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7281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73513/psn-pdf
      July 21, 2021 - Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021 Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…

7282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73682/psn-pdf
      September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…

7283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73584/psn-pdf
      August 11, 2021 - What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. August 11, 2021 Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…

7284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838247/psn-pdf
      October 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…

7285. Primary Care Interventions to Promote Breastfeeding: Clinical Summary (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/FCxshu6GVxPj8utdpVWBVG
      Primary Care Interventions to Promote Breastfeeding: Clinical Summary PRIMARY CARE INTERVENTIONS TO PROMOTE BREASTFEEDING CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION Population Pregnant Women New Mothers The Mother’s Partner, Other Family Members, and Friends …

7286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867752/psn-pdf
      March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…

7287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867445/psn-pdf
      January 08, 2025 - Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. January 8, 2025 Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. J Am Med Inform Assoc. 2025;32(2):398-403. doi…

7288. Critical steps when conducting a risk assessment (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowtoConductaRiskAssessment.pdf
      January 01, 2010 - Critical steps when conducting a risk assessment How to Conduct a Risk Assessment Risk assessments can be conducted in a number of ways. Certain common methods, such as failure mode and effects analysis, can be time consuming. By following the steps below, through a group process or by interviewing individual…

7289. Log | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/log
      January 01, 2023 - Log Also Known As Work Log Work Diary Examples EHR Implementation Issues Log ( PDF , 573KB) Scanning Record Log ( PDF , 12KB) Timed Office Visit Log ( PDF , 92KB) Description A log is a generic data collection form used for recording what has been done, when it was done, …

7290. Time and Motion Study | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/time-and-motion-study
      January 01, 2023 - Time and Motion Study Also Known As Process Observation Worksheet Time Study Examples Hollingworth W, Devine E, Hansen R, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study. J Am Med Inform Assoc 2007;14(6):722-30. De…

7291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860390/psn-pdf
      January 10, 2024 - Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. January 10, 2024 Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers support interventions after pati…

7292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73350/psn-pdf
      June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h…

7293. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
      April 01, 2018 - Engaging Patients and Families in Their Health Care Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members who have prioritized their questions or concerns will experience the most meaningful, efficient visits. To help you and your pa…

7294. The Heartbeat - February 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/6-michigan-heartbeat-newsletter.pdf
      February 01, 2022 - The Heartbeat - February 2022 4/26/22, 11:45 AM FEBRUARY 2022 MESSAGE FROM THE PIs Hello HH4M Partners! The new year has brought some changes to our project – we are both saying goodbye to some colleagues and hello to some new ones. We sent a separate announcement to the cooperative to inform…

7295. Self-Assessment Worksheet for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
      December 01, 2017 - Self-Assessment Worksheet for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing This self-assessment tool is an important first step in implementing the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions and improve …

7296. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=6
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

7297. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
      January 01, 2014 - Using the AHRQ Pharmacy Survey on Patient Safety Culture 9 9 Development of the AHRQ Pharmacy Survey on Patient Safety Culture Joann Sorra, PhD Project Director CAHPS and SOPS User Network Westat 10 10 What is Patient Safety Culture? “The way we do things around here” Exists at multiple leve…

7298. Toolkit 1. Start an Antimicrobial Stewardship Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
      October 01, 2016 - Toolkit 1. Start an Antimicrobial Stewardship Program Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 1. Gather a Team 1. Choose members to serve on the antimicrobial stewardship program team. Depending on the si…

7299. Integrating Harm Reduction into Primary Care Practices | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/integrating-harm-reduction-primary-care-practices
      April 22, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

7300. Study Finds More Health Risks for Children With Intellectual and Developmental Disabilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/950.html
      March 01, 2025 - Study Finds More Health Risks for Children With Intellectual and Developmental Disabilities Issue Number 950 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 18, 2025 AHRQ Stats: MRSA Rates Among Patients From Rural Areas In rural areas, adult inpatient …