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psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
September 22, 2010 - Commentary
Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…
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psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Citation Text:
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
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psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
February 13, 2019 - Study
A new infusion syringe label system designed to reduce task complexity during drug preparation.
Citation Text:
Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…
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psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
April 29, 2018 - Commentary
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Citation Text:
Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
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psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
February 20, 2016 - Study
Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK.
Citation Text:
Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…
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www.ahrq.gov/cpi/centers/oms/index.html
January 01, 2021 - Office of Management Services (OMS)
Directs and coordinates the Agency's administrative services and operational activities, including contracts, financial management, grants, and human capital management.
The Executive Officer and Director of OMS is Jay Toven .
Specifically, OMS provides leadership, overs…
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psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
September 01, 2016 - Study
Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.
Citation Text:
Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …
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psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - Study
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Citation Text:
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
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www.ahrq.gov/practiceimprovement/delivery-initiative/index.html
December 01, 2020 - Delivery System Research Initiative
ARRA Grants Initiative
Findings from a set of 10 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research.
Improving the way that care is delivered is critic…
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - Commentary
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.
Citation Text:
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …
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psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
October 19, 2022 - Study
Who's covering our loved ones: surprising barriers in the sign-out process.
Citation Text:
Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009.
Co…
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psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
September 27, 2017 - Commentary
The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists.
Citation Text:
Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for C…
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psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
June 29, 2009 - Commentary
Planning and implementing a systems-based patient safety curriculum in medical education.
Citation Text:
Thompson DA, Cowan J, Holzmueller CG, et al. Planning and implementing a systems-based patient safety curriculum in medical education. Am J Med Qual. 2008;23(4):271-8. do…
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digital.ahrq.gov/ahrq-funded-projects/human-factors-considerations-design-and-implementation-telemedicine-integrated
January 01, 2023 - Human Factors Considerations in the Design and Implementation of Telemedicine-Integrated Ambulance-Based Environments for Stroke Care
Project Final Report ( PDF , 479.88 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are re…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
February 01, 2017 - data required for the measure are readily available,
retrievable without undue burden, and can be implemented … Health IT Other Functions
If the measure is implemented in an EHR or other health IT system, how might
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - Date First Implemented
2013
Problem Addressed
The innovation addresses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - factors and unrelated hazards are identified, sustainable and effective solutions can be identified and implemented
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cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report
STAKEHOLDER CENTER PROGRESS REPORT
S E P T E M B E R 2 0 2 3
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contrac…
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digital.ahrq.gov/ahrq-funded-projects/sharing-patient-record-access-rural-health-settings
January 01, 2023 - Sharing Patient Record Access in Rural Health Settings
Project Description
Project Details -
Completed
Grant Number
P20 HS015113
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gran…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…