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psnet.ahrq.gov/node/60279/psn-pdf
April 29, 2020 - Exploring challenges in quality and safety work in nursing
homes and home care - a case study as basis for theory
development.
April 29, 2020
Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and
home care – a case study as basis for theory development. BMC Healt…
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation.
October 2, 2024
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. J Gen Intern Med. 2025;40(4):773-781. doi:10.1007/s11606…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/vermont
January 01, 2023 - Vermont
Team Description
The State of Vermont has been working toward a vision consistent with a nationwide health information network since 2004. Vermont expects to have in place the infrastructure and agreements to implement an electronic health records (EHR) network across the state wi…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/checklists
January 01, 2023 - Checklists
1. Examples of checklists
Job Task Diary ( PDF , 492KB)
EHR Implementation Checklist ( PDF , 391KB)
Workflow Assessment Checklist ( PDF , 72KB)
2. Why and how do we assess workflow using checklists when we are determining our clinic’s health it system requirement…
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - Certification Commission for Health Information Technology (CCHIT) has developed a certification process for EHRs
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - The implementation of EHRs, in addition to attendant inefficiencies ( 7 ), may also move providers from
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - SPOTLIGHT CASE
Dropping to New Lows
Citation Text:
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
Introduction
In the past several decades, technological a…
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Annual Perspective
Technology as a Tool for Improving Patient Safety
A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg
| March 29, 2023
View more articles from the same authors.
Citation Text:
Holmgren AJ, McBride S, Gale B, et al. Technology as a …
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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www.ahrq.gov/news/newsletters/e-newsletter/928.html
September 01, 2024 - implementation guide that provides data standards for the aggregation and sharing of data from different EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - Technologies that support the capture
and query of structured data fields from EHRs, such as CPOE, and … respective EHR systems for children, the completeness of imaging studies within their respective
EHRs … may be limited by interoperability with other providers’ EHRs that may likewise capture
imaging events … For this measure to be accurate, it may be necessary to combine data from multiple EHRs. … IT Standards explicitly address the receipt of CT imaging results and other
diagnostic tests into EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - Technologies that support the capture
and query of structured data fields from EHRs, such as CPOE, and … respective EHR systems for children, the completeness of imaging studies within their respective
EHRs … may be limited by interoperability with other providers’ EHRs that may likewise capture
imaging events … For this measure to be accurate, it
may be necessary to combine data from multiple EHRs. … Continuing advances in the development and implementation of EHRs may enable the use of
clinical decision
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Electronic health records (EHRs), patient
information cards, and phone calls to patient providers are … Data were abstracted from EHRs at all three sites. … IT Standards explicitly address the receipt of laboratory results and other
diagnostic tests into EHRs … In addition, these
standards indicate the requirement for EHRs to track specific patient conditions,
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-6mon-post-intervention-nw.pdf
June 02, 2025 - Healthy Hearts Northwest Follow-up Practice Survey (#2)
Page 1
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Healthy Hearts Northwest is supported by grant number R18HS023908 from the Agency for Healthcare Research and Quality.
Healthy Hearts Northwest Follow-up
Practice Survey (#2)
The first set of questi…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/physician-offices
January 01, 2023 - A Toolset for E-Prescribing Implementation in Physician Offices
The purpose of this toolset is to provide your practice with the knowledge and resources to implement e-prescribing successfully. The toolset is designed for use by a diverse range of provider organizations, from small, independ…
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digital.ahrq.gov/ahrq-funded-projects/understanding-complex-clinical-decision-tasks-better-health-information
January 01, 2023 - Understanding Complex Clinical Decision Tasks for Better Health Information Technology System Design
Project Final Report ( PDF , 341.61 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …
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digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual
January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care
Project Final Report ( PDF , 611.54 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are respons…
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digital.ahrq.gov/ahrq-funded-projects/treat-ecards-translating-evidence-action-electronic-clinical-decision-support
January 01, 2023 - TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in Acute Respiratory Distress Syndrome
Project Final Report ( PDF , 1.6 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for…