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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 … Name: Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen … Profile: Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen … improvements in EHR design and usability
As a practicing clinician, you see themes of errors that happen … They happen over and over again and more than 99 percent of the time nothing bad happens.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
January 01, 2008 - SECTION A: List of Patient Safety and Quality Issues
The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over
(1
(2
(3
(4
(5
(9
3. … Mistakes happen more than they should in this office
(1
(2
(3
(4
(5
(9
4. … This office is good at changing office processes to make sure the same problems don’t happen again
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Profile: Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen … improvements in EHR design and usability
As a practicing clinician, you see themes of errors that happen … They happen over and over again and more than 99 percent of the time nothing bad happens.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowDoIEvaluateWorkflow.ppt
December 18, 2021 - Goals of a flowchart
To show how processes really happen, as opposed to how they are supposed to happen … or how we expect they happen.
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Focus_Groups_Consent_Form.pdf
June 16, 2021 - If you decide to participate in the study, here is what will happen:
You will take part in one 2-hour … These risks or discomforts have been known to happen; they could happen to you:
Risks or Discomforts
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related/final-report
January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - occurrence, and to develop means to prevent the issue from recurring or reduce the probability that it will happen
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digital.ahrq.gov/ahrq-funded-projects/theory-based-patient-portal-elearning-program-older-adults-chronic-illnesses/citation/patient
January 01, 2023 - Patient portal use among older adults: what Is really happening nationwide?
Citation
Nahm ES, Zhu S, Bellantoni M, et al. Patient portal use among older adults: what Is really happening nationwide? J Appl Gerontol 2018 May 1:733464818776125. doi:10.1177/0733464818776125. [Epub ahead of print]. PMID: 2…
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Chrischilles_Q3_Consent_Older_adults_carevgivers_03APR08.pdf
March 16, 2009 - WHAT WILL HAPPEN DURING THIS STUDY? … It is a written explanation of what will happen
during the study if you decide to participate. … WHAT WILL HAPPEN DURING THIS STUDY?
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WorkflowInterviewGuide.doc
December 18, 2021 - 1d2 Workflow Assessment Guide
1d2 Workflow Assessment Guide
CFMC Staff Use Only (this box)
Individuals interviewed:
Workflow Assessors:
Workflow Assessment date:
Number/type of providers observed:
General Information
Clinic Name:
Total number of exam rooms:
Number of patients typica…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicati-7
January 01, 2023 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
Citation
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabe…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Phone in advance
Phone for same day appointment
Previous visit
Does anything happen between
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
January 01, 2023 - Pay closest attention to failures that are the most likely to happen.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989-0
January 01, 2023 - Reminders issued to the physician provide a low-cost opportunistic approach to reach women who happen
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digital.ahrq.gov/program-overview/program-impact
January 01, 2023 - innovation to:
Make healthcare safe, effective, and efficient
Show where and when errors can happen
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/illinois
January 01, 2023 - This can only happen through the widespread adoption of health information technology and information
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - Workflow Assessment
Workflow Assessment
Clinic name:
Individuals interviewed:
Assessors:
Assessment date:
Front Desk
How are appointments made?
What are the steps for each type?
Phone in advance
Phone for same day appointment
Previous visit…
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digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
January 01, 2023 - Lipika Samal and Patricia Dykes from Brigham and Women’s Hospital wanted to know what would happen if
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digital.ahrq.gov/sites/default/files/docs/page/tool-3.1-flyer-english-large.pdf
June 16, 2021 - Electronic refill requests can happen quickly, but like
other types of requests, prescriptions with
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - occurrence, and to develop means to prevent the issue from recurring or reduce the probability that it will happen