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1401. Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
      January 01, 2024 - Member checking is accomplished by going back to key informants to confirm that the study findings are

1402. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - detailed care process maps that documented the flow of information from ambulatory to acute care and back … Efforts are underway to teach patients how to keep themselves safe and to be reliable conduits for medication

1403. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - patient’s anticoagulation flow sheet and noted the discrepancy between the patient’s status as being back

1404. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - safety standards are established across the continuum of care so that years from now, Michigan can look back

1405. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - I also teach at the University of Maryland School of Nursing in their nursing leadership courses.

1406. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - I also teach at the University of Maryland School of Nursing in their nursing leadership courses.

1407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - cultural and language barriers with patients, communication barriers between doctors, and lack of back-up

1408. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1409. Characteristics of Hospital Stays for Nonelderly Medicaid Super-Utilizers, 2012 #184
      hcup-us.ahrq.gov/reports/statbriefs/sb184-Hospital-Stays-Medicaid-Super-Utilizers-2012.jsp
      November 01, 2014 - Privacy Notice , Viewers & Players Last modified 5/13/16 Back to Top

1410. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - , cultural and language barriers with patients, communication barriers between doctors, and lack of back-up

1411. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
      January 01, 2018 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

1412. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - strategies to achieve lifesaving interventions expeditiously and allow less essential processes to be held back

1413. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - high-reliability organizations to utilize structured communication techniques, such as checklists and “read-back

1414. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
      January 01, 2014 - He arranged for General Electric (GE) to teach 45 employees the methods of Lean and Six Sigma. … Since the WOWs were not in place until February 2010, progress was held back during the early phases … Finally, data can be used to feed information back to staff, so that they can see the impact of their … as a “flavor of the month,” where operations would be modified for a while but would slowly revert back … transferred to the ASU, as well as the procedure for transferring existing ED patients in the ASU back

1415. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
      September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach

1416. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
      September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach

1417. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - Other critical industries, like airlines and nuclear energy, teach us clear principles of safe system … defects, we need a shift in perspective—an attitude that errors and near misses have something to teach … To accomplish this, we recommend that you monitor and report back to your staff each month.

1418. Section5 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5.pdf
      January 01, 2008 - Cardiac dysrhythmias Urinary tract infections Spondylosis, intervertebral disc disorders, and other back … 111,000 stays), osteoarthritis (145,700 stays) and spondylosis, intervertebral disc disorders, and other back

1419. Wafinalreport042309 (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.pdf
      April 23, 2009 - participated in facilitated discussions; notes from these discussions were documented and shared back … This cut back travel subsidies for attendees and stalled the project activity for a short time while

1420. Electronic Prescribing Using A Community Utility - The ePrescribing Gateway (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
      January 31, 2007 - Electronic Prescribing Using A Community Utility - The ePrescribing Gateway FINAL REPORT: January 31, 2007 Electronic Prescribing Using A Community Utility: The ePrescribing Gateway Principal Investigator: Jeffrey M. Rothschild MD, MPH; jrothschild@partners.org Brigham and Women’s Hospital and Partners Hea…