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5541. Clinical questions raised by clinicians at the point of care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/clinical-questions-raised-clinicians-point-care-systematic-review
      May 04, 2022 - Review Clinical questions raised by clinicians at the point of care: a systematic review. Citation Text: Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014…

5542. ADEs and automation. | PSNet
      psnet.ahrq.gov/issue/ades-and-automation
      January 15, 2014 - Commentary ADEs and automation. Citation Text: Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

5543. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
      November 17, 2020 - Transforming Care for People Living with Multiple Chronic Conditions Transforming Care for People Living with Multiple Chronic Conditions Arlene Bierman, M.D., M.S. Director, Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality November 17, 2020 Why MCC? • Common, Costly • H…

5544. How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet
      psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
      February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

5545. Systematic error and cognitive bias in obstetric ultrasound. | PSNet
      psnet.ahrq.gov/issue/systematic-error-and-cognitive-bias-obstetric-ultrasound
      December 13, 2023 - Commentary Systematic error and cognitive bias in obstetric ultrasound. Citation Text: Sotiriadis A, Odibo AO. Systematic error and cognitive bias in obstetric ultrasound. Ultrasound Obstet Gynecol. 2019;53(4):431-435. doi:10.1002/uog.20232. Copy Citation Format: DOI Google…

5546. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet
      psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
      February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

5547. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Lessons Learned From Implementation Challenges Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability L…

5548. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. | PSNet
      psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
      November 13, 2024 - Commentary Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. Citation Text: Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…

5549. Getting boards on board: engaging governing boards in quality and safety.  | PSNet
      psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
      February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety.  Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

5550. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet
      psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
      October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…

5551. View the world through a different lens: shadowing another provider. | PSNet
      psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
      January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

5552. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
      February 13, 2014 - Review A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Citation Text: Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…

5553. American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. | PSNet
      psnet.ahrq.gov/issue/american-college-endocrinology-and-american-association-clinical-endocrinologists-position
      August 20, 2018 - Commentary American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. Citation Text: Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and Amer…

5554. Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet
      psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
      November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

5555. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet
      psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
      May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

5556. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
      February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

5557. Human factors engineering: its place and potential in OR safety. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
      May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

5558. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
      August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key Informants, All Sites Tabl…

5559. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - AHRQ Hospital Pilot Study Final Report Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 290201300003C Manag…

5560. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
      November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 Results From the 2014 Pilot Study of the AHRQ SOPS™ Value and Efficiency Supplemental Items for the Hospital SOPS Survey Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA 2902013…