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  1. Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. | PSNet

    psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
    April 24, 2018 - Study Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. Citation Text: Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…

  2. Job Aid: Practice Assessments and Surveys (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
    June 02, 2025 - Job Aid: Practice Assessments and Surveys Primary Care Practice Facilitator Training Series 1 Job Aid: Practice Assessments and Surveys Overview Practice assessments and surveys are simple and non-threatening ways for a practice to gather information, generate ideas for improvements, and test and…

  3. A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

    psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
    October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

  4. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
    July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…

  5. How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet

    psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
    May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

  6. Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet

    psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
    September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…

  7. Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

    psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
    February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

  8. Artificial lung ventilation tube connected to the patient in the bed (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
    October 01, 2024 - Ventilator-Associated Pneumonia (VAP) Prevention Essential Practices1 Avoid intubation if possible.2-3 Consider alternative strategies, such as, high flow O2 or noninvasive positive pressure ventilation. Consider each patient’s clinical scenario to determine the most appropriate strategy. Minimize sedation.2-5 Determ…

  9. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. | PSNet

    psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
    February 06, 2014 - Study Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. Citation Text: Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…

  10. 149-Cusp-Tip-Sheet-Assembling-Team (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Assembling the CUSP Team ICU & Non-ICU Purpose Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Comprehensive Unit-based Safety Program (CUS…

  11. Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. | PSNet

    psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
    July 24, 2019 - Study Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. Citation Text: Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…

  12. Interview with the WI-INTUIT Project Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/urinary/wi-intuit-interview.html
    November 01, 2024 - Interview with the WI-INTUIT Project Team Project Overview:  The Wisconsin Improving Nonsurgical Treatment of Urinary Incontinence among Women in Primary Care (WI-INTUIT) team from the University of Wisconsin Madison is comparing streamlined practice facilitation (SPF) and SPF in combination with partnership bu…

  13. Rationale for Improvement Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Rationale for Improvement Tools Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…

  14. Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. | PSNet

    psnet.ahrq.gov/issue/evaluating-ambulatory-practice-safety-promises-project-administrators-and-practice-staff
    August 14, 2017 - Study Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. Citation Text: Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141…

  15. Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-table1.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Ev…

  16. Current State of Diagnosis Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Current State of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To …

  17. State at a Glance: South Carolina | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
    March 01, 2019 - State at a Glance: South Carolina Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina. South Carolina is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…

  18. What Will Be the Subject of Your Health Care Quality Report? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/plan/subject.html
    December 01, 2022 - What Will Be the Subject of Your Health Care Quality Report? The subject of a quality report could be any level of the health care system, including: Health plans and insurance carriers. Hospitals. Medical groups or clinics. Individual clinicians. Nursing homes. Home health agencies. Behavioral …

  19. Combining multiple large language models improves diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
    March 02, 2011 - Study Combining multiple large language models improves diagnostic accuracy. Citation Text: Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502. Copy Citation Format: …

  20. Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. | PSNet

    psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
    November 21, 2021 - Study Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. Citation Text: Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…
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