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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - View more articles from the same authors. … The authors provide an introduction to CPOE development before presenting a detailed account of its reported … The authors also present challenges in estimating costs associated with design, use, and support for … Finally, the authors recommend considering a series of issues, which they enumerate, before organizations
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - View more articles from the same authors.
Organizations learn from experience. … The authors cite examples of rare events and outline the strategies that organizations use to learn from … The authors review two strategies for learning from rare events: one that focuses on experiencing the … The authors assess the reliability and validity of these approaches.
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psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
February 03, 2010 - View more articles from the same authors. … The authors report that the stated behaviors affected communication, teamwork, staff relationships, and … The authors conclude that organizations must acknowledge the presence and effect of disruptive behaviors … A past survey study by the same authors examined the impact of work relationships on clinical outcomes
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psnet.ahrq.gov/issue/what-accountability-health-care
April 19, 2013 - View more articles from the same authors. … The authors explore different models of accountability and compare three to illustrate how these fit … These include professional, economic, and political models, which, the authors argue, fail to serve an … The authors comment on the challenges with existing models of accountability and provide a detailed understanding
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www.ahrq.gov/research/findings/studies/index.html?page=468
January 01, 2024 - The authors provided MCIDs and ranges around each estimate and recommended that these values be considered … The authors characterized acute care hospital admissions and thirty-day readmissions in the Medicaid … The authors examined the prevalence of substance use and risk of dependence among health center patients … After briefly describing these shortfalls, the authors considered 3 case examples that demonstrate the … The authors sought to understand hepatitis C virus (HCV) testing practices in people living with HIV
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
May 01, 2024 - The authors concluded that building organizational capacity for change, supporting providers and staff … The authors also found that practices that were part of accountable care organizations were more likely … The authors concluded that practice facilitation with population-based tools can effectively promote … The authors found that practice facilitation had no effect on blood pressure control. … The authors note the benefit of an expanded role for community health workers (CHWs).
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www.ahrq.gov/research/findings/studies/index.html?page=70
January 01, 2024 - The authors concluded that this multidisciplinary ACT workflow supported by clinical decision support … The authors then discuss the existing legal regulation of ML/AI racial bias and future directions. … The authors also examined other comorbidities and their role in predicting LVAD outcomes. … The authors, who are mostly bioethics experts recommend that developers seeking to mitigate bias in ML … The authors concluded that the evidence map created provides awareness of the research gaps related to
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - View more articles from the same authors. … In analyzing the error, the authors (experts from the Institute for Safe Medication Practices) discovered … The authors discuss the need to look beyond individuals and focus on the multiple system failures that
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - View more articles from the same authors. … The authors then highlight a series of recommendations to improve patient safety. … 2023
How to prevent or reduce prescribing errors: an evidence brief for policy authors
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effectivehealthcare.ahrq.gov/sites/default/files/cer-234-headaches-pregnancy-revised-comments.pdf
November 12, 2020 - Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … EPC authors made these changes. … EPC authors included both studies. … EPC authors added
those details to the Discussion. … EPC authors made these changes.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-revised-comments.pdf
November 12, 2020 - Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … EPC authors made these changes. … EPC authors included both studies. … EPC authors added
those details to the Discussion. … EPC authors made these changes.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-revised-comments.pdf
November 12, 2020 - Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … EPC authors made these changes. … EPC authors included both studies. … EPC authors added
those details to the Discussion. … EPC authors made these changes.
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - View more articles from the same authors. … The authors applied a human factors framework to this literature and identified several influences … The authors conclude that the field of system dynamics can be applied to health care in order to improve
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - View more articles from the same authors. … The authors reviewed 22 published medication history studies and found that up to 67% of the cases contained … August 4, 2021
How to prevent or reduce prescribing errors: an evidence brief for policy authors
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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - View more articles from the same authors. … The authors expand on the definition by explaining how complicated health systems produce multiple gaps … The authors use two cases, which received significant media notoriety, to demonstrate how these gaps … As an alternative to the usual focus on systems improvements for patient safety, the authors advocate
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - View more articles from the same authors. … Reviewing cases of medical error in the Harvard Medical Practice Study, the authors attempt to gain insight … The authors found that 78% of fatal errors were preventable. … The authors conclude by proposing areas to target to reduce iatrogenic injury.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
January 01, 1999 - [Link]
Abstract
"In this systematic review, the authors analyze the functionality provided by recent … Articles were included if the authors indicated an intent to implement guideline recommendations for … Also the authors sought to "analyze which information management services have been delivered by recently … applicable
Type of Health IT
Decision support system
Type of Health IT Functions
The authors
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psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
January 06, 2018 - View more articles from the same authors. … The authors define the features of HROs before exploring the concept of HRTs that are integral to their … Finally, the authors provide mechanisms by which health care teams can achieve high-reliability status … The authors conclude that an ongoing effort to improve safety through an emphasis on teams requires understanding
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-app-e.xlsx
January 01, 2021 - Unclear Yes No Yes Yes No Yes Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … Unclear Yes No Yes Unclear No Yes Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … Unclear Yes Unclear Unclear NA Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … NA Yes Yes: Conflicts acknowledged or someone from funder is one of the authors High
Mohr 2020 Prospective … Unclear Yes Yes No Yes Unclear Yes Yes: Conflicts acknowledged or someone from funder is one of the authors
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-app-e.xlsx
January 01, 2021 - Unclear Yes No Yes Yes No Yes Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … Unclear Yes No Yes Unclear No Yes Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … Unclear Yes Unclear Unclear NA Yes Yes: Conflicts acknowledged or someone from funder is one of the authors … NA Yes Yes: Conflicts acknowledged or someone from funder is one of the authors High
Mohr 2020 Prospective … Unclear Yes Yes No Yes Unclear Yes Yes: Conflicts acknowledged or someone from funder is one of the authors