd/yyyy) ___________ Fill out for all beds Complete if patient is intubated or has tracheostomy and is mechanically ventilated …
  14. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-8.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.8. Overview of Lean Implementation Process Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
    June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality, Health Research &…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
    January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process The Emergency Department & Catheter Insertions * Mohamad Fakih, MD, MPH St. John Hospital and Medical Center Lisa Wolf, PhD, RN, CEN, FAEN Emergency Nurses Association (ENA) Jeremiah Schuur, MD, MHS, FACEP Brig…
  17. www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System 1 An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System Principal Investigator: Tanya Lord Roger Luckmann, MPH, MD, Thesis Advisor Terry Field, DSc, Chair of Committee Robe…
  18. www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
    August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix C Organization Team Roster Purpose: To confirm understanding of expectations by team members. Who should use this tool? CANDOR Implementation Team Leader and other Team Leads. How should you use this worksheet? Each member of the CANDOR Implemen…
  19. psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
    May 18, 2022 - Study Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Citation Text: Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…
  20. www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
    February 01, 2017 - Implementation Guide for the CANDOR Process: Appendix D Action Plan Template Purpose: To provide leaders and staff a template Action Plan to work through project activities and tasks. Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are wo…