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Showing results for "implementing".

  1. Surgical 'never events': how common are adverse occurrences? | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

  2. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. | PSNet

    psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
    December 21, 2016 - Study Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. Citation Text: Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…

  3. Apologies and medical error. | PSNet

    psnet.ahrq.gov/issue/apologies-and-medical-error
    November 16, 2022 - Commentary Apologies and medical error. Citation Text: Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  4. USA, CT, New Haven | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ct-new-haven
    January 01, 2023 - USA, CT, New Haven Using Electronic Health Records to Support Decision-Making in Pediatric Obesity Care Description This project will evaluate and compare different tools within electronic health records to assist pediatric primary care clinicians with providing higher quality…

  5. Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit-planning
    January 01, 2023 - Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants Error analysis leading technology development. Citation Carstens D. Error analysis leading technology development. TIES 2006;7(6):525-49. Principal Investigator Laird, Rosemary …

  6. Critical Access Hospital | Digital Healthcare Research

    digital.ahrq.gov/care-setting/critical-access-hospital
    January 01, 2023 - Critical Access Hospital Louisiana Rural Health Information Technology Partnership Description Implemented a Complete Medical Record (a computerized emergency department communication, documentation, passive tracking, and medical records system) in an emergency department and …

  7. OR-to-ICU Transitions | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action OR-to-ICU Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introd…

  8. C1 Prioritization Worksheet (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 02, 2025 - C1 Prioritization Worksheet AHRQ Quality Indicators Toolkit Prepared by RAND and UHC for AHRQ Tool C.1 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalities and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Level Supp…

  9. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - They also found that while most interviewees could identify safety interventions implementing the HRO

  10. CDS Connect - Year 1 Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year1-final-report.pdf
    October 01, 2017 - Jira is AHRQ’s web-based planning and execution tool that provides support for implementing agile software … This recommendation addresses a specific, pervasive issue in implementing clinical practice guidelines

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37205/psn-pdf
    December 14, 2007 - Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. December 14, 2007 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse- communication This art…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38285/psn-pdf
    December 10, 2008 - AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care. December 10, 2008 Rockville, MD: Agency for Healthcare Research and Quality; October 2008. https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe- practices-ambulatory-care…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42332/psn-pdf
    June 12, 2013 - Quality improvement through implementation of discharge order reconciliation. June 12, 2013 Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. https://psnet.ahrq.gov/issue/quality-impr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39401/psn-pdf
    March 23, 2011 - Why isn't 'time out' being implemented? An exploratory study. March 23, 2011 Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593. https://psnet.ahrq.gov/issue/why-isnt-time-out-being-implemente…

  15. How Community Engagement Can Support Whole-Person Primary Care | The Academy

    integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
    February 01, 2025 - Systems and Centro Hispano de East Tennessee Fast Facts Program Name: The CUNA Program Implementing … Advisory Board, HopeCentral Clinic Fast Fact Name: Vietnamese Family Autism Advisory Board Implementing … Initiative, MaineHealth System Fast Facts Program Name: Supporting Families Growing Together Implementing … Fast Facts Program Name: Pennsylvania Opioid Use Disorder Centers of Excellence (OUD-COE) Implementing … Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.

  16. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
    January 01, 2024 - However, tracking the costs of implementing technology was completed.

  17. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
    April 10, 2025 - Person-Centered Plan domain, focuses on the plan itself and includes measures of a) preparing, creating and implementing … However, we know experiences with developing, adopting, and implementing measures for patient- centered … What are the barriers or challenges to using implementing or using these measures in practice?

  18. AHRQ CDSiC Project Summary March 2025 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Project%20Summary_1.31.25_508c.pdf
    January 01, 2025 - AHRQ CDSiC Project Summary March 2025 Making clinical decision support more valuable and meaningful to patients, clinicians, and healthcare systems The Clinical Decision Support Innovation Collaborative Project Overview and Goals The Clinical Decision Support Innovation Collaborative (CDSiC) is part of AHRQ’s P…

  19. Screening and Diagnosis | The Academy

    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 Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  20. Mitigating Overdose Risk | The Academy

    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…
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