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9681. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - Additional guidelines and decision rules need to be developed to deal with these unique situations in

9682. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - Additional guidelines and decision rules need to be developed to deal with these unique situations in

9683. Unraveling Privacy and Security in HIEs: An Overview of Requirements and Options for Medicaid/SCHIP Programs (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/unraveling_privacy_and_security_in_hies__an_overview_of_requirements_and_options_for_medicaid_schip_programs_6.pdf
      June 03, 2008 - There appears to be a lot of hesitancy to share data in many situations because people are afraid of … issues within those industries like breaches, security breaches and what needs to be done in those situations … They are discoverable by court process, for example, in a messy divorce or in other situations.

9684. Methods Guide for Medical Test Reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-metaanalysis_methods.pdf
      July 01, 2012 - should be used to address it, as they are more theoretically motivated.19,20 At the same time there are situations

9685. Methods Guide for Medical Test Reviews (pdf file)
      effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-metaanalysis_methods.pdf
      July 01, 2012 - should be used to address it, as they are more theoretically motivated.19,20 At the same time there are situations

9686. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24630-Jones-report.pdf
      November 15, 2017 - the fall-risk-reduction program. 92 87 .06 My supervisor/manager ensures that staff are aware of any situations … patient because of the relatively small numbers of patients with two or more falls and the different situations

9687. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - the fall-risk-reduction program. 92 87 .06 My supervisor/manager ensures that staff are aware of any situations … patient because of the relatively small numbers of patients with two or more falls and the different situations

9688. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - the fall-risk-reduction program. 92 87 .06 My supervisor/manager ensures that staff are aware of any situations … patient because of the relatively small numbers of patients with two or more falls and the different situations

9689. A Multi-Stakeholder Roadmap for Care Transformation – the AHRQ evidence-based Care Transformation Support (ACTS) Initiative - S43 Panel (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/amia-ahrq-s43-panel-slides-2020.pdf
      January 01, 2020 - A Multi-Stakeholder Roadmap for Care Transformation – the AHRQ evidence-based Care Transformation Support (ACTS) Initiative - S43 Panel A Multi-Stakeholder Roadmap for Care Transformation – the AHRQ evidence-based Care Transformation Support (ACTS) Initiative S43: Panel AMIA 2020 Annual Symposium | amia.org …

9690. TeamSTEPPS 2.0 Course Management Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/essentials/coursemgmt.html
      June 01, 2019 - TeamSTEPPS 2.0 Course Management Guide TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety. Contents Introduction Overview of TeamS…

9691. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - Lesson from the VA's Team Training Program Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD | November 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Neily J, Mills PD, Pa…

9692. In Conversation With… Eduardo Salas, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
      November 01, 2011 - In Conversation With… Eduardo Salas, PhD November 1, 2011  Also Read an Essay Citation Text: In Conversation With… Eduardo Salas, PhD . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.…

9693. Health IT Hazard Manager Beta-Test (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
      May 01, 2012 - In this case, as in other ‘unknown’ situations, users are instructed to leave the item blank. … In addition, characteristics were added to the Hazard Manager 2.0 to address situations where IT systems … The AHRQ Harm Scale is intended for reporting of single-patient incidents and does not address situations … AHRQ advises that in situations where multiple patients are harmed, the worst case should be entered—the … Sometimes the type of harm is unknown or still progressing at the time a hazard is entered; for these situations

9694. MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
      May 25, 2016 - These were actually situations where the dose that was being ordered was outside the range of what … more specific level, once again inadequate monitoring led the pack and failure to act on monitoring, situations

9695. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-376
      February 01, 2023 - Artificial Intelligence (AI) is used in an increasing range of health care situations to address a variety

9696. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - many were attributed to poor communication, not following procedure/protocol, distractions, emergency situations

9697. Architecture of Health IT | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
      digital.ahrq.gov/key-topics/architecture-health-it
      August 30, 2021 - Architecture of Health IT Areas of Current Investigation |  Background |  Areas of Current Investigation Many issues arise when attempting to implement health IT. Typically, any of the components described above or the connections between them can go awry. It is also important to remember that there is…

9698. Topic Suggestion Description | Effective Health Care Program
      effectivehealthcare.ahrq.gov/get-involved/nominated-topics/what-is-the-comparative-effectiveness-of-various-local-treatments-for-1-unresectable-liver-metastases-and-2-unresectable-localized-hepatocellular-carcinoma-hcc-does-the-comparative-effectiveness-vary-when-lesions-are-unresect
      January 07, 2011 - Home » Get Involved » Nominated Topics » Topic Suggestion Description Topic Suggestion Description Date submitted: January 7, 2011 Download Topic Suggestion Disposition [PDF · 157.9 KB] Briefly describe a specific question, or set of related questions, about a health…

9699. Aspirin Use for the Prevention of Morbidity and Mortality From Preeclampsia (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/8mY8Vp8f2BntTAbxwX7mYk
      March 22, 2021 - Aspirin Use for the Prevention of Morbidity and Mortality From Preeclampsia Comment Period from February 23, 2021 to March 22, 2021 Task Force DRAFT Recommendation | 1 Understanding Task Force Draft Recommendations This fact sheet explains the U.S. Preventive Services Task Force’s (Task Force) draft rec…

9700. Screening for Vitamin D Deficiency in Adults (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/mfCpTLk3545hZq9yVv2R9J
      October 19, 2020 - Screening for Vitamin D Deficiency in Adults Comment Period from September 22, 2020 to October 19, 2020 Task Force DRAFT Recommendation | 1 Understanding Task Force Draft Recommendations This fact sheet explains the U.S. Preventive Services Task Force’s (Task Force) draft recommendation state…