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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - The hospital had recently implemented a new EMAR system, and there was no way to suppress this information
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Although several strategies can be implemented to
improve communication during transitions of care,
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www.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2025 - AHRQ Research Priorities and Compliance Guidance
This page contains AHRQ policy information and guidance about procedures related to grants.
The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the quality of healthcare for all Americans. Providing high-quali…
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cdsic.ahrq.gov/
July 02, 2025 - :
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HHS.gov
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CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.1 i
Introduction to the Pediatric Toolkit for Using the AHRQ Quality
Indicators: How T…
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting
Project Final Report ( PDF , 855.73 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not nece…
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-williams.html
December 01, 2017 - The IHA Bundled Episode Payment and Gainsharing Demonstration Project
Abstract
Principal Investigator: Tom Williams, Dr.P.H.
Integrated Healthcare Association
Purpose
This study evaluated whether bundled payments can be an effective model for commercial health plans, hospitals, and physician organizatio…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsumnemb.html
October 01, 2014 - Nembhard, Ingrid
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Yale University
Grant Title: Understanding the Implementation of New Practices in Health Care Organizations
…
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psnet.ahrq.gov/node/45979/psn-pdf
April 05, 2017 - Healthcare system-wide implementation of opioid-safety
guideline recommendations: the case of urine drug
screening and opioid-patient suicide- and overdose-
related events in the Veterans Health Administration.
April 5, 2017
Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…
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psnet.ahrq.gov/node/47063/psn-pdf
November 19, 2018 - I-PASS handoff program: use of a campaign to effect
transformational change.
November 19, 2018
Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect
Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088.
https://psnet.ahrq.gov/issue/i-pas…
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psnet.ahrq.gov/node/44560/psn-pdf
January 23, 2017 - What is the return on investment for implementation of a
crew resource management program at an academic
medical center?
January 23, 2017
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a
Crew Resource Management Program at an Academic Medical Center? Am J Med…
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psnet.ahrq.gov/node/47560/psn-pdf
January 09, 2019 - Scaling safety: the South Carolina Surgical Safety
Checklist experience.
January 9, 2019
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist
Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
https://psnet.ahrq.gov/issue/scali…
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psnet.ahrq.gov/node/866686/psn-pdf
September 11, 2024 - Impact of automated alerts on discharge opioid
overprescribing after general surgery.
September 11, 2024
Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after
general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185.
https://psnet.ahrq…
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www.ahrq.gov/research/findings/final-reports/ptflow/index.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1. The Need to Address Emergency Department Crow…
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www.ahrq.gov/patient-safety/reports/engage/beprepared.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Be Prepared To Be Engaged
With Be Prepared to Be Engaged, “Everyone wins – patients get their questions and concerns addressed at the start of the visit, and clinicians make the visit efficient .”
What Is Be Prepa…
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digital.ahrq.gov/sites/default/files/docs/resource/B7_Archives_Pohl_HS17034_1013_1.pdf
February 14, 2011 - Data Analysis Protocol (Preliminary Draft)
1
“A Partnership for Clinician EHR Use & Quality of Care”
DATA ANALYSIS PROTOCOL
Revision Date: February 14, 2011
DATA COLLECTED
Note: All data are collected at the clinician level unless noted otherwise.
I. Medication Safety
A. Timepoints & Loo…
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digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
March 23, 2022 - When fully implemented and used, CDS systems improve adherence to evidence-based
practices, prevent … encouraging signs that many of
the informant–derived recommendations offered above are already being implemented
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/citation
January 01, 2023 - The effectiveness of implementing an electronic health record on diabetes care and outcomes.
Citation
Herrin J, da Graca B, Nicewander D, et al. The effectiveness of implementing an electronic health record on diabetes care and outcomes. Health Serv Res 2012 Aug; 47(4): 1522-40.
Link
Herrin J,…
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psnet.ahrq.gov/node/45840/psn-pdf
February 08, 2017 - Implementation of the safety huddle.
February 8, 2017
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-
82.
https://psnet.ahrq.gov/issue/implementation-safety-huddle
The safety huddle is becoming common within health care practice as a way to inform clinician…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.16. Key Facilitators and Barriers to Organizing and Implementing Lean at Heights Hospital (From Conceptual Framework)
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studie…