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  1. Murphy Diagram | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong, it will go wrong." They are similar to other analysis methods such as fault trees as they analyze errors based on the potential causes of those errors. The diagrams utilize eight categories of behav…

  2. Brainwriting | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/brainwriting
    January 01, 2023 - Brainwriting Description Brainwriting is a nonverbal form of brainstorming. Instead of brainstorming out loud, each member of the brainstorming team writes their ideas on paper. Uses To generate ideas. When you want to ensure the entire group participates in the brainstorming session. To…

  3. Balanced Scorecard | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/balanced-scorecard
    January 01, 2023 - Balanced Scorecard Description A balanced scorecard provides a way to look at an organization from four perspectives by developing benchmarks and collecting and analyzing data relative to those perspectives. The four perspectives are: 1) financial, 2) customer, 3) internal business processes, an…

  4. Critical-to-Quality Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
    January 01, 2023 - Critical-to-Quality Analysis Acronym CTQ Description A critical-to-quality (CTQ) analysis is a means of examining a process’s flowchart in order to find quality features or characteristics that are significant and to identify problems. The method looks at inputs and outputs and identifies s…

  5. Preventing Infections During Cancer Treatment. | PSNet

    psnet.ahrq.gov/issue/preventing-infections-during-cancer-treatment
    September 07, 2016 - Government Resource Preventing Infections During Cancer Treatment. Citation Text: Preventing Infections During Cancer Treatment. Centers for Disease Control and Prevention; CDC. Copy Citation Save Save to your library Print Download PDF Share…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38289/psn-pdf
    July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. July 5, 2008 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 97803091277…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013 Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44824/psn-pdf
    January 01, 2020 - Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. February 14, 2017 Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital Mortality Acros…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43161/psn-pdf
    December 12, 2014 - Burnout in the NICU setting and its relation to safety culture. December 12, 2014 Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831. https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-rela…

  10. Root Cause Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
    January 01, 2023 - Root Cause Analysis Acronym RCA Examples Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86. Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …

  11. Toolkit for Decolonization of Non-ICU Patients with Devices. | PSNet

    psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
    November 15, 2023 - Toolkit Toolkit for Decolonization of Non-ICU Patients with Devices. Citation Text: Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  12. James Stevermer, M.D., M.S.P.H. | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/james-stevermer-md-msph
    January 01, 2021 - Share to Facebook Share to X Share to WhatsApp Share to Email Print James Stevermer, M.D., M.S.P.H. Member James Stevermer, M.D., M.S.P.H., is vice chair for academic affairs and the Paul Revare, M.D., professor of family and community medi…

  13. Tang P et al. 1995 "Methods for assessing information needs of clinicians in ambulatory care." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/tang-p-et-al-1995
    January 01, 1995 - Tang P et al. 1995 "Methods for assessing information needs of clinicians in ambulatory care." Reference Tang P, Jaworski M, Fellencer C, et al. Methods for assessing information needs of clinicians in ambulatory care. Nineteenth Annual Symposium on Computer Applications in Medical Care; 1995; Philad…

  14. Making Dialysis Safer for Patients Coalition. | PSNet

    psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
    April 06, 2022 - Government Resource Making Dialysis Safer for Patients Coalition. Citation Text: Making Dialysis Safer for Patients Coalition. Centers for Disease Control and Prevention. Copy Citation Save Save to your library Print Download PDF Share Face…

  15. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results-appendix.pdf
    January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results Appendix—Results by Respondent Characteristics Prepar…

  16. Screening for Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: US Preventive Services Task Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/_q6ZTL2Yg6f6rLp-Re9whD
    June 24, 2025 - Screening for Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: US Preventive Services Task Recommendation Statement Screening for Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults US Preventive Services Task Force Recommendation Statement US Preventive Services Ta…

  17. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
    January 01, 2024 - ideas The workgroup sessions were facilitated by a professional moderator and seven KP staff members trained … positive feedback about a facilitated discussion and felt that someone from the organization should be trained

  18. Disposition of Comments Report for Outpatient Case Management for Adults With Medical Illness and Complex Care Needs (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/case-management_disposition-comments.pdf
    January 01, 2013 - To judge the work of trained, experienced professionals by an article that draws conclusions based … on the work of untrained paraprofessionals or professionals trained in unrelated fields is highly inappropriate

  19. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
    April 01, 2025 - This provides the opportunity to re-engage providers who may have been trained before to remind them

  20. WebM&M: Case Studies | PSNet

    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - being administered nitrous oxide instead of oxygen following a maintenance error by an inadequately trained
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