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421. SNFs: Opening the Black Box | PSNet
     psnet.ahrq.gov/web-mm/snfs-opening-black-box
     August 27, 2012 - Meticulous medication reconciliation is essential at the time of SNF admission, and tools are available … INTERACT is a quality improvement program with related clinical practice tools that can help SNF staff … Incorporation of quality improvement programs and related tools into health information technology will … to manage high risk conditions such as delirium, polypharmacy, and fall risk CMS will be posting new tools … topics http://nhqualitycampaign.org     Quality improvement programs and related clinical practice tools

422. Electronic medication reconciliation and medication errors. | PSNet
     psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-medication-errors
     November 16, 2022 - Higher accuracy of complex medication reconciliation through improved design of electronic tools … December 21, 2017 Automated communication tools and computer-based medication reconciliation

423. Managing medication errors—a qualitative study. | PSNet
     psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
     December 06, 2023 - health-related social needs: how Joint Commission standards accelerated integration and expansion of tools … February 15, 2011 Liquid medication errors and dosing tools: a randomized controlled

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836839/psn-pdf
     March 31, 2022 - psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … open communication, staff engagement, and psychological safety for successful implementation of these tools … lack of time and resources are all considered major barriers for successful deployment of learning tools … https://www.ahrq.gov/evidencenow/tools/psychological-safety.html 4.

425. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
     January 01, 2020 - to improve teamwork and communication: – Team Strategies and Tools to Enhance Performance and Patient … Patient Safety Program and supported by the Agency for Healthcare Research and Quality. – A set of tools … Team STEPPS Tools • Team huddle: – Brief face-to-face meeting of team members to facility the exchange … loop communication, developing shared goals, and situational awareness developed through huddles are tools … Communication Opportunities Teamwork Improving Teamwork and Communication Team STEPPS Team STEPPS Tools

426. Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/suicide-prevention
     March 24, 2025 - Using these tools and strategies can help identify individuals in need early, enabling them to receive … Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the … For example, pediatricians can use age-appropriate adaptations of tools like the Ask Suicide Screening … By selecting the specific screening tools tailored to the unique patient and care delivery needs in each … In emergency departments, several different tools are used to screen for suicide risk.

427. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
     March 25, 2025 - Edwin Boudreaux : Most of the principles remain similar, although the tools that the different settings … In emergency departments, several different tools are used to screen for suicide risk. … There are other tools, like the Ask Suicide Questionnaire (ASQ), and then there is the Columbia Suicide … Edwin Boudreaux : Interestingly, there are more and more tools available, so it gets more complicated … Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the

428. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - When we think about tools for patient safety, we should consider how we are improving the safety culture … People have started to think about root cause analysis and other patient safety tools along these lines … change and implement these new tools. … I encourage organizations to use the tools that their organization is ready for. … As they go through the process, they may be able to add additional tools. 

429. The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/evolution-root-cause-analysis
     February 26, 2025 - People have started to think about root cause analysis and other patient safety tools along these lines … change and implement these new tools. … I encourage organizations to use the tools that their organization is ready for. … As they go through the process, they may be able to add additional tools.  … We can only achieve that if we have some organizational agreements and alignment around these tools.

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867035/psn-pdf
     October 30, 2024 - //psnet.ahrq.gov//#1 https://psnet.ahrq.gov//#15 https://psnet.ahrq.gov//#16 Fall risk assessment tools … These tools systematically evaluate individual factors such as age, mobility, medications, and cognitive … TeamSTEPPS, an evidence-based set of tools to improve communication and teamwork skills, may facilitate … Systematic review of fall risk screening tools for older patients in acute hospitals. … Risk factors and risk assessment tools for falls in hospital in- patients: a systematic review.

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865455/psn-pdf
     March 27, 2024 - Tools and checklists that facilitate standardized, structured handoffs, such as I-PASS (i.e., illness … Healthcare professionals implement checklists and tools like I-PASS to facilitate communication among … However, healthcare professionals can implement these checklists and tools across healthcare organizations … TeamSTEPPS, or Team Strategies and Tools to Enhance Performance and Patient Safety, is an evidence- … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools

432. Communication During Transitions of Care | PSNet
     psnet.ahrq.gov/perspective/communication-during-transitions-care
     July 10, 2024 - Tools and checklists that facilitate standardized, structured handoffs, such as I-PASS (i.e., illness … Healthcare professionals implement checklists and tools like I-PASS to facilitate communication among … However, healthcare professionals can implement these checklists and tools across healthcare organizations … TeamSTEPPS , or Team Strategies and Tools to Enhance Performance and Patient Safety, is an evidence-based … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)

433. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
     psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
     February 26, 2025 - The innovation also requires EHR-based resources and models for social needs screening tools. … Interest has centered on how Prime implemented the social needs screening tools and how to conduct real-time … To address the latter goal, the team developed two social determinants of health screening tools: one … The innovation also requires EHR-based resources and models for social needs screening tools. … Develop screening tools. Develop a platform for tracking patient progress after discharge.

434. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
     January 01, 2019 - • Identify at least four tools available for clinicians and patients related to advance care planning … • VITALTalk and Ariadne Labs’ Serious Illness Program provide tools for clinicians including: – Videos … Coalition for Compassionate Care California: Advance Care Planning Tools: Decision Guides. … Accessed Nov 2019 via the Web https://coalitionccc.org/tools-resources/decision-guides/ 16. … w/o Patient Knowledge Health Profession Reluctance Systems Approach to Improving Safety Helpful Tools

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - This report used similar methodology based on trigger tools to determine adverse event incidence among … adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

436. Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional). | PSNet
     psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safety-improving-healthcare-worker-safety-and-well
     July 22, 2024 - 14, 2024 Medication Safety: Advancing the Development of Improvement Strategies and Tools … July 22, 2024 Challenge Competition: Impact of Patient Safety Tools.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841306/psn-pdf
     December 14, 2022 - This perspective, also termed Safety-I, uses tools such as root-cause analysis to identify the causes … variability, including the variation caused by human behavior.2 While studies have shown that these tools … Nationwide Children’s Hospital also developed tools to further operationalize Safety-II in healthcare … psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit https://psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital

438. Human factors in patient safety as an innovation. | PSNet
     psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
     June 09, 2021 - Related Resources From the Same Author(s) SEIPS 101 and seven simple SEIPS tools … April 1, 2015 Aviation tools to improve patient safety.

439. Toolkit for Engaging Patients to Improve Diagnostic Safety. | PSNet
     psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety
     October 19, 2022 - Tools/Toolkit Toolkit for Engaging Patients to Improve Diagnostic Safety. … April 4, 2018 Patient Safety Tools: Improving Safety at the Point of Care.

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33872/psn-pdf
     January 01, 2018 - This pragmatic collection of materials and tools is intended to foster a partnership between care teams … Both educating patients directly about guideline-recommended practices and tools like those used in … patient-mediated-interventions-improve-professional-practice Health Information Technology and the Next Iteration of Patient Engagement Science Health IT tools … Tools like AHRQ's primary care patient and family engagement guide offers vital methods to more holistically … will be most effective when combined with implementation science that assesses how to best use those tools