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psnet.ahrq.gov/node/43399/psn-pdf
August 06, 2014 - Pediatric medication administration errors and workflow
following implementation of a bar code medication
administration system.
August 6, 2014
Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow
following implementation of a bar code medication administration system.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Creating checklists and implementing independent check systems are stronger than the ones mentioned thus
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential
ways facility teams may choose to integrate the pressure ulcer healing reports into clinical
practice. A menu of…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - were cost, uncertainty of EMR software capability and
longevity, and lack of practice expertise for implementing
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Introduction
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
On-Time Pressure Ulcer Healing was developed to provide nursing homes that have an electronic medical records (EMRs) system with tools to effectively monitor and manage pressure ulcers. Clinic…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-health-information-technology-testing-feasibility-and/annual-summary/2009
January 01, 2009 - Improving Quality through Health Information Technology : Testing the Feasibility and Assessing the Impact of Using Existing Health Information Technology Infrastructure for Better Care Delivery - 2009
Project Name
Improving Quality through Health Information Technology: Testing the Feasibility and …
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - multiple healthcare component types to create a plan that would provide
rural Maine with a roadmap for implementing … More specific goals were to create a plan that would provide rural Maine
with a roadmap for implementing
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - multiple healthcare component types to create a plan that would provide rural
Maine with a roadmap for implementing … More specific goals were to create a plan that would provide rural Maine with a
roadmap for implementing
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effectivehealthcare.ahrq.gov/sites/default/files/cer-237-evidence-summary-palliative-care-ambulatory.pdf
February 01, 2021 - Evidence Summary: CER 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness
Comparative Effectiveness Review
Number 237
Integrating Palliative Care in Ambulatory
Care of Noncancer Serious Illness
Evidence Summary
Main Points
Background and Purpose
In the Unit…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs020684-handley-final-report-2012.pdf
January 01, 2012 - variation in call backs by type of patient
problem and by study language, which warrants consideration for implementing
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psnet.ahrq.gov/node/41400/psn-pdf
January 01, 2013 - Conducting an efficient proactive risk assessment prior to
CPOE implementation in an intensive care unit.
December 12, 2012
Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE
implementation in an intensive care unit. Int J Med Inform. 2013;82(1):25-38.
doi:10.1016/…
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psnet.ahrq.gov/node/43158/psn-pdf
May 07, 2014 - Evaluating implementation of a rapid response team:
considering alternative outcome measures.
May 7, 2014
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team:
considering alternative outcome measures. Int J Qual Health Care. 2014;26(1):49-57.
doi:10.1093/intqhc/mzt091.
…
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psnet.ahrq.gov/node/43762/psn-pdf
November 21, 2017 - Implementation of crew resource management: a
qualitative study in 3 intensive care units.
November 21, 2017
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative
Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.1097/PTS.0000000000000145.
https:…
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psnet.ahrq.gov/node/37466/psn-pdf
May 27, 2011 - Medication administration variances before and after
implementation of computerized physician order entry in
a neonatal intensive care unit.
May 27, 2011
Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation
of computerized physician order entry in a neonatal inte…
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psnet.ahrq.gov/node/46371/psn-pdf
February 14, 2018 - Changing operating room culture: implementation of a
postoperative debrief and improved safety culture.
February 14, 2018
Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a
Postoperative Debrief and Improved Safety Culture. World Neurosurg. 2017;107:597-603.
doi:10.1016/j.w…
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psnet.ahrq.gov/node/41852/psn-pdf
June 03, 2013 - Implementation of the Josie King Care Journal in a
pediatric intensive care unit: a quality improvement
project.
June 3, 2013
Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric
intensive care unit: a quality improvement project. J Nurs Care Qual. 2013;28(3):257-64.
…
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digital.ahrq.gov/organization/marshall-medical
January 01, 2023 - Marshall Medical
El Dorado County Safety Net Technology Project/Access El Dorado County (ACCEL) - 2009
Principal Investigator
Bergner, Greg
Project Name
El Dorado County Safety Net Technology Project/Access El Dorado County (ACCEL)
El Dora…
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psnet.ahrq.gov/node/36684/psn-pdf
June 13, 2011 - Implementation of an electronic system for medication
reconciliation.
June 13, 2011
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication
reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
https://psnet.ahrq.gov/issue/implementation-elect…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/screening-and-diagnosis
January 01, 2010 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
January 01, 2019 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…