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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - TITLE PAGE
Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-family-engagement-protocol.pdf
December 31, 2019 - Increasingly, health care systems are implementing
strategies to engage patients, families, and caregivers
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention Handouts (continued)
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-webinar-chat.pdf
February 18, 2025 - National Action Alliance Webinar: Engineering Safety into Practice Through Implementation of the 2025 SAFER Guides Chat Conversations, January 21, 2025
National Action Alliance Webinar: Engineering Safety into Practice Through
Implementation of the 2025 SAFER Guides Chat Conversations, January 21, 2025
from Z…
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Duty Hours and Patient Safety
September 15, 2024
Duty Hours and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the …
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psnet.ahrq.gov/node/842772/psn-pdf
January 18, 2023 - Short- and long-term effects of an electronic medication
management system on paediatric prescribing errors.
January 18, 2023
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management
system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4…
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems.
May 27, 2011
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health
Aff (Millwood). 2005;24(6):1654-63.
https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discov…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.11. Dissemination of Results from Lean Projects Throughout the Organization
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Cas…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/translating-research-into-practice.html
September 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Translating Research Into Practice
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surve…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…
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psnet.ahrq.gov/node/41116/psn-pdf
May 24, 2012 - Variations in surgical outcomes associated with hospital
compliance with safety practices.
May 24, 2012
Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital
compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001.
https://psnet.ahr…
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psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review.
March 11, 2011
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of
physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16.
https…
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psnet.ahrq.gov/node/41154/psn-pdf
November 26, 2014 - Impact of vendor computerized physician order entry in
community hospitals.
November 26, 2014
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in
community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
https://psnet.ahrq.gov/issue/impact-vend…
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psnet.ahrq.gov/node/73881/psn-pdf
September 29, 2021 - Changes in hospital-acquired conditions and mortality
associated with the hospital-acquired condition reduction
program.
September 29, 2021
Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated
with the hospital-acquired condition reduction program. Ann Surg. 202…
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psnet.ahrq.gov/node/838126/psn-pdf
September 21, 2022 - Sustained improvement in quality of patient handoffs
after orthopaedic surgery I-PASS intervention.
September 21, 2022
Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after
orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007…
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psnet.ahrq.gov/node/50815/psn-pdf
January 22, 2020 - Assessment of unintentional duplicate orders by
emergency department clinicians before and after
implementation of a visual aid in the electronic health
record ordering system.
January 22, 2020
Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emergency
Department Clinicians Bef…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/benchmarking
January 01, 2023 - Benchmarking
1. Examples of benchmarking questions focusing on the health IT system’s impact on workflow
Workflow-Related Questions for Benchmarking ( PDF , 15KB)
2. Why and how do we benchmark to assess workflow before selecting a health IT system?
By contacting other clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - Communication is key to both implementing and sustaining change.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cvd-risk-calculator.pdf
February 01, 2022 - Barriers to Implementing Cardiovascular Risk Calculation
in Primary Care: Alignment With the Consolidated
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - to identify and correct unintentional medication discrepancies, but also the
challenges inherent in implementing