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9581. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
      July 25, 2023 - Systemic factors  Productivity demands, cost containment requirements, embedded hierarchies  Changing professional … containment requirements, embedded hierarchies, concerns about potential litigation, changing or different professional

9582. Using-Health-It-To-Support-Qi (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
      March 01, 2015 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov W H IT E P A P E R Using Health Information Technology to Support Quality Improvement in Primary Care National Center for Excellence I N P R I M A R Y C A R E R E S E A R C H National Center for Excellence IN …

9583. Medication Mix-Up: From Bad to Worse | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-bad-worse
      March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …

9584. A National Web Conference on Reducing Provider Burden through Better Health IT Design - Q&As (pdf file)
      digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-qa-012518.pdf
      January 25, 2018 - A National Web Conference on Reducing Provider Burden through Better Health IT Design - Q&As AHRQ National Web Conference on Reducing Provider Burden through Better Health IT Design January 25, 2018 Questions and Answers QUESTION: How was the activity system defined within an organization? Does the definiti…

9585. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

9586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836839/psn-pdf
      March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff Introduction The…

9587. Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
      January 01, 2024 - Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare Element 1. Title Page: Using Performance Measurement to Improve the Quality and Safety of Healthcare Report on The International Society for Quality in Health Care (ISQua) 6th International Summit on Indic…

9588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne…

9589. Módulo 6: Sostenibilidad
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/sustainability-slides-spanish.pptx
      January 01, 2005 - Módulo 6: Sostenibilidad Módulo 6: Sostenibilidad Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo AHRQ Pub. No. 16(17)-0003-03-EF Marzo de 2017 Sostenibilidad | ‹#› 1 Objetivos Definir la sostenibilidad y comprender la importanc…

9590. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
      January 01, 2017 - Presentation: Program Overview Build a Business Case for Quality Improvement AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-38-EF January 2017 Build a Business Case ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you w…

9591. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
      February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview: Getting Patients Off the Ventilator Faster Slide 2: Learning Objectives After this session, yo…

9592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843151/psn-pdf
      February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population Challenges to Obtaining Needed Patient-Centered and Safe Health…

9593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852808/psn-pdf
      August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship…

9594. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
      January 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. …

9595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49698/psn-pdf
      December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…

9596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867985/psn-pdf
      January 01, 2025 - Suicide Prevention March 25, 2025 Boudreaux E, Gale B, Mossburg SE. Suicide Prevention. PSNet [internet]. 20024. https://psnet.ahrq.gov/perspective/suicide-prevention Introduction Suicide is one of the leading causes of death in the United States, accounting for nearly 50,000 deaths in 2022, a 36% rise since 2000…

9597. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
      October 01, 2015 - About the CAHPS® Health Literacy Item Set for Hospitals CAHPS® Adult Hospital Survey: Supplemental Items About the CAHPS Health Literacy Item Set for Hospitals Document No. 911 10/01/2015 About the CAHPS® Health Literacy Item Set for Hospitals Introduction...............................................…

9598. Vaginal Birth After Cesarean: Developing and Prioritizing a Future Research Agenda (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth-future_research.pdf
      August 09, 2012 - liability concerns, professional and institutional policies, patient insurance type, and provider and … Hospital administrators and representatives of the legal/liability perspective were recruited from professional … the 30 stakeholders who agreed to participate, none declared significant conflicts of financial or professional … what isn’t an urban myth, but is the more sort of fuzzy thing, is the sense that it is taking on a professional … liability concerns, professional and institutional policies, patient insurance type, and provider and

9599. Treating Infantile Hemangiomas in Children | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/infantile-hemangioma/consumer

9600. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
      May 26, 2021 - Health system and professional society educational efforts may be helpful in addressing this generational