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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
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digital.ahrq.gov/location/usa-id-twin-falls
January 01, 2023 - USA, ID, Twin Falls
Rural Community Partnerships - Electronic Medical Record (EMR) Implementation Project
Description
Implemented an ambulatory EMR in multiple rural primary and specialist care provider settings and measures the impact of health information technology on clini…
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digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-sociotechnical-metrics-inform-health-it-adaptation/citation/hit
January 01, 2023 - Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation.
Citation
Yen PY, McAlearney AS, Sieck CJ, et al. Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation. JMIR Med Inform 2017 Sep 7;5(3):e28.…
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psnet.ahrq.gov/node/41447/psn-pdf
May 30, 2012 - Massachusetts hospitals launch patient apology program.
May 30, 2012
Gallegos A.
https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
This news article reports on a disclosure and apology program implemented in Massachusetts hospitals to
reduce liability lawsuits.
https://psnet.ahrq…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes
Intravenous Infusion Safety Initiative: Collaboration,
Evidence-Based Best Practices, and “Smart”
Technology Help Avert High-Risk Adverse…
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-35-asthma-self-management-comments.pdf
April 27, 2020 - The expense of investing in
and maintaining technology and updating and implementing curricula is often
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs024849-blumenfeld-final-report-2020.pdf
January 01, 2020 - Progress included implementing a web-based collaboration
and publication hub, webinars, briefs, collaboration … The CDS
AFA incorporates steps for disseminating, authoring, implementing, and measuring PCCDS to assess … Identify barriers and facilitators to instantiating and widely implementing PCOR findings based on
the … • Identified barriers and facilitators to implementing patient-centered and PCOR findings into clinical
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digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-sociotechnical-metrics-inform-health-it-adaptation
January 01, 2023 - Development and Evaluation of Sociotechnical Metrics To Inform Health IT Adaptation
Project Final Report ( PDF , 541.32 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 necessaril…
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digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
January 01, 2023 - Taconic Health Information Network and Community (THINC)
Project Final Report ( PDF , 53.59 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 AHR…
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www.ahrq.gov/patient-safety/resources/learning-lab/preventing-clinical-deterioration-long-desc.html
January 01, 2025 - Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients
Principal Investigator: Matthew Weinger, M.D., Vanderbilt University Medical Center, Nashville, TN Co-PI: Daniel France, M.P.H., Ph.D., Vanderbilt University School of Engineering, Nashville, TN AHRQ Grant No…
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www.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
July 01, 2015 - Spotlight on Vermont
National Evaluation of the CHIPRA Quality Demonstration Grant Program
July 2015
This brief highlights the major strategies, lessons learned, and outcomes from Vermont’s experience during the first 5 years of the quality demonstration funded by the Centers for Medicare & Medicaid Service…
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digital.ahrq.gov/methods
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - Kingsmore and Cole have proposed a learning health systems model for implementing rapid whole genome … contamination and improve laboratory diagnosis of bloodstream
infections.43,102,103
Other barriers to implementing … Understanding and implementing diagnostic
stewardship: a guide for resident physicians in the era of … Radiology stewardship and quality improvement: the process and costs of
implementing a CT radiation
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digital.ahrq.gov/ahrq-funded-projects/personalized-engagement-tool-pediatric-bmt-patients-and-caregivers/citation/implementation
January 01, 2023 - Implementation of acute care patient portals: recommendations on utility and use from six early adopters.
Citation
Grossman LV, Choi SW, Collins S, et al. Implementation of acute care patient portals: recommendations on utility and use from six early adopters. J Am Med Inform Assoc 2017 Sep 4. doi: 10…
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digital.ahrq.gov/ahrq-funded-projects/pilot-testing-electronic-prescribing-standards/citation/variation-electronic
January 01, 2023 - Variation in electronic prescribing implementation among twelve ambulatory practices.
Citation
Crosson JC, Isaacson N, Lancaster D, et al. Variation in electronic prescribing implementation among twelve ambulatory practices. J Gen Intern Med 2008 Apr;23(4):364-71. PMID: 18373131.
Link
https://…
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/citation/implementation
January 01, 2023 - The implementation of a perinatal continuum of care information system: lessons learned.
Citation
Levick D, Sheinberg M. The implementation of a perinatal continuum of care information system: lessons learned. JHIM 2013 Spring; 27(2):56-63.
Link
http://www.jhimdigital.org/jhim/spring_2013?pg=…
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/citation/automated-email-notification-system-tests-pending-discharge
January 01, 2023 - Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation
Dalal AK, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc 2012 Jul …
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psnet.ahrq.gov/node/42143/psn-pdf
October 07, 2015 - Re-Engineered Discharge (RED) Toolkit.
October 7, 2015
Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare
Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
https://psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
This toolkit provides infor…
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging/citation/niatx
January 01, 2023 - Using the NIATx Model to implement user-centered design of technology for older adults.
Citation
Gustafson DH Jr, Maus A, Judkins J, et al. Using the NIATx Model to implement user-centered design of technology for older adults. JMIR Hum Factors 2016 Jan 14;3(1):e2. PMID: 27025985.
Link
https:…
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…