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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/guide.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for Improvement Appendix C. T…
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
    January 01, 2023 - Fault Tree Analysis Acronym FTA Description Fault tree analyses (FTAs) study specific system, process, or product failures using a tree diagram . The process can be used to study a failure that actually occurred, or it could study a potential failure. The technique starts with the failure an…
  3. psnet.ahrq.gov/issue/why-pay-mistakes
    July 20, 2011 - Newspaper/Magazine Article Why pay for mistakes? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 5, 2007 View more articles from the same authors. Recently, CMS ru…
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/90-tenn-tnhhn-letter-of-intent.pdf
    June 02, 2025 - Tennessee Heart Health Network Letter of Intent Letter of Intent (LOI) Our practice intends to participate in the Tennessee Heart Health Network, a three-year state-wide initiative to support primary care practices and expand state-level capacity to improve heart health in our state. We understand the e…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2concl.html
    October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of th…
  6. psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
    January 15, 2025 - Press Release/Announcement Request for Information: Diagnostic Excellence Measurement. Citation Text: Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498. Copy Citation Format: …
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
    October 01, 2017 - Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking White Paper Understanding … Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking Research White Paper UnderstandingUnderstanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking. … Algorithms were appreciated because it helps facilitate an understanding of the current process and … health-systems to access our reports, rapidly discern if the results are relevant to them, and to enhance the readability
  8. psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualitative-study
    March 23, 2011 - Study Understanding the effect of resident duty hour reform: a qualitative study.
  9. digital.ahrq.gov/2018-year-review/research-summary/understanding-and-designing-health-it-persons-disabilities
    January 01, 2018 - Understanding and Designing Health IT for Persons With Disabilities Key Finding and Impact:
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33829/psn-pdf
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 … Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. … https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it … Achieving success requires understanding how culture changes and what actions can be taken to achieve … First, to deepen their understanding, they would need additional detail to understand, for example,
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - For patients with a poor understanding of their warfarin regimen, investigators discovered significant … While similar benefit did not occur in those with good understanding of their regimen and the study … was not powered to determine the role of health literacy on such understanding, the authors point out
  12. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
    January 01, 2010 - General questions regarding implementation (this gives one an understanding of the respective clinic’ … • To what extent did the software vendor emphasize the importance of understanding workflows and how … • Postimplementation, what would you have done differently in regard to understanding your workflows … • In hindsight, what would you do differently regarding understanding your workflows?
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33856/psn-pdf
    April 01, 2018 - Patients with clear understanding of their postdischarge instructions are 30% less likely to be readmitted … of their diagnosis from 77% to 100%, and medication understanding from 27% to 71%.(16) Interventions … of Patient Safety Risks Our understanding of patient safety hazards during the peridischarge period … Quality of discharge practices and patient understanding at an academic medical center. … Knowledge is power. a quality improvement project to increase patient understanding of their hospital
  14. digital.ahrq.gov/principal-investigator/zikmund-fisher-brian
    May 30, 2017 - Zikmund-Fisher, Brian Improving the understanding of test results by … Improving the understanding of test results by substituting (not adding) goal ranges: web-based between-subjects … discussed methods for presenting meaningful displays of medical test result data to patients for improved understanding
  15. psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
    January 16, 2013 - RIS Download Citation Related Resources From the Same Author(s) Understanding … March 6, 2024 Understanding medication safety involving patient transfer from intensive … May 20, 2019 Understanding procedural violations using Safety-I and Safety-II: the case … June 19, 2013 Understanding the attitudes of hospital pharmacists to reporting medication
  16. psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation
    January 23, 2017 - RIS Download Citation Related Resources From the Same Author(s) Understanding … January 23, 2017 Understanding and responding when things go wrong: key principles for … September 20, 2011 Understanding teamwork in rapidly deployed interprofessional teams … February 22, 2023 Understanding factors that could influence patient acceptability of
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39759/psn-pdf
    December 17, 2010 - (Mis)understanding safety culture and its relationship to safety management. … (Mis)understanding Safety Culture and Its Relationship to Safety Management.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - Seeing an opportunity to contribute to a better understanding of this issue, we then developed our own … The goal is to have a better understanding of how and why people react the way they do and, through … this understanding, potentially prevent a disruptive event or communication mishap from occurring. … Gaining a better understanding of human factor issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008. 5. Rosenstein AH.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38699/psn-pdf
    June 17, 2009 - Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding
  20. integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
    January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use