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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement Nancy Donaldson, RN, DNSc, FAAN; Dana Rutledge, RN, PhD; Kristin Geiser, PhD Abstract The Califo…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The Key to Understanding Health Care Systems Ben-Tzion Karsh, Samuel J. Alper Abstract Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, a…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…
  5. digital.ahrq.gov/sites/default/files/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
    August 20, 2025 - Scaling, Measurement, and Dissemination of CDS Workgroup: PC CDS Planning, Implementation, and Reporting Checklist 1 PC CDS Planning, Implementation, and Reporting Checklist  What is the Checklist’s Purpose? The patient-centered clinical decision support (PC CDS) Planning, Implementation, and Reporting Checkl…
  6. www.uspreventiveservicestaskforce.org/home/getfilebytoken/YFZy6kszQPq5tNGdZC25XC
    July 26, 2016 - Screening for Skin Cancer: U.S. Preventive Services Task Force Recommendation Statement Copyright 2016 American Medical Association. All rights reserved. Screening for Skin Cancer US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force T he US Preventive Services Task Force (USP…
  7. #14 SUBSTANCE ABUSE (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/14_substance_abuse_potential_high_impact_2012-12-11.pdf
    January 01, 2012 - #14 SUBSTANCE ABUSE AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 14: Substance Abuse Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.…
  8. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017216-johnson-final-report-2011.pdf
    January 01, 2011 - Progress Report 5 R18 HS017216-03 Johnson, Kevin B., MD, MS 1 STEPStools: Developing Web Services for Safe Pediatric Dosing Kevin B. Johnson, MD, MS (PI) Professor, Biomedical Informatics Professor, Pediatrics Vanderbilt University Medical Center Nashville, TN Cynthia S. Gadd, PhD (Co-Investigato…
  9. digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationhandbookfinal.pdf
    February 01, 2012 - Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Care Interface Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Care Interface Implementation Handbook Final ACTION Contract Report …
  10. effectivehealthcare.ahrq.gov/sites/default/files/related_files/vaccines-safety-protocol-130325.pdf
    September 18, 2012 - Protocol Amendment - Safety of Vaccines 030413 1 Source: www:effectivehealthcare.ahrq.gov Originally published online: October 22, 2012; Republished: March 25, 2013 Evidence-based Practice Center Systematic Review Protocol Safety of Vaccines Used for Routine Immunizatio…
  11. digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
    December 01, 2005 - Microsoft PowerPoint - Health IT Implementation.ppt Patient Safety Improvement Corps: An AHRQ/VA Partnership Agency for Healthcare Research and QualityAgency for Healthcare Research and Quality Advancing Excellence in Health CareAdvancing Excellence in Health Care Getting Started with Health IT Implementation At…
  12. Obesity (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1512.pdf
    December 01, 2015 - Pharmacological management of obesity: an Endocrine Society clinical practice guideline.
  13. www.uspreventiveservicestaskforce.org/home/getfilebytoken/QZ-N4vDvgZSsghretDokg7
    March 01, 2014 - Clinical guideline devel- opment methods: The guidelines manual 2012.
  14. effectivehealthcare.ahrq.gov/sites/default/files/pdf/disabilities-quality-improvement-outcomes_research-protocol.pdf
    August 03, 2011 - 29. exp "Diffusion of Innovation"/ 12724 30. exp Medical Audit/ 13220 31. exp Practice Guideline
  15. www.uspreventiveservicestaskforce.org/home/getfilebytoken/mggnaKHr496c8QCgHe9-tm
    May 01, 2021 - Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline
  16. cdsic.ahrq.gov/sites/default/files/2025-02/Innovation%20Center%20Q4%202024%20Progress%20Report_02.21.25.pdf
    January 01, 2025 - also continue the review of patient engagement measures and conduct key informant interviews with guideline
  17. www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
    January 01, 2024 - a simple lack of treatment for an important condition or a deviation from a more complex clinical guideline
  18. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Guideline for Prevention of Surgical Site Infection, 1999 , Mangram, Alicia J et al., Infection Control
  19. www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
    January 01, 2024 - ICN has developed and is testing tools to implement a model care guideline for IBD, a self-management
  20. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Physician is using old guideline recommendations and has not updated prescribing practices.