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psnet.ahrq.gov/node/34681/psn-pdf
February 09, 2011 - No-fault compensation for medical injuries: the prospect
for error prevention.
February 9, 2011
Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2).
doi:10.1001/jama.286.2.217.
https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
The auth…
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www.ahrq.gov/nursing-home/resources/module-1-infection-prevention.html
April 01, 2022 - Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
Resource: Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
This module provides an overview of infection prevention and control programs and how to imp…
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psnet.ahrq.gov/node/46301/psn-pdf
October 11, 2017 - Care transitions know-how not just for clinicians.
October 11, 2017
Ready T. HealthLeaders Media. September 26, 2017.
https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
Transitions are an error-prone process. This news article reports that organizational leadership should be
engaged in enha…
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psnet.ahrq.gov/node/50674/psn-pdf
November 20, 2019 - The surgical ward round checklist: improving patient
safety and clinical documentation.
November 20, 2019
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and
clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JMDH.S178896.
https://psnet.ahrq…
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve/citation/development
January 01, 2023 - Development and implementation of an interoperability tool across state public health agency's disease surveillance and immunization information systems.
Citation
Rajamani S, Chakoian H, Bieringer A, Lintelmann A, Sanders J, Ostadkar R, Saupe A, Grilli G, White K, Solarz S, Melton GB. Development and …
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digital.ahrq.gov/ahrq-funded-projects/prevent-diabetes-mellitus-predm-clinical-decision-support-intervention/citation/development
January 01, 2023 - Development of a novel clinical decision support tool for diabetes prevention and feasibility of its implementation in primary care.
Citation
O'Brien MJ, Vargas MC, Lopez A, Feliciano Y, Gregory DL, Carcamo P, Mohr L, Mohanty N, Padilla R, Ackermann RT, Persell SD, Feinglass J. Development of a novel …
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psnet.ahrq.gov/node/37966/psn-pdf
January 15, 2009 - Adopting electronic medical records in primary care:
lessons learned from health information systems
implementation experience in seven countries.
January 15, 2009
Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health
information systems implementation experience …
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www.ahrq.gov/evidencenow/tools/pdsa-worksheet.html
November 01, 2018 - Worksheet for Plan-Do-Study-Act (PDSA) Cycle Planning
Resource: PDSA Worksheet (PDF, 162 KB, 2 pages)
This worksheet is for primary care staff to help plan a quality improvement (QI) Plan-Do-Study-Act (PDSA) cycle, outlining the QI goals and how the practice will try to reach them, as well as providing sp…
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support/citation/consolidated
January 01, 2023 - Use of the consolidated framework for implementation research in a mixed methods evaluation of the EQUIPPED medication safety program in four academic health system emergency departments.
Citation
Kegler MC, Rana S, Vandenberg AE, Hastings SN, Hwang U, Eucker SA, Vaughan CP. Use of the consolidated f…
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digital.ahrq.gov/ahrq-funded-projects/patient-outcomes-reporting-timely-assessments-life-depression-portal-depression/citation/implementation
January 01, 2024 - Implementation of an EHR-integrated web-based depression assessment in primary care: PORTAL-Depression.
Citation
Franco MI, Staab EM, Zhu M, Deehan W, Moses J, Gibbons R, Vinci L, Shah S, Yohanna D, Beckman N, Laiteerapong N. Implementation of an EHR-integrated web-based depression assessment in prima…
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effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-yegian.pdf
April 19, 2012 - Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session
Slide 1
Using Deliberative Methods to Engage the Public: How to design and
implement an effective deliberative session
Agency for Healthcare Research and Quality
Community Forum
April 19, 2012
Slid…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-sample.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-patient-reported-outcomes-shared-decision-making-patients/citation/incorporating
January 01, 2023 - Incorporating patient-reported outcomes into shared decision-making in the management of patients with osteoarthritis of the knee: a hybrid effectiveness-implementation study protocol.
Citation
Lin E, Uhler LM, Finley EP, Jayakumar P, Rathouz PJ, Bozic KJ, Tsevat J. Incorporating patient-reported out…
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr/citation/creating
January 01, 2023 - Creating a foundation for implementing an electronic health records (EHR)-integrated Social Knowledge Networking (SKN) system on medication reconciliation.
Citation
Rangachari P, Dellsperger KC, Fallaw D, et al. Creating a foundation for implementing an electronic health records (EHR)-integrated Socia…
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digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium-2
January 01, 2023 - Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital.
Citation
Spetz J, Keane D. Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital. J Healthc Inf Manag 2009 Winter;23(1):62-7.
Link
Spetz J, Ke…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/prevention-of-opioid-user-disorder-ehc-tech-brief.pdf
May 14, 2021 - intervention, although several
other statewide efforts aimed at decreasing opioid-related deaths were implemented … applicable to a variety of healthcare settings within the United States,
although few were specifically implemented
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdf
August 01, 2024 - Dissemination, Engagement,
and Sustainability Team Developed, implemented, and tracked dissemination
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - The
consensus panel approach was piloted, tested, and implemented for the correlation
of adverse medication
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cdsic.ahrq.gov/sites/default/files/2025-03/Final_MO_Patient%20Preference%20Report_6.7.24.pdf
January 01, 2025 - 27 but
structured instruments in these areas are not published in the literature and are often not
implemented … standard manner across health systems.28,29
In addition, many of the tools were pilot tested or implemented
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and
Challenges
March 27, 2024
Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
Introducti…