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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…
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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…
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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…
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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…
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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…
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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…
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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
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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
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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…
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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…
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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…
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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 …
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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 …
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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…
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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
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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…
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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…
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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…
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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…
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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…