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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use
Slide Presentation
Slide 1
Leveraging Cultural Change to Reduce Urinary Catheter Use
Linda Greene, RN,MPS,CIC
Manager Infection Prevention
Highland Hospital
Jennifer Tuttle, RN, MSNEd
Adult Critical Care Unit
Tucson Medical Center
Images:…
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology
Improving Medication Management Practices and
Care Transitions through Technology
Penny H. Feldman, Ph.D. – Principal Investigator
Liliana E. Pezzin, Ph.D. – Co-Investigator
Timothy R. Peng, Ph.D. – Co-Inv…
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digital.ahrq.gov/events/national-web-conference-patient-empowerment
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/checklists
January 01, 2023 - Checklists
1. Examples of checklists
Job Task Diary ( PDF , 492KB)
EHR Implementation Checklist ( PDF , 391KB)
Workflow Assessment Checklist ( PDF , 72KB)
2. Why and how do we assess workflow using checklists when we are determining our clinic’s health it system requirement…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/vermont
January 01, 2023 - Vermont
Team Description
The State of Vermont has been working toward a vision consistent with a nationwide health information network since 2004. Vermont expects to have in place the infrastructure and agreements to implement an electronic health records (EHR) network across the state wi…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-9.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Communication from Discipline-Specific Leadership to Staff on Medication Reconciliation Educational Training Sessions
Previous Page Next Page
Table of Contents
Medications at Transitions a…
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digital.ahrq.gov/principal-investigator/goldberg-lee
January 01, 2023 - Goldberg, Lee
Caveat emptor: the need for evidence, regulation, and certification of home telehealth systems for the management of chronic conditions.
Citation
Farberow B, Hatton V, Leenknecht C, et al. Caveat emptor: the need for evidence, regulation, and certification of hom…
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psnet.ahrq.gov/node/41370/psn-pdf
September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical
trial alerts: findings from a randomized controlled study.
September 1, 2016
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a
randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8.
ht…
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psnet.ahrq.gov/node/35978/psn-pdf
May 27, 2011 - The impact of prescribing safety alerts for elderly persons
in an electronic medical record: an interrupted time series
evaluation.
May 27, 2011
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an
electronic medical record: an interrupted time series evaluatio…
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psnet.ahrq.gov/node/853234/psn-pdf
September 06, 2023 - Perceptions and attitudes of pediatricians and families
with regard to pediatric medication errors at home.
September 6, 2023
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with
regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
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www.ahrq.gov/sops/surveys/nursing-home/nursing-home-2/index.html
November 01, 2024 - SOPS Nursing Home Survey 2.0 (Under Development)
AHRQ is currently developing and testing an updated version of the Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey. This new survey will be shorter and have revised and new items and composite measures. During the survey development process, AHRQ w…
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psnet.ahrq.gov/node/73084/psn-pdf
March 31, 2021 - Maternal and neonatal health care worker well-being and
patient safety climate amid the COVID-19 pandemic.
March 31, 2021
Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety
climate amid the COVID-19 pandemic. J Perinatol. 2021;41(5):961-969. doi:10.1038/s41372-0…
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psnet.ahrq.gov/node/43402/psn-pdf
October 20, 2014 - The WHO surgical safety checklist: survey of patients'
views.
October 20, 2014
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual
Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
T…
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psnet.ahrq.gov/node/866587/psn-pdf
January 01, 2025 - Professionalising patient safety? Findings from a mixed-
methods formative evaluation of the patient safety
specialist role in the English National Health Service.
August 28, 2024
Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods
formative evaluation of the patien…
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psnet.ahrq.gov/node/34068/psn-pdf
July 10, 2008 - Pharmacists on rounding teams reduce preventable
adverse drug events in hospital general medicine units.
July 10, 2008
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse
drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8.
https://…
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psnet.ahrq.gov/node/837601/psn-pdf
June 29, 2022 - Development, pilot study, and psychometric analysis of
the AHRQ Surveys on Patient Safety Culture (SOPS)
Workplace Safety Supplemental Items for Hospitals.
June 29, 2022
Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ
Surveys on Patient Safety Culture (SOPS) Workp…
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psnet.ahrq.gov/node/36201/psn-pdf
July 10, 2008 - US and Canadian physicians' attitudes and experiences
regarding disclosing errors to patients.
July 10, 2008
Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences
regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
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How to roll out the Battle Buddy program as part of a psychological resilience intervention
Can stand alone*
Specific nursing unit le…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-written-statement.pdf
June 02, 2025 - Written Statement
WRITTEN STATEMENT
TO: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
FROM: PEDIA TRlC MEASUREMENT CENTER OF EXCELLENCT (PMCoE)
SUBJECT: WRITTEN STATEMENT GUARANTEEING PUBLIC AVAILABILITY OF PICU
MEASURE "APPROPRIATENESS OF RED CELL TRANSFUSIONS"
DATE: 2/22/2016
Should the U.S. Department of …