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digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
October 19, 2022 - ANSWER: We started with use by physicians in the EHR, but are now implementing for patients in the portal
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2011-annual-report.pdf
January 01, 2011 - focused on testing or expanding
the investigation of innovations that are
new to the health care field; implementing … AHRQ introduces a toolkit
to help small & medium sized practices
analyze workflow before & after
implementing … ▪ Study identifies costs of implementing
electronic health records in network of
physician practices
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-opioid-stewardship-protocol.pdf
July 01, 2023 - What are common barriers and facilitators to implementing opioid stewardship practices?
7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
June 02, 2025 - PowerPoint Presentation
Use these PowerPoint slides for any presentations for which they may be useful.
These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process.
Modify as needed to suit your hospital – you may wish to delete sections of sl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
June 02, 2025 - PowerPoint Presentation
Use these PowerPoint slides for any presentations for which they may be useful.
These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process.
Modify as needed to suit your hospital – you may wish to delete sections of sl…
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psnet.ahrq.gov/issue/guidelines-practice-medication-safety
June 26, 2019 - Commentary
Guidelines in practice: medication safety.
Citation Text:
Speth J. Guidelines in practice: medication safety. AORN J. 2023;118(6):380-389. doi:10.1002/aorn.14034.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/issue/cms-your-mistake-your-problem
November 16, 2022 - Newspaper/Magazine Article
CMS: your mistake, your problem.
Citation Text:
Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern healthcare. 2007;37(33):10-1.
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Format:
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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.
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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…
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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.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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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…
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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 …
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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 …
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psnet.ahrq.gov/node/36382/psn-pdf
October 28, 2010 - Design and implementation of an ICU incident registry.
October 28, 2010
van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med
Inform. 2007;76(2-3):103-8.
https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
The authors describe the developmen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - The second and third program pillars provide an opportunity to apply CUSP principles and practices by implementing
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - The second and third program pillars provide an opportunity to apply CUSP principles and practices by implementing
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digital.ahrq.gov/sites/default/files/docs/page/Abridged_ReportHIT2009.pdf
November 17, 2011 - These projects have been conducted in real
care delivery settings and identify the practical issues of implementing … -
based health care settings, many of which had little or no prior experience in preparing for and
implementing
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs023683-blecker-final-report-2018.pdf
January 01, 2018 - implementation and effectiveness of
the CDS tool and the comparative effectiveness of to two strategies for implementing
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psnet.ahrq.gov/node/35071/psn-pdf
November 04, 2015 - Implementation, CPOE, and medication errors.
November 4, 2015
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
https://psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
In this editorial, a nurse informaticist responds to issues raised by the March …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Rivers and Ahrens (2008) describe several potential
impediments to implementing a sepsis protocol, including … Using the following sections, explain the methods used to determine the feasibility of
implementing … advances in
the development and implementation of EHRs will improve the feasibility of regularly
implementing … advances in the development and implementation of health IT may establish the
feasibility of regularly implementing