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9821. Advancing Heart Health Research and Results: What We've Learned | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/index.html
      April 01, 2022 - Advancing Heart Health Research and Results: What We've Learned The goal of EvidenceNOW is to assist primary care practices in exceeding the Million Hearts ® target of 70 percent for delivery of each of the ABCS services to improve heart health— A spirin use, B lood pressure control, C holesterol management,…

9822. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
      November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …

9823. Defining health information technology–related errors: new developments since To Err Is Human. | PSNet
      psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
      December 06, 2023 - Commentary Classic Defining health information technology–related errors: new developments since To Err Is Human. Citation Text: Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…

9824. Human error and the problem of causality in analysis of accidents. | PSNet
      psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
      August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …

9825. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Attitudes Questionnaire TeamSTEPPS Teamwork Attitudes Questionnaire The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self- report tool uses 5…

9826. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201419.html
      November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety Search All Impact Case Studies November 2014 Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…

9827. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
      October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture Search All Impact Case Studies May 2007 The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient…

9828. Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Discussion Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Da…

9829. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Methods Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…

9830. Using risk stratification to reduce medical errors in cervical cancer prevention. | PSNet
      psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
      September 05, 2012 - Commentary Using risk stratification to reduce medical errors in cervical cancer prevention. Citation Text: Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…

9831. Debunking the myth that the majority of medical errors are attributed to communication. | PSNet
      psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
      February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

9832. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet
      psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
      September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

9833. Nursing Protocol Training_Nasal Mupirocin (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pdf
      March 01, 2022 - Nursing Protocol Training_Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-7 Nursing Protocol Training Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction  Our hospital is adopting a targeted decol…

9834. Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. | PSNet
      psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
      March 13, 2019 - Study Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. Citation Text: DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…

9835. Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
      May 19, 2021 - Review Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. Citation Text: Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2…

9836. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. | PSNet
      psnet.ahrq.gov/issue/effectiveness-chatgpt-clinical-pharmacy-and-role-artificial-intelligence-medication-therapy
      November 11, 2020 - Study Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. Citation Text: Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy manag…

9837. Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pdf
      March 01, 2022 - Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) Decolonization of Non-ICU Patients With Devices Section 11-8 Nursing Protocol Training Nasal Iodophor (10% Povidone-Iodine) AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction …

9838. AHRQ Comparative Health System Initative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
      October 01, 2016 - AHRQ Comparative Health System Initative Comparative Health System Performance Initiative The Agency for Healthcare Research and Quality (AHRQ) created the Comparative Health System Performance Initiative to study how health care systems promote evidence-based practices in delivering care. The initiative provid…

9839. Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet
      psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
      April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

9840. Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet
      psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary
      October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…