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digital.ahrq.gov/sites/default/files/docs/page/2006LaskowskiJones_051711comp2.pdf
June 01, 2005 - Implementation of an ED Passive Tracking System Using a Business Process Approach
Implementation of an ED Passive
Tracking System Using a Business
Process Approach
Business Process Development
Implementation
Effects Analysis
Linda Laskowski Jones RN, MS, APRN, BC, CCRN, CEN
Vice President: Emergency, Trauma & A…
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
Copy Citation
…
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psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
March 23, 2011 - Study
Attitudes toward the large-scale implementation of an incident reporting system.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…
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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…
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digital.ahrq.gov/sites/default/files/CDSiC%20Project%20Summary_1.31.25_508c.pdf
March 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…
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psnet.ahrq.gov/node/844550/psn-pdf
September 01, 2012 - The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessioning
and gross preparation error frequency.
September 1, 2012
Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessionin…
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/42542/psn-pdf
March 17, 2014 - Surgical checklists: a systematic review of impacts and
implementation.
March 17, 2014
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation.
BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
https://psnet.ahrq.gov/issue/surgical-checklists-systematic…
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psnet.ahrq.gov/node/36345/psn-pdf
November 15, 2011 - Risk reduction for adverse drug events through
sequential implementation of patient safety initiatives in a
children's hospital.
November 15, 2011
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential
implementation of patient safety initiatives in a children's hospital. P…
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psnet.ahrq.gov/node/866249/psn-pdf
July 10, 2024 - Implementation of a health information technology safety
classification system in the Veterans Health
Administration's Informatics Patient Safety Office.
July 10, 2024
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system
in the Veterans Health Administration’s …
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psnet.ahrq.gov/node/47481/psn-pdf
January 23, 2019 - Implementation of a second victim program in the
neonatal intensive care unit: an interim analysis of
employee satisfaction.
January 23, 2019
Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal
intensive care unit: An interim analysis of employee satisfaction. J Patient…
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psnet.ahrq.gov/node/46583/psn-pdf
December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of
crew resource management implementation and
outcomes.
December 18, 2017
Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of
crew resource management implementation and outcomes. Int J Health Care Qual. 2017…
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psnet.ahrq.gov/node/47202/psn-pdf
November 16, 2018 - Implementation, evaluation, and recommendations for
extension of AHRQ Common Formats to capture patient-
and carepartner-generated safety data.
November 16, 2018
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of
AHRQ Common Formats to capture patient- and carep…
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psnet.ahrq.gov/node/50406/psn-pdf
October 02, 2019 - The co-design, implementation and evaluation of a
serious board game 'PlayDecide patient safety' to educate
junior doctors about patient safety and the importance of
reporting safety concerns
October 2, 2019
Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation and evaluation of a serious board game
'Pl…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality:
systematic review of evidence with recommendations for
designers, providers, and researchers.
November 30, 2022
Darley S, Coulson T, Peek N, et al. Understanding how the design and implementation of online
consult…
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digital.ahrq.gov/type-care/secondary-care
January 01, 2023 - Secondary Care
Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach
Description
This project developed, implemented, and evaluated a voice-generated enhanced electronic note system and found that it did not improve the time to finalize notes or clinician sat…
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digital.ahrq.gov/organization/tahlequah-city-hospital
January 01, 2023 - Tahlequah City Hospital
Oklahoma Patient Survey
Description
This is a questionnaire designed to be completed by patients in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.
Year of Survey
Created prior to 2010…
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psnet.ahrq.gov/node/46309/psn-pdf
December 22, 2018 - Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
December 22, 2018
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication
quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - practicing “best practices” despite a lack of
supporting evidence for these perceptions; complaints that implementing … study,
ongoing disruptive behavior consisted of the harassment of physicians who were integral to implementing