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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-b.html
May 01, 2017 - Appendix B. Your First Checklist Meeting Guide - Implementation Guide
The following document is a sample agenda and topics you should consider discussing when your implementation team meets for the first time to discuss the checklist project.
Introductions
Project Goal
Using the checklist meaningfully…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure Ulcer Prevention to help nursing homes with electronic medical records reduce the occurrence of in-house pressure ulcers. Pressure ulcers remain a serious pro…
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digital.ahrq.gov/principal-investigator/tignanelli-christopher-j
January 01, 2024 - Tignanelli, Christopher J.
A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.
Citation
Tignanelli CJ, Shah S, Vock D, Siegel L, Serrano C, Haut E, S…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/risk
January 01, 2023 - Risk Assessment
1. Examples of risk assessments
Ground Rules for Conducting a Risk Assessment ( PDF , 11KB)
How to Conduct a Risk Assessment ( PDF , 8KB)
Usability Evaluation Tools
2. Why and how do we conduct risk assessments when preparing for our health IT system impleme…
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digital.ahrq.gov/ahrq-funded-projects/sharing-patient-record-access-rural-health-settings
January 01, 2023 - Sharing Patient Record Access in Rural Health Settings
Project Description
Project Details -
Completed
Grant Number
P20 HS015113
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gran…
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psnet.ahrq.gov/node/36886/psn-pdf
May 27, 2011 - The extent and importance of unintended consequences
related to computerized provider order entry.
May 27, 2011
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to
computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23.
https://psnet.ahrq.gov/issu…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-care-delivery-research-protocol.pdf
October 06, 2022 - The role of organizational research in implementing evidence-based practice: QUERI Series.
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www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - Advances in Patient Safety
Preface
Previous Page Next Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volume 3. Implementation Issues
Peer Rev…
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digital.ahrq.gov/funding-mechanism/utilizing-health-information-technology-scale-and-spread-successful-practice
January 01, 2023 - Utilizing Health Information Technology to Scale and Spread Successful Practice Models Using Patient-reported Outcomes (R18)
Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program
Description
This projec…
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psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
July 19, 2023 - Commentary
System planning for modern-day Just Culture to mitigate worker distress and second victim response.
Citation Text:
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapi.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Appendix I. Process Objectives, Measurements, and Evaluation Strategies
The tables below provide examples of objectives that can be adapted for a patient advisory council and ways to measure its success.
A. Create a Patient Advisory Coun…
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psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
August 15, 2018 - Study
Factors that drive team participation in surgical safety checks: a prospective study.
Citation Text:
Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0…
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psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
August 28, 2024 - Commentary
Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions.
Citation Text:
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…
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psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
June 28, 2011 - Review
Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.
Citation Text:
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…
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psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
June 26, 2019 - Review
Emerging Classic
A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.
Citation Text:
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …
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psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
June 03, 2013 - Study
Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.
Citation Text:
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…
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psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcare
February 02, 2011 - Study
A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional.
Citation Text:
Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing to support the performance of the…
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psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
January 15, 2025 - Study
Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.
Citation Text:
Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …
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psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
November 16, 2022 - Study
Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.
Citation Text:
Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…