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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/h%C3%A4kkinen-h-et-al-2007
January 01, 2007 - Häkkinen H et al. 2007 "A participatory assessment of IS integration needs in maternity clinics using activity theory."
Reference
Häkkinen H, Korpela M. A participatory assessment of IS integration needs in maternity clinics using activity theory. Int J Med Inf 2007;76(11-12):843-849.
Abstract
…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/babbitt-n-2003-record
January 01, 2003 - Babbitt N 2003 "In record time: diary of an EMR installation."
Reference
Babbitt N. In record time: diary of an EMR installation. Health Manag Technol 2003;24(2):28-30.
Abstract
"For years, the physicians, nurses, and staff at Roswell Pediatric Center, PC, in Alpharetta, GA, wanted an electron…
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www.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - Patient and Family Engagement in Primary Care
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) is developing a guide to help patients, families, …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ash-js-et-al-2007
January 01, 2007 - Ash JS et al. 2007 "Categorizing the unintended sociotechnical consequences of computerized provider order entry."
Reference
Ash JS, Sittig DF, Dykstra RH, et al. Categorizing the unintended sociotechnical consequences of computerized provider order entry. Int J Med Inf 2007;76 Suppl 1:21-27.
Ab…
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psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
September 26, 2012 - Book/Report
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process.
Citation Text:
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014.
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psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
December 09, 2020 - Book/Report
Patient Safety Authority Annual Reports.
Citation Text:
Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024.
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Save to your library
Print
Downlo…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcbride-mr-et-al-2004
January 01, 2004 - McBride MR et al. 2004 "Harnessing technology and collaboration for an online ethnogeriatric educational resource."
Reference
McBride MR, Napier-Tibere B. Harnessing technology and collaboration for an online ethnogeriatric educational resource. Gerontol Geriatr Educ 2004;24(4):61-75.
Abstract
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digital.ahrq.gov/principal-investigator/gesteland
January 01, 2023 - Gesteland, Per
Using Health Information Technology to Support Population-Based Clinical Practice - Final Report
Citation
Gesteland P. Using Health Information Technology to Support Population-Based Clinical Practice - Final Report. (Prepared by the University of Utah under Gra…
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/index.html
October 01, 2022 - Develop and Improve Antibiotic Stewardship Activities in Your Practice
Development of an infrastructure to promote antibiotic stewardship is necessary to optimize antibiotic prescribing in ambulatory practices. The presentations and tools can help practices implement antibiotic stewardship activities or improve…
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Two-Day Training Content
The Team Leadership Module provides an overview of what teams are as well as how to lead teams effectively. The overview of teams can be taught in about 40 minutes using the approach described
The Team Leadership Module provides an overview of what teams are as well as how to lead te…
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health
New Starts
This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
August 03, 2020 - Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
PATIENT
SAFETY
e
Issue Brief 2
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality and
Safety of Diagnosis
Prepa…
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.
Citation Text:
Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
PATIENT
SAFETY
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
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Issue Brief
Telediagnosis for Acute Care:
Implications …
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - reduced time gathering and compiling information, improved
access to information and multi-disciplinary communications … Nurses and Dietary reported improved access to information
and team communications.
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Details
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021496-jackson-final-report-2019.pdf
January 01, 2019 - Semantic types were chosen from a taxonomy of consumer health-related
needs or communications developed … Our study participants expressed preferences
for personal communications to meet such needs, so developers
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…