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digital.ahrq.gov/sites/default/files/CDSiC%20Project%20Summary_09.09.25.pdf
September 01, 2025 - CDSiC Project Summary
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) was part of AHRQ’s Patient-Centered Ou…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/use-telehealth-during-COVID-19-executive-summary.pdf
January 01, 2023 - Executive Summary_Systematic Review: Use of Telehealth During the COVID-19 Era
Systematic Review
Use of Telehealth During the COVID-19 Era
Executive Summary
Main Points
Background and Purpose
Telehealth is remotely delivered and synchronous medical services (e.g., telephone/audio,
video vis…
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Similarly, implementing a
suboptimal system, or doing so with inadequate training, can cause a
substantial … risk of errors….. it is essential to consider end-users’
workloads and expertise when implementing … events before and afer implementing bar code 42. Weingart SN, Toth M, Sands DZ, et al. … Beasley JW, Hamilton-Escoto K, Karsh B. situation awareness - Implementing a hospital
Human factors … Lorenzi NM, Riley RT, Blyth AJ, Southon G,
ramifications of implementing information Dixon BJ.
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www.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
June 02, 2025 - IHA Bundled Payment Demonstration Appendix
Ridgely MS, de Vries D, Bozic KJ, Hussey PS. Bundled payment fails to gain a foothold
in California: the experience of the IHA bundled payment demonstration.
Health Aff (Millwood). 2014;33(8).
List of Appendix Exhibits
Appendix…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4. Factors Considered in Project Selection*
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
June 02, 2025 - IHA Bundled Payment Demonstration Appendix
Ridgely MS, de Vries D, Bozic KJ, Hussey PS. Bundled payment fails to gain a foothold
in California: the experience of the IHA bundled payment demonstration.
Health Aff (Millwood). 2014;33(8).
List of Appendix Exhibits
Appendix…
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psnet.ahrq.gov/node/47674/psn-pdf
December 19, 2018 - Patient safety after implementation of a coproduced
family centered communication programme: multicenter
before and after intervention study.
December 19, 2018
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a coproduced family centered
communication programme: multicenter before and af…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015009-ward-final-report-2008.pdf
January 01, 2008 - A
cost calculator toolkit was also created to assist hospitals in calculating the costs of implementing … involved in the decision to buy EMR systems, which system to buy, and the
benefits perceived from implementing … guide and worked with the IT directors of both hospitals to compare and contrast their
approaches to implementing … We created a cost calculator to assist hospitals in
calculating the costs of implementing an EMR system
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digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
October 25, 2025 - The LTC e-Rx study will provide policy makers and
legislators valuable evidence of implementing e-Prescribing … This
was done by implementing and measuring the e-Prescribing technology at two skilled nursing facilities
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digital.ahrq.gov/ahrq-funded-projects/rural-hospital-collaborative-excellence-using-it
January 01, 2023 - Rural Hospital Collaborative for Excellence Using IT
Project Final Report ( PDF , 518.96 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024767-yen-final-report-2019.pdf
January 01, 2019 - For implementation of significant
new technology (such as implementing a new EHR, when one has not existed … They hear that we're implementing new things, but what they hear you gotta
train my nurses and that's
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psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-19.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.19. Major Factors that Facilitate Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Ca…
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psnet.ahrq.gov/node/47728/psn-pdf
February 20, 2019 - Implementation of bar-code medication administration to
reduce patient harm.
February 20, 2019
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.mayocpiqo.2018.09.001.
https://ps…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/854832/psn-pdf
October 25, 2023 - Achieving a successful patient safety program with
implementation of a harm reduction strategy.
October 25, 2023
Cohen JB. APSF Newsletter. 2023;38(10):93-95.
https://psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-
strategy
Zero harm, while a laudable goal, has been…
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digital.ahrq.gov/organization/hancock-county-health-services
January 01, 2023 - Hancock County Health Services
Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008
Principal Investigator
O'Brien, John
Project Name
Electronic Health Record Implementation for Continuum of Care in Rural Iowa
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - Facilitators will be prepared to
respond to a variety of questions from clinical teams implementing … Facilitators will be prepared to respond to a variety of questions from clinical teams
implementing … Facilitators will be prepared to respond to a variety of questions
from clinical teams implementing … False
Which of the following are important when implementing any new process improvement 8.
using … Facilitators will be prepared to respond to a variety of questions from clinical teams
implementing
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - understanding of the problem and enable improvement through feedback and learning.27-29 Developing and
implementing … measures for diagnostic safety or any current external accountability
metric, HCOs should focus on implementing … science
of understanding the complex mix of cognitive and sociotechnical contributory factors and implementing … measurement.
17
Other unintended consequences, including gaming and measure fatigue, may emerge from
implementing … Implementing a survey for patients to provide
safety experience feedback following a care transition
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - understanding of the problem and enable improvement through feedback and learning.27-29 Developing and
implementing … measures for diagnostic safety or any current external accountability
metric, HCOs should focus on implementing … science
of understanding the complex mix of cognitive and sociotechnical contributory factors and implementing … measurement.
17
Other unintended consequences, including gaming and measure fatigue, may emerge from
implementing … Implementing a survey for patients to provide
safety experience feedback following a care transition