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9841. Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
      January 01, 2006 - Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Christopher Lamer, PharmD, BCPS, NCPS, CDE LCDR, U.S. Public Health Service Patient Safet…

9842. Pathologists' perspectives on disclosing harmful pathology error. | PSNet
      psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
      January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

9843. AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool AHRQ Safety Program for Perinatal Care Culture Checkup Tool Culture Checkup Tool Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, cre…

9844. TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. | PSNet
      psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
      September 15, 2021 - Study TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. Citation Text: Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…

9845. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet
      psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
      October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…

9846. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
      August 07, 2024 - Study Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Citation Text: Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…

9847. Research in Shared Decision Making | Agency for Healthcare Research and Quality
      www.ahrq.gov/sdm/research/index.html
      May 01, 2023 - Research in Shared Decision Making Frameworks and Models in Shared Decision Making Several frameworks and models of shared decision making (SDM) have been developed to describe the essential elements and core processes of SDM and how they can be achieved in clinical practice. Below we cite three commonly used…

9848. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet
      psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
      August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

9849. Trainees' perceptions of patient safety practices: recounting failures of supervision. | PSNet
      psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
      September 20, 2011 - Study Trainees' perceptions of patient safety practices: recounting failures of supervision. Citation Text: Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95. Copy…

9850. The need for surgical safety checklists in neurosurgery now and in the future - a systematic review. | PSNet
      psnet.ahrq.gov/issue/need-surgical-safety-checklists-neurosurgery-now-and-future-systematic-review
      March 18, 2011 - Review The need for surgical safety checklists in neurosurgery now and in the future - a systematic review. Citation Text: Westman M, Takala R, Rahi M, et al. The Need for Surgical Safety Checklists in Neurosurgery Now and in the Future-A Systematic Review. World Neurosurg. 2019. doi:10.…

9851. Explaining Comparisons of Health Care Quality Scores | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/compare/explain.html
      March 01, 2016 - Explaining Comparisons of Health Care Quality Scores It is best to keep your actual data displays as uncluttered and simple as possible. However, evidence from cognitive testing of the Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) suggests that there is some information that needs t…

9852. The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
      April 12, 2023 - Review The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. Citation Text: Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…

9853. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…

9854. Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
      May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

9855. Appendix 2. Research Questions and Needs | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/appendix2.html
      July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Appendix 2. Research Questions and Needs Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a …

9856. Strategy 1: Working with Patients & Families as Advisors (Tool 1) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.docx
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1) (Brochure Back) Is being a patient and family advisor right for you? Being a patient and family advisor may be a good match with your skills and experiences if you can: Speak up and share suggestions and potential solutions to help improve hospital car…

9857. Strategy 1: Working with Patients & Families as Advisors (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.pdf
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1) Become a Patient and Family Advisor Working Together to Help Improve Our Hospital Is being a patient and family advisor right for you? Being a patient and family advisor may be a good match with your skills and experiences if…

9858. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
      June 02, 2025 - Strategy 3: Nurse Bedside Shift Report (Tool 1) (Brochure Back) You are invited You are invited to take part in nurse bedside shift report. You can also invite a family member or friend to take part with you. Nurse bedside shift report happens every day between [7 and 7:30 a.m.] and [7 and 7:30 p.m.]. Let us know if y…

9859. A Patient’s Guide to Warm Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-patient-guide.pdf
      June 02, 2025 - A Patient’s Guide to Warm Handoffs Why is it important? A warm handoff: ■ Lets you hear what your providers are saying about your health and your plan of care. ■ Encourages you to speak up, ask questions, and join the conversation about your health. ■ Gives you a chance to correct or clarify any information…

9860. Evaluation Design and Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/evaluation-design.html
      March 01, 2021 - Evaluation Design and Methods Evaluation Design Each of the EvidenceNOW Cooperatives’ evaluation teams set out to determine the effectiveness of their external support interventions, using a range of mixed-methods designs.  The cooperatives were asked to capture a core set of measures of A spirin use, B loo…