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  1. digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
    January 01, 2023 - Creating Meaningful Decision Support to Reduce Drug-Drug Interactions Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Patient Safety Using Digital Healthcare Solutions By individualizing drug–drug interaction alerts to individual patient circumstances, providers can …
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
    January 01, 2023 - Contingency Diagram Description The contingency diagram uses brainstorming to generate a list of problems that could arise from a process. Once problems are identified, then solutions to the problems are determined. Uses When identifying causes of potential problems. When developing soluti…
  3. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cost-of-poor-quality-analysis
    January 01, 2023 - Cost-of-Poor-Quality Analysis Also Known As Cost-of-Quality Analysis Description A cost-of-poor-quality analysis evaluates the flowchart of a particular process to discover flaws. Cost of poor quality indicates costs accrued as a result of processes not being successfully completed. Thi…
  4. digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
    January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen Project Final Report ( PDF , 492.54 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, an…
  5. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tree-diagram
    January 01, 2023 - Tree Diagram Also Known As Hierarchy Diagram Tree Analysis Description A tree diagram breaks down one broad topic into increasing levels of granularity. It is a step-by-step process from general to specific. Uses When seeking a problem's root cause. To take a general concept …
  6. digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_1.pdf
    June 16, 2021 - 4_GuidelinesforDescribingBusinessPractices Tool 4. Guidelines for Describing Business Practices Tool 4. Guidelines for Describing Business Practices The suggestions and recommendations presented below are based on the initial review of business practices collected from a number of state teams. These reco…
  7. digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_0.pdf
    June 16, 2021 - 4_GuidelinesforDescribingBusinessPractices Tool 4. Guidelines for Describing Business Practices Privacy and Security Assessment of Variation Toolkit 4-1 Tool 4. Guidelines for Describing Business Practices The suggestions and recommendations presented below are based on the initial review of bu…
  8. digital.ahrq.gov/sites/default/files/docs/citation/r21hs019792-li-final-report-2014.pdf
    January 01, 2014 - Scope Accordingly to the estimate in an earlier report [17], blindness caused … increased prevalence of diabetes in the US, it is believed that the estimated cost due to blindness caused
  9. digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
    January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
  10. digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-record-identify-children-likely-suffer-last-minute
    January 01, 2023 - Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation Project Final Report ( PDF , 1.1 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …
  11. digital.ahrq.gov/ahrq-funded-projects/improving-adherence-and-outcomes-artificial-intelligence-adapted-text-messages
    January 01, 2023 - Improving Adherence and Outcomes by Artificial Intelligence-Adapted Text Messages Project Final Report ( PDF , 1.68 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…
  12. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
    January 01, 2023 - Data Collection Process Scorecard Description A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…
  13. digital.ahrq.gov/sites/default/files/docs/citation/r21hs026571-ruggiano-final-report-2022.pdf
    January 01, 2022 - In addition, the pandemic caused numerous challenges for clinic providers, making it difficult to integrate … Also, the disruption caused by the pandemic on every-day living resulted in increased stress, depression … It is not clear the extent to which mental health challenges caused by the pandemic in general may have
  14. digital.ahrq.gov/2020-year-review/research-summary/using-natural-language-processing-improve-autism-spectrum-disorder-research-and-care
    January 01, 2020 - Using Natural Language Processing to Improve Autism Spectrum Disorder Research and Care Applying algorithms on free text in electronic health records can identify criteria for autism spectrum disorder, which improves earlier detection and treatment as well as research with large-scale data. Prin…
  15. digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
    May 01, 2012 - For hazards that have not yet caused harm, the Hazard Manager supports estimation of the potential for … risk management is to understand and catalog the hazards and possible resulting harms that might be caused … Patient Harm Of the 151 beta-test hazards that compromised care, 9 percent (14 hazards) that caused … to hazard control, and how control plans differ between hazards that have not yet affected care or caused
  16. digital.ahrq.gov/sites/default/files/docs/page/5_Example%20Business%20Practices.xls
    June 16, 2021 - Cover Tool 5. Example Business Practices 6 Examples Business Practice Name Business Practice Long Description Scenario (select from drop down list) Classification (select from drop down list) Domain (select from drop down list) Policy Short Description Policy Long Description Stakeholder Entity (select from drop…
  17. digital.ahrq.gov/sites/default/files/docs/page/5_Example%20Business%20Practices_0.xls
    June 16, 2021 - Cover Tool 5. Example Business Practices 6 Examples Business Practice Name Business Practice Long Description Scenario (select from drop down list) Classification (select from drop down list) Domain (select from drop down list) Policy Short Description Policy Long Description Stakeholder Entity (select from drop…
  18. digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
    January 01, 2011 - The Institute of Medicine reported that inaccurate medication lists in ambulatory clinics caused a larger … Two studies have . 4 reported a rate of Potential Adverse Drug Events (PADEs) caused by medication
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022336-farris-final-report-2017.pdf
    January 01, 2017 - For example, individuals who indicated that concerns about possible side effects caused them to miss … Among individuals who indicated that concerns about possible side effects caused them to miss a medication
  20. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
    January 01, 2007 - Unfortunately, in addition to the dilemma caused by the vast inadequacy of organs for transplantation … unable to inform treating physicians about which medications they are taking, recognition of problems caused

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