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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44610/psn-pdf
    May 03, 2017 - International Prize in Resilient Health Care. May 3, 2017 The Australian Institute of Health Innovation. https://psnet.ahrq.gov/issue/international-prize-resilient-health-care Innovations in patient safety can drive improvement efforts. This award program seeks to recognize feasible and widely implementable strate…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853626/psn-pdf
    September 20, 2023 - Uncovering the shocking dangers of misdiagnosis. September 20, 2023 Graedon T. People’s Pharmacy.  Show 1355. September 8, 2023. https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker discusses foun…

  4. Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/workflow
    January 01, 2023 - Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. Citation Cutting EM, Overby CL, Banchero M, et al. Using workflow modeling to identify areas to improve genetic test processes in the University of Marylan…

  5. What You Can Evaluate About a Quality Reporting Project? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/assess/what-you-evaluate/index.html
    May 01, 2019 - What You Can Evaluate About a Quality Reporting Project? An evaluation of a consumer report could have any of three major focal points: Evaluating the Process . The process involves all the steps you took to get the results you wanted. Evaluating Results . The results address whether you achieved your obj…

  6. How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/clinical-information-needs-community-health-centers-health-information/citation/how
    January 01, 2023 - How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview. Citation LaForge K, Gold R, Cottrell E, et al. How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview. J Ambul…

  7. Engaging hospital patients in the medication reconciliation process using tablet computers. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/addressing-hospital-patient-information-needs-using-personal-health-record/citation/phr
    January 01, 2023 - Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Prey JE, Polubriaginof F, Grossman LV, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc 2018 Sep 4. doi: 10.1093/jamia/ocy115. […

  8. Transformation of emergency department processes of care with EHR, CPOE, and ER event tracking systems. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions/citation/transformation
    January 01, 2023 - Transformation of emergency department processes of care with EHR, CPOE, and ER event tracking systems. Citation Vartak S, Crandall DK, Brokel JM, et al. Transformation of emergency department processes of care with EHR, CPOE, and ER event tracking systems. HIM J 2009;38(2):27-32. PMID: 19546485. …

  9. Patient Access to Medical Notes in Primary Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
    May 01, 2016 - Patient Access to Medical Notes in Primary Care Patient Access to Medical Notes in Primary Care: Improving Engagement and Safety Executive Summary Primary care physicians at Beth Israel Deaconess Medical Center (BIDMC) provided patients with access to their clinical notes as part of a demonstration project, Open…

  10. El Dorado County Safety Net Technology Project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
    January 01, 2005 - El Dorado County Safety Net Technology Project Grant Final Report Grant ID: 1 P20 HS014908-01 El Dorado County Safety Net Technology Project Inclusive dates: 09/30/04 - 09/29/05 Principal Investigator: Dr. Greg Bergner Team members: Jon Lehrman Sandra Dunn Chris Weston Mike Weiher Pat …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49684/psn-pdf
    May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical Error May 1, 2013 Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error Case Objectives Appreciate that chemotherapy a…

  12. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Obstetric Hemorrhage Labor and Delivery Unit Safety—Obstetric Hemorrhage Purpose of the tool: This tool describes the key perinatal safety elements related t…

  13. Delayed Diagnosis of Mesenteric Ischemia | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
    March 31, 2021 - SPOTLIGHT CASE Delayed Diagnosis of Mesenteric Ischemia Citation Text: Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

  14. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet

    psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
    August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation Text: Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  15. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
    July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review 1 Evidence-based Practice Center Rapid Response Protocol Project Title: Making Healthcare Safer IV: Use of Report Cards and Outcome Measurements to Improve the Safety of Surgical Care Review Questio…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837963/psn-pdf
    August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…

  17. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix C. Site Visit Protocol Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. S…

  18. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
    January 05, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                          …

  19. Indwelling Urinary Catheter Insertion Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
    April 01, 2022 - Indwelling Urinary Catheter Insertion Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Insertion Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Insertion Bundle,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…

  20. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - Module 3: Staff Empowerment: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 3: Staff Empowerment Say: The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility. Slide 2: Objecti…
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