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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality: … Understanding how the design and implementation of online
consultations affect primary care quality: … https://psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect- … https://psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality … https://psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality
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psnet.ahrq.gov/node/46803/psn-pdf
April 12, 2019 - Association between electronic medical record
implementation of default opioid prescription quantities … Association between Electronic Medical Record Implementation of
Default Opioid Prescription Quantities … https://psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid … https://psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription … https://psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high … Implementation of a discharge education program to
improve transitions of care for patients at high … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-
patients-high-risk … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
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psnet.ahrq.gov/node/41669/psn-pdf
November 26, 2014 - Patient safety perceptions of primary care providers after
implementation of an electronic medical record … Patient safety perceptions of primary care providers after
implementation of an electronic medical record … https://psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation- … This study of EMR implementation in a large primary care medical group found a positive
association … Questionnaire scores over a 3-year period following implementation.
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psnet.ahrq.gov/node/50406/psn-pdf
October 02, 2019 - The co-design, implementation and evaluation of a
serious board game 'PlayDecide patient safety' to … The co-design, implementation and evaluation of a serious board game
'PlayDecide patient safety' to … https://psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide- … https://psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate … https://psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation … March 15, 2023
Patient safety after implementation of a coproduced family centered communication … December 19, 2018
Changes in medical errors after implementation of a handoff program … July 17, 2024
I-PASS Mentored Implementation Handoff Curriculum: implementation guide … March 10, 2019
I-PASS mentored implementation handoff curriculum: champion training materials
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psnet.ahrq.gov/issue/cms-your-mistake-your-problem
November 16, 2022 - the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation … April 24, 2018
Patient safety after implementation of a coproduced family centered communication … December 19, 2018
Changes in medical errors after implementation of a handoff program … March 29, 2023
I-PASS Mentored Implementation Handoff Curriculum: implementation … March 10, 2019
I-PASS mentored implementation handoff curriculum: champion training materials
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psnet.ahrq.gov/node/37191/psn-pdf
October 06, 2011 - Improving quality through effective implementation of
information technology in healthcare. … Improving quality through effective implementation of information
technology in healthcare. … https://psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology … -
healthcare
The implementation of an electronic health record at a Swedish hospital is analyzed through … structured
interviews, to determine the factors that predicted implementation success.
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psnet.ahrq.gov/node/35570/psn-pdf
May 27, 2011 - Unexpected increased mortality after implementation of a
commercially sold computerized physician order … Unexpected increased mortality after implementation of a
commercially sold computerized physician order … https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold- … patient safety and outcomes, this single-hospital study discovered increased mortality rates after
implementation … Investigators retrospectively analyzed several variables in the 13 months before and 5
months following implementation
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psnet.ahrq.gov/node/39526/psn-pdf
December 02, 2014 - Decrease in hospital-wide mortality rate after
implementation of a commercially sold computerized
physician … Decrease in hospital-wide mortality rate after implementation
of a commercially sold computerized physician … https://psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold … However, a
growing body of literature demonstrates that CPOE implementation may have many unintended … decreased after CPOE was launched, with an estimated 36 lives saved in the first 18 months after
implementation
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident … investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation … Mind the gap between recommendation and
implementation—principles and lessons in the aftermath of incident … investigations: a semi-quantitative and
qualitative study of factors leading to the successful implementation … This Swedish study found that two factors predicted successful implementation of safety strategies
after
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psnet.ahrq.gov/node/36190/psn-pdf
May 27, 2011 - Lessons from "unexpected increased mortality after
implementation of a commercially sold computerized … Lessons from "Unexpected increased mortality after implementation of a
commercially sold computerized … https://psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially … primary insights from the article by Han and colleagues and provides related
lessons to inform the implementation … https://psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
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psnet.ahrq.gov/node/37344/psn-pdf
March 28, 2012 - Introduction of an obstetric-specific medical emergency
team for obstetric crises: implementation and … Introduction of an obstetric-specific medical emergency team
for obstetric crises: implementation and … https://psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-
implementation-and … Implementation of rapid response systems is designed to improve patient outcomes, but there has been … This study describes the implementation of an obstetrics-specific
medical emergency team and early learnings
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psnet.ahrq.gov/node/43191/psn-pdf
December 12, 2018 - Harnessing implementation science to improve care
quality and patient safety: a systematic review of … Harnessing implementation science to improve care quality and patient
safety: a systematic review of … https://psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety … -
systematic-review
Implementation science studies methods to promote integration of research findings … Features of
successful implementation efforts included change management fundamentals such as planning
-
psnet.ahrq.gov/node/46053/psn-pdf
August 16, 2017 - Pharmacist-led admission medication reconciliation
before and after the implementation of an electronic … Pharmacist-led admission medication reconciliation before and
after the implementation of an electronic … https://psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation … -
electronic
Implementation of an electronic medication management system at an Australian hospital … https://psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
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psnet.ahrq.gov/node/42859/psn-pdf
March 20, 2014 - Sustainable, effective implementation of a surgical
preprocedural checklist: an "attestation" format … Sustainable, effective implementation of a surgical preprocedural
checklist: an "attestation" format … https://psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist- … surgical safety checklists have proven very effective at minimizing perioperative complications, their
implementation … https://psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all
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psnet.ahrq.gov/node/37982/psn-pdf
July 12, 2010 - Successful implementation of the Department of Veterans
Affairs' National Surgical Quality Improvement … Successful implementation of the Department of Veterans Affairs'
National Surgical Quality Improvement … https://psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical- … documented remarkable improvements in postoperative outcomes at
Veterans Affairs hospitals following implementation … https://psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
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psnet.ahrq.gov/node/41033/psn-pdf
December 21, 2014 - Association between implementation of a medical team
training program and surgical morbidity. … Association between implementation of a medical team training
program and surgical morbidity. … https://psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-
surgical-morbidity … the same
study also found improvements in surgical morbidity and preventable adverse events after implementation … https://psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - Exploring the sociotechnical intersection of patient safety
and electronic health record implementation … Exploring the sociotechnical intersection of patient safety and
electronic health record implementation … This study sought to characterize the positive and negative safety implications of EHR
implementation … and ongoing use by analyzing interview data from a 30-month evaluation of EHR
implementation at 12 … of technology as
implementation progresses can also result in risks.
-
psnet.ahrq.gov/node/46394/psn-pdf
August 29, 2018 - Sustained user engagement in health information
technology: the long road from implementation to system … Sustained User Engagement in Health Information Technology: The
Long Road from Implementation to System … https://psnet.ahrq.gov/issue/sustained-user-engagement-health-information-technology-long-road-
implementation-system … provider order entry and clinical decision support are patient safety strategies with significant
implementation … Investigators conducted interviews, employed
direct observation, and reviewed documents such as implementation