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psnet.ahrq.gov/node/865594/psn-pdf
January 01, 2025 - Understanding the informal aspects of medication
processes to maintain patient safety in hospitals: a
sociotechnical ethnographic study in paediatric units.
April 17, 2024
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to
maintain patient safety in hospitals: a…
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psnet.ahrq.gov/node/41423/psn-pdf
January 03, 2017 - Improving documentation of a beta-blocker quality
measure through an anesthesia information management
system and real-time notification of documentation
errors.
January 3, 2017
Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure
through an anesthesia information man…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/rural-wisconsin-health-cooperative
January 01, 2023 - Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment
This is a questionnaire designed to be completed by administrators, clinical staff, and IT staff in an inpatient setting. The tool includes questions to assess user's needs of electronic…
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - Say It Again
June 1, 2011
Henriksen K, Hall KK. Say It Again. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/say-it-again
The Case
A 72-year-old man was admitted to the hospital with community-acquired pneumonia and hyponatremia.
During his third hospital night, the on-call physician was contacted by the c…
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digital.ahrq.gov/events/national-web-conference-practical-models-improve-patient-clinician-communication-using-health
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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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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digital.ahrq.gov/funding-mechanism/medicaidchip-technical-assistance-contract
January 01, 2023 - Medicaid/CHIP Technical Assistance Contract
Quality Oral Health Care in Medicaid Through Health Information Technology - Final Report
Citation
Casnoff CA, Rosenberger L, Kwon N, Scherer H. Quality Oral Health Care in Medicaid Through Health Information Technology: Final Report…
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psnet.ahrq.gov/node/41187/psn-pdf
October 16, 2012 - A pharmacist-led information technology intervention for
medication errors (PINCER): a multicentre, cluster
randomised, controlled trial and cost-effectiveness
analysis.
October 16, 2012
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication
errors (PINCER): a …
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www.ahrq.gov/contact/index.html
April 01, 2025 - Contact Us
Information about contacting AHRQ with questions, suggestions, or other feedback.
Your comments and concerns are important to the Agency for Healthcare Research and Quality (AHRQ) in helping to assess and improve our programs and products. Please send us your questions, suggestions, or other feedba…
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digital.ahrq.gov/principal-investigator/white-joel
January 01, 2024 - White, Joel
Evaluating and improving the usability of a mHealth platform to assess postoperative dental pain.
Citation
Ibarra-Noriega AM, Yansane A, Mullins J, Simmons K, Skourtes N, Holmes D, White J, Kalenderian E, Walji MF. Evaluating and improving the usability of a mHealt…
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digital.ahrq.gov/principal-investigator/shorten-allison
January 01, 2023 - Shorten, Allison
A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
Citation
Shorten A, Shorten B, Fagerlin A, Illuzzi J, Kennedy HP, Pettker C…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52a-sample-task-table-no-delegation
January 01, 2023 - Tool 5.2a Sample Task Table (No Delegation)
Scenario: Refill request received by phone or by fax before implementation of e-prescribing
Step No. Step Performer Step Type Description Documents Key information
1.
Retrieve renewal request message(s)
Office Staff
Receive and t…
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digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care-mn
January 01, 2023 - A Community-Shared Clinical Abstract to Improve Care
Project Description
Project Details -
Completed
Grant Number
P20 HS014951
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants…
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psnet.ahrq.gov/issue/health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and
October 13, 2018 - Commentary
Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.
Citation Text:
Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support/annual-summary/2010
January 01, 2010 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery - 2010
Project Name
Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Principal Investigator
Lamer, Christopher
Organiza…
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digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments
The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…
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digital.ahrq.gov/principal-investigator/fontaine-patricia
January 01, 2023 - Fontaine, Patricia
Using fuzzy set qualitative comparative analysis (fs/QCA) to explore the relationship between medical "homeness" and quality.
Citation
Marcus Thygeson N, Solberg LI, Asche SE, et al. Using fuzzy set qualitative comparative analysis (fs/QCA) to explore the re…
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digital.ahrq.gov/population/public-health-worker
January 01, 2023 - Public Health Worker
Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report
Citation
Rajamani S. Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report…
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digital.ahrq.gov/ahrq-funded-projects/ems-based-tipi-cardiac-care-qi-error-reduction-system
January 01, 2023 - EMS Based TIPI-IS Cardiac Care QI-Error Reduction System
Project Final Report ( PDF , 1.05 MB) 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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psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration
September 15, 2021 - Press Release/Announcement
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration.
Citation Text:
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. May 31, 2023; Fed Register;88:35694-35…
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - Missed Patient Assignment: Is Anyone There?
August 1, 2010
Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
The Case
In one hospital, nurses' patient assignments were communicated by listing the…