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8541. Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
      June 01, 2022 - These are validated measurement instruments that use best methods in their development and testing. … We're currently conducting cognitive testing of draft survey items and we plan to conduct a pilot test

8542. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - appropriate treatment of established DVT.5, 6 Errors from omission of prophylaxis or objective diagnostic testing … that the VTE prophylaxis training module involves a research component (survey) and that we will be testing

8543. Rural Healthcare Quality Network (RHQN) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
      January 01, 2008 - Rural Healthcare Quality Network (RHQN) - Final Report Grant Final Report Grant ID: R01 HS 015188 Rural Healthcare Quality Network (RHQN) Inclusive dates: 09/17/04 - 08/31/08 Principal Investigator: Jacqueline Huck Performing …

8544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44108/psn-pdf
      November 06, 2015 - Service members are left in dark on health errors. November 6, 2015 LaFraniere S. New York Times. April 19, 2015. https://psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors Reporting on a case involving an overlooked test result that contributed to the death of a patient in the military medical syste…

8545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40909/psn-pdf
      November 09, 2011 - Handing over patient care: is it just the old broken telephone game? November 9, 2011 Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. https://psnet.ahrq.gov/issue/handing-over-patient-care-it…

8546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43597/psn-pdf
      November 04, 2014 - The lost art of the history and physical. November 4, 2014 Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. https://psnet.ahrq.gov/issue/lost-art-history-and-physical Highlighting concerns about over-reliance on laboratory tests to for…

8547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39991/psn-pdf
      November 02, 2011 - Measuring the cost of hospital adverse patient safety events. November 2, 2011 Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. https://psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events This analysis o…

8548. Tips on Writing a Report on Health Care Quality for Consumers | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/writing/index.html
      July 01, 2011 - Tips on Writing a Report on Health Care Quality for Consumers Information on health care quality is complicated, so it’s crucial to present this information as simply and clearly as possible. This section suggests ways to make the language in your printed or Web-based quality report cards easier for your inten…

8549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853627/psn-pdf
      September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

8550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41867/psn-pdf
      January 30, 2013 - Medication discrepancies in integrated electronic health records. January 30, 2013 Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301. https://psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-…

8551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46281/psn-pdf
      January 01, 2021 - Classifying adverse events in the dental office. September 6, 2017 Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407. https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office In this …

8552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40923/psn-pdf
      July 06, 2012 - Decision support for sensible dosing in electronic prescribing systems. July 6, 2012 Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x. https://psnet.ahrq.gov/issue/decision-support-sensi…

8553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40374/psn-pdf
      April 13, 2011 - Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. April 13, 2011 Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern Med. 2011;171(6):487-8. doi:10.1001/arc…

8554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846165/psn-pdf
      March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

8555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36234/psn-pdf
      October 21, 2010 - Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. October 21, 2010 World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2009. https://psnet.ahrq.gov/issue/conceptual-framework-international-classification-pat…

8556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45580/psn-pdf
      July 24, 2019 - Overview of Patient Safety Learning Laboratory Projects. July 24, 2019 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects Collaborative strategies can enable individuals and organizations to learn from each other to support p…

8557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41501/psn-pdf
      January 18, 2013 - Recognition of adverse drug events in older hospitalized medical patients. January 18, 2013 Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1316-4. https://psnet.ahrq.gov/iss…

8558. Enhancing patient engagement and understanding: Is providing direct access to laboratory results through patient portals adequate? | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/labgenie-patient-engagement-tool-aid-older-adults-understanding-lab-test/citation/enhancing
      January 01, 2025 - Enhancing patient engagement and understanding: Is providing direct access to laboratory results through patient portals adequate? Citation Lustria MLA, Aliche O, Killian MO, He Z. Enhancing patient engagement and understanding: Is providing direct access to laboratory results through patient portals …

8559. Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/support-staff-wellbeing-guide.html
      March 01, 2021 - Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic Resource:  Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic During the COVID-19 pandemic, healthcare leaders are working to support s…

8560. University of Illinois Urbana-Champaign | Digital Healthcare Research
      digital.ahrq.gov/organization/university-illinois-urbana-champaign
      January 01, 2023 - University of Illinois Urbana-Champaign A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data …