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3421. Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/opportunistic-decision-making-information-needs-and-workflow-emergency-care/annual-summary/2012
      January 01, 2012 - Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012 Project Name Opportunistic Decision Making Information Needs and Workflow in Emergency Care Principal Investigator Zhang, Jiajie Organization University of Texas Health Science Center - Hous…

3422. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet
      psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
      May 16, 2018 - Book/Report DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Citation Text: DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107. …

3423. Improving safety throughout the medication use process in a neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
      January 27, 2012 - Commentary Improving safety throughout the medication use process in a neonatal intensive care unit. Citation Text: Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067. Copy Ci…

3424. Patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/patient-safety-emergency-department
      July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

3425. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0012_03-21-2008.pdf
      January 01, 2008 - Effective Health Care Topic Number(s): 0064 Document Completion Date: 11-18-09 1 Results of Topic Selection Process & Next Steps  Subclinical hypothyroidism will go forward for refinement as a comparative effectiveness or effectiveness review. Although the topic was initially thought to be cove…

3426. Systemic failures in health care oversight. | PSNet
      psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
      July 05, 2006 - Commentary Systemic failures in health care oversight. Citation Text: Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

3427. Auditing Strategies to Improve Infection Prevention Processes in Nursing Homes | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/materials/prevention/observational-audits.html
      July 01, 2021 - Auditing Strategies to Improve Infection Prevention Processes in Nursing Homes Nursing homes can conduct observational audits to support increased compliance with infection prevention practices, including hand hygiene and use of personal protective equipment. Observational Audits Observational audits occur …

3428. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet
      psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
      February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

3429. Developing process-support tools for patient safety: finding the balance between validity and feasibility. | PSNet
      psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
      January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…

3430. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

3431. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - model that can help identify and classify failure points in the process of test ordering, collection, processing

3432. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
      November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: November 9, 2011 Evidence-based Practice Center Systematic Review Protocol Project Title: Critical Analysis of the Evidence for Patient Safety Practices I. Background and Objectives fo…

3433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49556/psn-pdf
      March 01, 2008 - Hold That Order March 1, 2008 Grissinger M. Hold That Order. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/hold-order The Case A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her previous pituitary resection and radiation, the patient had a long history …

3434. Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
      June 02, 2025 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders Introduction This resource guide was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or elimi…

3435. CAHPS® Moving Forward: Innovations in Tools and Research Webcast (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
      March 01, 2010 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast The Value and Impact of CAHPS Paul D. Cleary, Ph.D. Yale School of Public Health www.ahrq.gov/cahps Reported Patient Experiences are Related to other Important Processes and Outcomes Among dozens of studies examined in a recent systematic revie…

3436. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
      June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety Citation Text: Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citat…

3437. Module-4-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-slides.pdf
      August 19, 2021 - Preparing and Understanding Your Data to Support Systems Change Module 4 S h e r r y G r a c e , P h D , F C C S , FA A C V P R , C R F C M a t t T h o m a s , M S , M B A , A C S M - C E P TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts…

3438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850362/psn-pdf
      June 14, 2023 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital June 14, 2023 Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…

3439. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/news/previous-announcements.html
      March 01, 2025 - Previous Announcements About SOPS Surveys 2022 Announcements Date Announcements December 2022 AHRQ Post-Webcast Materials for “Understanding SOPS Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture (SOPS) Surveys. Speakers described the SOPS program, surve…

3440. Section 6. Facilitating Change and Anticipating Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
      July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 6. Facilitating Change and Anticipating Challenges Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments E…