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3581. Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet
      psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
      July 17, 2019 - Commentary Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Citation Text: Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …

3582. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet
      psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
      August 10, 2011 - Study Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. Citation Text: Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporti…

3583. AHRQ’s RED Toolkit Helps VA Hospitals in California and Texas Lower Readmissions, Improve Discharge Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201512.html
      May 01, 2015 - AHRQ’s RED Toolkit Helps VA Hospitals in California and Texas Lower Readmissions, Improve Discharge Process Search All Impact Case Studies May 2015 Thirty-day all-cause hospital readmissions at the Department of Veterans Affairs (VA) Palo Alto (CA) Health Care System dropped 30 percent after administrators …

3584. Change in intern calls at night after a work hour restriction process change. | PSNet
      psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
      September 01, 2017 - Study Change in intern calls at night after a work hour restriction process change. Citation Text: Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…

3585. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet
      psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
      December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Citation Text: Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…

3586. Lab/Pharmacy Data Sign up and Commitment Letter (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.pdf
      March 04, 2011 - Lab/Pharmacy Data Sign up and Commitment Letter 1 Memorandum To: MHA Member Hospitals From: Mark Sonneborn, V.P. Information Services Date: 3/4/2011 Re: Lab/Pharmacy Data Sign up and Commitment Letter As part of a 3-year federal research grant, MHA is planning to add laboratory data and pharmacy dat…

3587. From tasks to processes: the case for changing health information technology to improve health care. | PSNet
      psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
      February 10, 2015 - Commentary From tasks to processes: the case for changing health information technology to improve health care. Citation Text: Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…

3588. Double checking medicines: defence against error or contributory factor? | PSNet
      psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
      January 31, 2024 - Study Double checking medicines: defence against error or contributory factor? Citation Text: Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

3589. Building an ambulatory safety program at an academic health system. | PSNet
      psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
      April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

3590. Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
      October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…

3591. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet
      psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
      August 19, 2016 - Study Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. Citation Text: Lyhne S, Georgiou A, Marks A, et al. Towards an understanding of the information dynamics of the handover proces…

3592. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. | PSNet
      psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
      September 11, 2019 - Study Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. Citation Text: Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …

3593. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet
      psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
      September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

3594. Do team processes really have an effect on clinical performance? A systematic literature review. | PSNet
      psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
      November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…

3595. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
      January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture 45 45 YUMA DISTRICT HOSPITAL AND CLINICS Bev Funaro, RN Director of Quality and Regulatory Affairs 46 46 Yuma Clinic Background • Participate in the Hospital and Medical Office surveys • Administered survey in 2011 and 2…

3596. Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. | PSNet
      psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
      October 03, 2012 - Study Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. Citation Text: Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administrati…

3597. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
      January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What is Patient Safety Culture? Organization 13 What are the SOPS Surveys? • Surveys of providers and st…

3598. A-1. CCRM Measurement framework | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-1.html
      October 01, 2013 - Potential Measures for Clinical-Community Relationships A-1. CCRM Measurement framework Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements Executive Summary Introduction Potential Measure Development Methodology Potential Meas…

3599. Challenges and opportunities for improving patient safety through human factors and systems engineering. | PSNet
      psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
      September 11, 2019 - Commentary Emerging Classic Challenges and opportunities for improving patient safety through human factors and systems engineering. Citation Text: Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …

3600. Use of EHR-Embedded Tools to Improve Screening for Intimate Partner Violence | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/use-ehr-embedded-tools-improve-screening-intimate-partner
      January 01, 2023 - Use of EHR-Embedded Tools to Improve Screening for Intimate Partner Violence Theme: Optimizing Care Delivery for Clinicians Subtheme: Leveraging Technology for Personalized, Evidence-Based Care and Decision Support An intervention with new tools and formalized procedures to screen for int…