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  1. psnet.ahrq.gov/glossary/swiss-cheese-model
    September 13, 2021 - Swiss Cheese Model September 13, 2021 Anonymous (not verified) Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safe…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-guiding-concepts.pdf
    September 01, 2015 - Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Hays GUIDING CONCEPTS FOR THE NEW CAHPS® SURVEY Ron Hays, Ph.D. University Of California – Los Angeles and RAND Health Program CAHPS Core Surveys: Some Examples Patient Experience with Providers ► Clinician & Group ► Hospice ► Home Health Car…
  3. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
    February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Infographic TeamSTEPPS® for Diagnosis Improvement AHRQ Publication No. 22-0015 February 2022 References 1. National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies Press; 2015. https://doi.org/10.17226/21…
  4. www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
    May 01, 2023 - Tool: Teach-Back A teach‐back is an evidence‐based health literacy intervention that promotes patient engagement, patient safety, adherence, and quality . 1 In a teach-back, you ask the patient or family caregiver to explain the information they need to know or actions they need to take, in their own words. Te…
  5. www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - Conducting a Morning Briefing CUSP Toolkit Improve communication with nursing staff Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dial…
  6. www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-fact-sheet.pdf
    October 01, 2024 - The SHARE Approach: A Flexible Training Program for Shared Decision Making The SHARE Approach: A Flexible Training Program for Shared Decision Making The SHARE Approach is a training program developed by the Agency for Healthcare Research and Quality to help healthcare professionals work with patients to …
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hahn.pdf
    December 19, 2014 - A Low Literacy Multimedia Approach to Disseminate Bilingual Diabetes CERSGs Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products A Low Literacy Multimedia Approach to Disseminate Bilingual Diabetes CERSGs Purpose/Description Type…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
    December 19, 2014 - Technologically Enhanced Community Health Worker Delivery of Personalized Decision Aid: iDecide.Decido Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Technologically Enhanced Community Health Worker Delivery of Personalized …
  9. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewardship Interventions T…
  10. psnet.ahrq.gov/issue/escape-room
    April 30, 2024 - Tools/Toolkit Escape Room. Citation Text: Escape Room. Harrisburg, PA: Pennsylvania Safety Authority; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  11. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/khoury-1998-support
    January 01, 1998 - Khoury A 1998 "Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio." Reference Khoury A. Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio. Eff Clin Pract 1998;1(2):73-82. …
  12. psnet.ahrq.gov/issue/long-way-go
    June 13, 2011 - Newspaper/Magazine Article A long way to go. Citation Text: A long way to go. DerGurahian J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 16…
  13. www.ahrq.gov/cpi/about/nac/pcortf-snac/bakken.html
    November 01, 2022 - Subcommittee Member: Suzanne Bakken Suzanne Bakken, Ph.D., R.N., F.A.A.N., F.A.C.M.I., F.I.A.H.S.I. The Alumni Professor of Nursing and Professor of Biomedical Informatics Columbia University Director, Precision in Symptom Self-Management Center Director, Reducing Health Disparities Through Informatics Pre…
  14. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
    January 01, 1999 - Berner ES et al. 1999 "Effects of a decision support system on physicians' diagnostic performance." Reference Berner ES, Maisiak RS, Cobbs CG, et al. Effects of a decision support system on physicians' diagnostic performance. J Am Med Inform Assoc 1999;6(5):420-427. [Link] Abstract "Purpose:…
  15. www.ahrq.gov/coronavirus/ahrq-publications.html
    July 01, 2023 - AHRQ-Supported Publications and Resources AHRQ has a robust collection of research findings and analyses published by AHRQ-supported grantees. Patient Adverse Financial Outcomes Before and After COVID-19 Infection  (May 2023) Primary Care's Challenges and Responses in the Face of the COVID-19 Pandemic: In…
  16. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/benchmarking
    January 01, 2023 - Benchmarking Examples Workflow-Related Questions for Benchmarking ( PDF , 675KB) Description Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization. Uses To f…
  17. www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
    April 01, 2020 - Making Healthcare Safer III Patient Safety Practices Below is a list of the 47 patient safety practices examined in Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices . The practices are listed among the report’s 17 chapters, which represent harm areas researched…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
    February 01, 2014 - A New Model of Thinking in Clinical Preventive Services ACHIEVEMENTS IN PREVENTION A New Model of Thinking in Clinical Preventive Services The Harms of Screening: an Unseen Problem Most of us know that screening for cancer and other preventive services can help save lives…
  19. digital.ahrq.gov/ahrq-funded-projects/development-model-electronic-health-record-format-children/annual-summary/2010
    January 01, 2010 - Development of a Model Electronic Health Record Format for Children - 2010 Project Name Development of an Electronic Health Record Format for Children Principal Investigator Finley, Scott Organization Westat Contract Number 290-2009-00023I-3 Project Period M…
  20. www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool6.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Tool 6. Worksheet: Establishing Protocols for BMI Screening Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support F…