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3781. Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Video | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/videos/grpresentation.html
      August 01, 2022 - Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected eve…

3782. Hospital Discharge | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/hospital-discharge.html
      Topic: Hospital Discharge AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Discharge Toolkit. Improving Hospital Discharge Through Medication Reconciliation and Education Improving the Emerg…

3783. Synthesizing Lessons Learned Using Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
      January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report Grant Final Report Grant ID: R03HS018830 Synthesizing Lessons Learned Using Health Information Technology Inclusive Project Dates: 05/01/10 – 04/30/13 Principal Investigator: Lynne S. Nemeth, PhD, RN Tea…

3784. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
      January 01, 2024 - Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Review Question…

3785. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…

3786. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals Strategies for Improving Patient Safety in Small Rural Hospitals Judith Tupper, MS, CHES; Andrew Coburn, PhD; Stephenie Loux, MS; Ira Moscovice, PhD; Jill Klingner, PhD; Mary Wakefield, PhD, RN Abstract The Tennessee Rural Hospital Patient …

3787. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
      psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
      May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …

3788. Payment and Reimbursement | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
      January 01, 2018 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

3789. Central Venous Catheter Maintenance Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
      April 01, 2022 - Central Venous Catheter Maintenance Facilitator Notes CLABSI Module: Central Venous Catheter Maintenance Facilitator Guide Slide Number and Image This module, titled Central Venous Catheter Maintenance, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) a…

3790. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
      December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects Science of Improving Safety and Identifying Defects – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide The Science of Improving Patient Safety and Identifying Defects SAY: The topic of this module is the science of …

3791. Medical Office SOPS: 2016 User Comparative Database Report, Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
      January 01, 2016 - Medical Office SOPS: 2016 User Comparative Database Report, Part II PATIENT SAFETY Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE 2016 USER COMPARATIVE DATABASE REPORT Medical Office Survey on Patient Safety Cult…

3792. Utilising improvement science methods to optimise medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
      July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

3793. Standardized assessment of medication reconciliation in post-acute care. | PSNet
      psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
      December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. Citation Text: Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. Copy Citation …

3794. Identifying health information technology usability issues contributing to medication errors across medication process stages. | PSNet
      psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
      November 03, 2021 - Study Identifying health information technology usability issues contributing to medication errors across medication process stages. Citation Text: Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…

3795. Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. | PSNet
      psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
      November 15, 2023 - Study Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. Citation Text: Arbaje AI, Hughes A, Werner N, et al. Information management goa…

3796. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
      June 09, 2011 - Study Classic Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Citation Text: Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…

3797. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. | PSNet
      psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
      November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…

3798. Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. | PSNet
      psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
      July 20, 2022 - Study Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. Citation Text: Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…

3799. Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet
      psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
      February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

3800. Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. | PSNet
      psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
      October 27, 2021 - Study Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. Citation Text: Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…