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psnet.ahrq.gov/node/40106/psn-pdf
December 22, 2010 - Root cause analysis of transfusion error: identifying
causes to implement changes.
December 22, 2010
Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to
implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.1111/j.1537-
2995.2010.02943.x.
http…
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix C
Organization Team Roster
Purpose: To confirm understanding of expectations by team members.
Who should use this tool? CANDOR Implementation Team Leader and other Team Leads.
How should you use this worksheet? Each member of the CANDOR Implemen…
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psnet.ahrq.gov/node/40262/psn-pdf
March 02, 2011 - Leading clinical handover improvement: a change
strategy to implement best practices in the acute care
setting.
March 2, 2011
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18.
doi:10.1097/pts.0b013e31820c98a8.
https://psnet.ahrq.gov/issue/leading-clinical-handover-impro…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - Improving Health Care through Health Information Technology in Morgan County, IN - Final Report
Grant Final Report
Grant ID: 5UC1HS015258-03
Improving Health Care through Health Information
Technology in Morgan County, Indiana
Inclusive Dates: 09/30/04 - 09/29/07
Principal Investigator:
De…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - several studies report in great detail the other co-intervention
or implementation strategies used when implementing … that “there is some evidence of the effectiveness of SBAR
implementation on patient outcome” but that implementing … Dynamic pocket card for implementing
ISBAR in shift handover communication.
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psnet.ahrq.gov/node/60348/psn-pdf
May 20, 2020 - High-priority drug-drug interaction clinical decision
support overrides in a newly implemented commercial
computerized provider order-entry system: override
appropriateness and adverse drug events.
May 20, 2020
Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interaction clinical decision support overrid…
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psnet.ahrq.gov/node/73252/psn-pdf
January 01, 2022 - Why test results are still getting "lost" to follow-up: a
qualitative study of implementation gaps.
May 12, 2021
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative
study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
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psnet.ahrq.gov/node/38449/psn-pdf
March 04, 2009 - A model for increasing patient safety in the intensive care
unit: increasing the implementation rates of proven safety
measures.
March 4, 2009
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit:
increasing the implementation rates of proven safety measures. Q…
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digital.ahrq.gov/principal-investigator/marcial-laura
August 01, 2024 - Marcial, Laura
Clinical Decision Support for Chronic Pain Management - Final Report
Citation
Clinical Decision Support for Chronic Pain Management. Prepared under Contract No. 75P00119F37003. AHRQ Publication No. 24-0074. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Assessment of the implementation of a national patient
safety alert to reduce wrong site surgery.
October 20, 2010
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to
reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025645-jariwal-final-report-2022.pdf
January 01, 2022 - However, there are critical barriers to providing effective
patient education and implementing PROs … Developing, Implementing, and Evaluating Digital Technologies to Improve Clinical Care.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.10. Experiential Training and Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/arreola-m-et-al-2003
January 01, 2003 - Arreola M et al. 2003 "Enterprise-wide CR implementation: the Shands Healthcare System experience."
Reference
Arreola M, Rill LN. Enterprise-wide CR implementation: the Shands Healthcare System experience. J Digit Imaging 2003;16(2):173-179.
Abstract
"Major healthcare systems are comprised of …
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digital.ahrq.gov/principal-investigator/meguid-robert
January 01, 2023 - Meguid, Robert A.
Comparison of accuracy of prediction of postoperative mortality and morbidity between a new, parsimonious risk calculator (SURPAS) and the ACS Surgical Risk Calculator.
Citation
Khaneki S, Bronsert MR, Henderson WG, Yazdanfar M, Lambert-Kerzner A, Hammermeis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - especially in an annotated run chart, you can see how the pressure injury rates change in response to implementing
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027689-orenstein-final-report-2023.pdf
January 01, 2023 - GUIDES Checklist - A Tool to Assist Professionals When
Implementing Guidelines with Computerised Decision
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psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm
September 23, 2020 - Study
Implementation of bar-code medication administration to reduce patient harm.
Citation Text:
Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…
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psnet.ahrq.gov/issue/resident-shift-handoff-strategies-us-internal-medicine-residency-programs
July 02, 2014 - Study
Resident shift handoff strategies in US internal medicine residency programs.
Citation Text:
Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786.
Copy Cita…
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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
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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…