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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Wrong-Time Error With High-Alert Medication
September 1, 2016
Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
The Case
A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
January 01, 2024 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Project Final Report ( PDF , 336.02 KB) Disclaimer
Disclaimer
The findings and conclusions in thi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - For your practices that use EHRs and electronic patient registries, you will want to become
familiar … The advantage of performance
audits using data from EHRs is that you can often pull data on the entire
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Professional Involvement Technical or Adaptive
Include prompts to remove CVC in maintenance checklists or in EHRs
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - methods can help ensure effective
communication
– Radiologists can use electronic health records (EHRs
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digital.ahrq.gov/electronic-prescribing-0
January 01, 2023 - Prescribing systems that were part of electronic health records (EHRs) tended to implement more recommendations
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - January 16, 2008
Are informed policies in place to promote safe and usable EHRs?
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Safety and Quality
April 26, 2023
Racism and electronic health records (EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update
1
Artificial Intelligence (AI) in Healthcare
Safety Program – October 2024 Update
Overview
In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial
Intelligence (“EO 14110”), HHS establish…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process
Primary Care
Practice Facilitation
Curriculum
Module 6: An Overview of the Facilitation Process
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022948-morrow-final-report-2018.pdf
January 01, 2018 - Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information - Final Report
Collaborative Patient Portals: Computer-based Agents
and Patients’ Understanding of Numeric Health Information
PI…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - The data were generally EHRs. … Virtually all indicated that this was not difficult to collect; the
data generally were in EHRs.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Executive Summary
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the…
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psnet.ahrq.gov/issue/how-differences-between-manager-and-clinician-perceptions-safety-culture-impact-hospital
December 21, 2018 - Study
How differences between manager and clinician perceptions of safety culture impact hospital processes of care.
Citation Text:
Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J P…
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psnet.ahrq.gov/issue/development-proactive-process-harmonize-policy-infusion-pump-library-and-electronic-health
October 19, 2022 - Study
Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center.
Citation Text:
Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, inf…
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/value-proposition-flyer-mw.pdf
June 02, 2025 - Value_Proposition_Flyer_Midwest
Why Participate?
Participation in H3 may help your practice:
• Strengthen prevention for heart disease and stroke by
focusing on the ABCS – Aspirin, Blood pressure control,
Cholesterol management and Smoking cessation;
• Build or enhance its infrastructure to report and use
quality d…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
June 02, 2025 - CHIPRA 230: Technical Specifications
1
The percentage of children, ages 2 through 17 years old, who had documentation of BMI percentile
and documentation of weight classification at an outpatient care visit during the measurement year.
A higher proportion indicates better performance.
This mea…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guidesum.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Executive Summary
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the…