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  1. psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2
    January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…
  2. psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
    May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…
  3. psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings
    July 29, 2020 - Study Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. Citation Text: Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational…
  4. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gamm-ld-et-al-1998-pre
    January 01, 1998 - Gamm LD et al. 1998 "Pre- and post- control model research on end-users' satisfaction with an electronic medical record: preliminary results." Reference Gamm LD, Barsukiewicz CK, Dansky KH, et al. Pre- and post-control model research on end-users' satisfaction with an electronic medical record: prelim…
  5. psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
    July 13, 2022 - Book/Report Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. Citation Text: Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
  6. psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process
    May 08, 2024 - Study Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach. Citation Text: Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the emergency department during the diagnos…
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
    December 01, 2017 - require partnership between evidence synthesis producers and health systems capable of manipulating and processing
  8. psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
    October 30, 2024 - these aims, the STORM team incorporated data from the VHA EHR and more sophisticated and rapid data processing
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853774/psn-pdf
    September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. September 27, 2023 Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient The Case An 85-year-old woman presente…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
    March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Supporting Patient and Family Engagement: Best Practices for Hospital Leaders The Guide to Patient and Family Engagement in Hospital Quality …
  13. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
    January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …
  14. psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. Citation Text: Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citat…
  15. effectivehealthcare.ahrq.gov/sites/default/files/09_infectiousdisease_potential_high_impact_june_2012.pdf
    January 01, 2012 - Centers collecting and processing the stool also typically screen transplant recipients for similar … replication. 5 The NS4A peptide functions as a cofactor for NS3 and plays a key role in increasing the processing … Centers collecting and processing the stool also typically screen transplant recipients for similar … clinicians will have greater acceptance of the procedure once donor screening, testing, and transplant processing … tuberculosis, thereby preventing contamination. 162,163 Subsequent processing and detection are performed
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
    December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Implementation Steps and Timeline Implementation Steps Estimated Duration / Time 1. Verify Nursing Home Readiness Leadership agrees to identify a change team champion and e…
  17. www.ahrq.gov/takeheart/training/index.html
    February 01, 2023 - Overview of TAKEheart Training Curriculum & Resources TAKEheart training materials and related resources are designed to provide actionable guidance to hospitals wishing to implement evidence-based strategies for expanding patient participation in cardiac rehabilitation (CR). TAKEheart training materials ar…
  18. SOPS Program Brief (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-program-brief-2024.pdf
    January 01, 2024 - SOPS Program Brief The SOPS® Program: Assessing Patient Safety Culture From a Provider and Staff Perspective SOPS Program Since 2001, the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) Program has supported AHRQ’s mission by advancing the scientific understanding…
  19. digital.ahrq.gov/sites/default/files/docs/page/DuPont.ppt
    June 16, 2005 - The Decade of Health Information Technology Begins: The United States Health Information Technology Strategy Lammot du Pont Office of the National Coordinator for HIT Funding Health IT, Government Perspectives June 9, 2005 The Vision: Transform US Health Care Empower Patients Improve Quality Increase Sa…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
    January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript January 2020 https://www.ahrq.gov/sops/index.html 1 Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…