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  1. digital.ahrq.gov/principal-investigator/rotenstein-lisa
    January 01, 2023 - Rotenstein, Lisa Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial intel…
  2. digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-4
    January 01, 2023 - Staff nurse training presentation for the deployment of the CP-CDS tool Citation Staff nurse training presentation for the deployment of the CP-CDS tool PDF action-cp-cds-training.pdf Project Name Using Evidence-Based Nursing Practices and Electronic Health Record Decision …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38535/psn-pdf
    April 01, 2009 - Preventing catheter-related bloodstream infections: thinking outside the checklist. April 1, 2009 Perencevich EN; Pittet D. https://psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist Checklists for specific interventions have proved successful at markedly reducing ca…
  4. digital.ahrq.gov/location/usa-mi-marquette
    January 01, 2023 - USA, MI, Marquette Critical Access Hospital Partnership Health Information Technology Implementation Description Established a Web-based electronic medical record system for 10 small rural hospitals to connect them to the area's regional medical center. The project's ultimate …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42620/psn-pdf
    April 04, 2018 - Diagnostic Error in Medicine. April 4, 2018 Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72. https://psnet.ahrq.gov/issue/diagnostic-error-medicine-0 Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement and cognitive debiasing. https://psnet.ahrq.gov/issue/di…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41819/psn-pdf
    November 07, 2012 - Order from Chaos: Accelerating Care Integration. November 7, 2012 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012. https://psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration This report discusses the need for improved coordination and integration in patient car…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38462/psn-pdf
    June 24, 2010 - Care transitions and home health care. June 24, 2010 Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care This article reviews the literature on transitions of care, discusses …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36741/psn-pdf
    August 15, 2007 - Prescription for Improving Patient Safety: Addressing Medication Errors. August 15, 2007 The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.   https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors This report shares findings from an exper…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37764/psn-pdf
    January 21, 2011 - Overconfidence as a cause of diagnostic error in medicine. January 21, 2011 Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001. https://psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine This compre…
  10. effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
    March 01, 2016 - 1 Comparative Effectiveness Review Number 177 Nonpharmacologic Interventions for Agitation and Aggression in Dementia Executive Summary Background Dementia and Agitation and Aggression The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) categoriz…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49409/psn-pdf
    July 01, 2003 - Feeling No Pain July 1, 2003 Bogner MS. Feeling No Pain. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/feeling-no-pain The Case A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
    June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Hospital Transfer Self-Assessment Worksheet Purpose The Hospital Transfer Self-Assessment Worksheet can help nursing home staff identify and review care that they provide that may lead to avoidable transf…
  13. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
    October 01, 2016 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making SAY: Today we are introducing you to new tools to help improve communication and help prescribing clin…
  14. www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
    April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities. …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
    January 01, 2003 - Project Report - Lean Sigma Guidelines to Prevent Central Line-Associated Blood Stream Infections * Why do I need to complete this orientation? Problem Vascular access device-associated infections increase morbidity, mortality, hospital length of stay, and costs. Education of health care workers decrea…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4j Selected Best Practices and Suggestions for Improvement PSI 13: Postoperative Sepsis Why Focus on Sepsis? • More than 750,000 cases of sepsis are…
  17. www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report What We Learned: Five Key Lessons Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Implementation Program Impac…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49839/psn-pdf
    August 01, 2018 - Mixup Beyond the Medication Label August 1, 2018 Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another hospi…
  19. psnet.ahrq.gov/primer/health-care-associated-infections
    December 15, 2024 - Healthcare-associated Infections Citation Text: Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-270-bimp-executive-summary.pdf
    May 01, 2024 - Executive summary_Comparative Effectiveness Review No. 270: Behavioral Interventions for Migraine Prevention Comparative Effectiveness Review Number 270 Behavioral Interventions for Migraine Prevention Executive Summary Main Points • Adults: Interventions including cognitive behavioral ther…