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7801. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet
      psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
      April 10, 2024 - Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes Citation Text: Bakerjian D. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…

7802. Relations Diagram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/relations-diagram
      January 01, 2023 - Relations Diagram Also Known As Interrelationship Diagram Network Diagram Description A relations diagram is used for identifying cause-and-effect relationships when evaluating problems that are especially confusing or complicated. When a network of these relationships is present in a pr…

7803. Affinity Diagram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/affinity-diagram
      January 01, 2023 - Affinity Diagram Also Known As Affinity Chart K-J Method Description Affinity diagrams help to unify large amounts of data by finding relationships between concepts or ideas. They allow you to organize facts, opinions, and issues into taxonomies in order to help diagnose complex problems…

7804. Scatter Diagram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/scatter-diagram
      January 01, 2023 - Scatter Diagram Also Known As Scatter Plot X-Y Graph Description A scatter diagram consists of pairs of numerical data containing one variable on each axis. The diagram is used to find a relationship between the data pairs. Points that create a line or curve indicate correlated variables…

7805. Nominal Group Technique | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nominal-group-technique
      January 01, 2023 - Nominal Group Technique Acronym NGT Description The nominal group technique (NGT) is a structured method of brainstorming within a group setting, designed to encourage participation from all members of the group. Uses When a group avoids an issue. When a group is comprised of some …

7806. Cognitive Walkthrough | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cognitive-walkthrough
      January 01, 2023 - Cognitive Walkthrough Description A cognitive walkthrough provides a means of gathering user input in the design of a system, based on the premise that most users prefer to learn by doing rather than read a user manual. Uses To capture (user) feedback on ease of use and the design of a user …

7807. Force-Field Analysis | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
      January 01, 2023 - Force-Field Analysis Description A force-field analysis identifies the forces that either aid in or are detrimental to arriving at a desired outcome. A scenario plays out as a balance between two forces: one attempting to alter the current state and the other attempting to keep it the same. When these…

7808. Benefits and Barriers Exercise | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/benefits-and-barriers-exercise
      January 01, 2023 - Benefits and Barriers Exercise Description A benefits and barriers exercise helps illuminate the benefits of a change proposal. It promotes buy-in to change on a group and individual level. It also identifies obstacles to change so they can be addressed during design. Uses When attempting to…

7809. Decision Action Diagram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-action-diagram
      January 01, 2023 - Decision Action Diagram Acronym DAD Also Known As Information Flow Diagrams Description Decision action diagrams (DADs), also referred to as information flow diagrams, can be used to graphically portray a process, displaying both the decisions required and any associated actions th…

7810. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications   1.0. Functional Specs for Pressure Ulcer Prevention 2.0. Pressure Ulcer Prevention Reports 3.0. Specifications for Each Pressure Ulcer Prevention Report     3.1. Nutrition Risk Reports: High Risk and …

7811. ISMP medication error report analysis. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
      December 30, 2014 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

7812. Training the Next Generation of Leaders in Clinical Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_gilliam.html
      January 01, 2014 - Training the Next Generation of Leaders in Clinical Preventive Services Profiles from the AHRQ Research Centers for Excellence Meredith Gilliam: Research Center for Excellence in Clinical Preventive Services (ReCPS) at the University of North Carolina, Chapel Hill Meredith Gilliam, an M.D./M.P.H. student at…

7813. Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. | PSNet
      psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
      March 22, 2023 - Sentinel Event Alerts Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. Citation Text: Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013. Copy Citation For…

7814. Why pay for mistakes? | PSNet
      psnet.ahrq.gov/issue/why-pay-mistakes
      July 20, 2011 - Newspaper/Magazine Article Why pay for mistakes? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 5, 2007 View more articles from the same authors. Recently, CMS ru…

7815. Navigating the perfect storm: balancing a culture of safety with workforce challenges. | PSNet
      psnet.ahrq.gov/issue/navigating-perfect-storm-balancing-culture-safety-workforce-challenges
      May 04, 2015 - Meeting/Conference Proceedings Navigating the perfect storm: balancing a culture of safety with workforce challenges. Citation Text: Navigating the perfect storm: balancing a culture of safety with workforce challenges. J Nurs Res. 2008;57(1):1-68. Copy Citation Save …

7816. Global Patient Safety Collaborative. | PSNet
      psnet.ahrq.gov/issue/who-collaborating-centres-patient-safety
      April 06, 2016 - Multi-use Website Global Patient Safety Collaborative. Citation Text: Global Patient Safety Collaborative. World Alliance for Patient Safety; World Health Organization Copy Citation Save Save to your library Print Download PDF Share Facebook …

7817. AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. | PSNet
      psnet.ahrq.gov/issue/aorn-guidance-statement-do-not-use-abbreviations-acronyms-dosage-designations-and-symbols
      November 26, 2024 - Commentary AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. Citation Text: AORN Guidance Statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. AORN J. 2006;84(3):489-92. Copy Citation Format: Goog…

7818. ECRI Guidelines Trust. | PSNet
      psnet.ahrq.gov/issue/ecri-guidelines-trust
      March 10, 2021 - Database/Directory ECRI Guidelines Trust. Citation Text: ECRI Guidelines Trust. ECRI Institute. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 28,…

7819. AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. | PSNet
      psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
      May 01, 2022 - Organizational Policy/Guidelines AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. Citation Text: AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292. Copy Cita…

7820. Request for Information: Diagnostic Excellence Measurement. | PSNet
      psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
      January 15, 2025 - Press Release/Announcement Request for Information: Diagnostic Excellence Measurement. Citation Text: Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498. Copy Citation Format: …