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4561. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…

4562. How to avoid catastrophic events on the ward. | PSNet
      psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
      February 03, 2011 - Review How to avoid catastrophic events on the ward. Citation Text: Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. Copy Citation Format: DOI Google Scholar Pub…

4563. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. | PSNet
      psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
      February 14, 2015 - Study Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. Citation Text: Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10…

4564. NICU Family Information Packet, Appendix B, Neurodevelopment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment Neurodevelopment Risk Factors for Poor Neurodevelopmental Outcome ■ Developmental progress may be variable for motor and language skills. ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. ■ Peri- or intra…

4565. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
      November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …

4566. Job Aid: Facilitator Fundamentals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
      June 02, 2025 - Job Aid: Facilitator Fundamentals Primary Care Practice Facilitator Training Series 1 Job Aid: Facilitator Fundamentals Adopt a strengths-based not deficit-based mindset Check yourself by asking:  Am I treating the individual as an "expert" on their own life and work?  Am I starting encounters and meeti…

4567. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Introduction Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduct…

4568. Decision Support to Improve Dental Care for Medically Compromised Patients - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
      January 01, 2012 - Decision Support to Improve Dental Care for Medically Compromised Patients - 2012 Project Name Decision Support to Improve Dental Care for Medically Compromised Patients Principal Investigator Fricton, James Organization HealthPartners Institute Funding Mechanism PA…

4569. Decision Support to Improve Dental Care for Medically Compromised Patients | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients
      January 01, 2023 - Decision Support to Improve Dental Care for Medically Compromised Patients Project Final Report ( PDF , 7.93 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…

4570. Drug Abuse Screening Test (DAST) (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2020-07/DAST.pdf
      January 01, 2020 - Drug Abuse Screening Test (DAST) Substance Abuse Screening Instrument (O4/05) The Drug Abuse Screening Test (DAST) was developed in 1982 and is still an excellent screening tool. It is a 28-item self-report scale that consists of items that p…

4571. Z3Efdr3Pjzkxrrs783 Xkh (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Z3EFdR3PjZKxrRs783_XKH
      Substance Abuse Screening Instrument (O4/05) The Drug Abuse Screening Test (DAST) was developed in 1982 and is still an excellent screening tool. It is a 28-item self-report scale that consists of items that parallel those of the Michigan Alcoholism Screening Test (MAST). The DAST has “exhibited valid psychometric pr…

4572. Five system barriers to achieving ultrasafe health care. | PSNet
      psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
      September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

4573. Sidbrochure 050218 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/SIDBrochure_050218.pdf
      May 16, 2018 - What are the SID? The State Inpatient Databases (SID) are part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). Together, the State-specific SID encompass more than 97 percent of all U.S. hospital discharges. In addition, the SID are well- suited for resear…

4574. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0255_06-25-2010.pdf
      January 01, 2010 - Effective Health Care Topic Number(s): 0272 Document Completion Date: 10-12-10 1 Results of Topic Selection Process & Next Steps  Intravascular diagnostic procedures and imaging techniques compared to angiography will go forward for refinement as a systematic review. The scope of this topic, incl…

4575. The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. | PSNet
      psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and
      December 21, 2014 - Review Emerging Classic The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. Citation Text: Chrouser KL, Xu J, Hallbeck S, et al. The influence of stress res…

4576. An Electronic Personal Health Record for Mental Health Consumers - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2010
      January 01, 2010 - An Electronic Personal Health Record for Mental Health Consumers - 2010 Project Name An Electronic Personal Health Record for Mental Health Consumers Principal Investigator Druss, Benjamin Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Saf…

4577. Utilizing Health Information Technology to Improve Health Care Quality - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/annual-summary/2011
      January 01, 2011 - Utilizing Health Information Technology to Improve Health Care Quality - 2011 Project Name Utilizing Health Information Technology to Improve Health Care Quality Principal Investigator Storch, Eric Organization University of South Florida Funding Mechanism PAR: HS08…

4578. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. | PSNet
      psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
      September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Citation Text: Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…

4579. Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet
      psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
      April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

4580. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
      October 01, 2014 - Policy/System Hard Pharmaceutical Edits and Prior Authorizations Payers implement hard edit requirements … States can implement a range of approaches, from specific requirements or laws to consultation help … As States face new Federal and State requirements to monitor antipsychotic medication prescribing practices