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7801. Back to Basics | PSNet
      psnet.ahrq.gov/web-mm/back-basics
      July 13, 2010 - Back to Basics Citation Text: Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7802. 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. …

7803. 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…

7804. 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…

7805. 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…

7806. Program Evaluation and Review Technique Chart | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pert-chart
      January 01, 2023 - Program Evaluation and Review Technique Chart Acronym PERT Also Known As PERT Chart Description Program evaluation and review technique (PERT) charts are useful when managing a project. It is used to streamline project planning and scheduling. The method is particularly useful when…

7807. 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…

7808. 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…

7809. Pareto Chart | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
      January 01, 2023 - Pareto Chart Also Known As Pareto Diagram Description A pareto chart is a bar graph where the bars appear in decreasing length from left to right. The bar length corresponds to time, frequency, or amount. Uses When you want to find the most significant causes or problems from a l…

7810. 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…

7811. 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…

7812. Olomu, Adesuwa | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumolom.html
      October 01, 2014 - Olomu, Adesuwa Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Michigan State University Grant Title: Closing the Research-to-Practice Gap in Cardiac Care of Minority and Low …

7813. Chen, Jersey | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumchen08.html
      October 01, 2014 - Chen, Jersey Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Yale University Grant Title: Geographic Variation in the Use of Imaging with Cardiac Stress Testing Grant Number…

7814. Dimick, Justin | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsum29.html
      October 01, 2014 - Dimick, Justin Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Michigan Grant Title: Composite Measures of Surgical Performance Grant Number: K08 HS017765 D…

7815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38359/psn-pdf
      May 27, 2010 - A surgical safety checklist to reduce morbidity and mortality in a global population. May 27, 2010 Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119. https://psnet.ahrq.gov/issue/su…

7816. Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/simulation.html
      Simulation AHRQ has funded simulation research as part of its patient safety mission for more than 2 decades. AHRQ is the lead federal agency investing in research to identify the best ways to use simulation in healthcare. AHRQ-funded research using simulation has expanded knowledge about how to u…

7817. 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…

7818. 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.…

7819. Infection Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
      December 01, 2012 - Infection Checklist CUSP Toolkit Who should use this tool? Infection preventionists. Checklist items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.     2. Introduce …

7820. Infectionprevchcklst (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
      June 02, 2025 - Infection Preventionist Checklist Who should use this tool? Infection preventionists. Checklist Items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles. 2. Introduce the project to all IP s…