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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Methods
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
November 04, 2015 - Study
Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.
Citation Text:
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…
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psnet.ahrq.gov/issue/checkpoint-simple-tool-measure-surgical-safety-checklist-implementation-fidelity
December 06, 2023 - Study
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity.
Citation Text:
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1ref.html
March 01, 2019 - Endnotes
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration …
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psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
December 07, 2016 - Study
Classic
A trigger tool to detect harm in pediatric inpatient settings.
Citation Text:
Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152.
C…
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-donor-heart-utilization-predictive-analytics
September 30, 2024 - Improving Pediatric Donor Heart Utilization with Predictive Analytics
Project Description
Integrating predictive risk models and decision aids for clinicians to assess the likelihood of successful pediatric heart transplants in real-time can reduce waitlist mortality, lower don…
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psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
March 11, 2020 - Study
Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.
Citation Text:
Wrigstad J, Bergström J, Gusta…
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program for nursing staff.
Citation Text:
Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376.
Co…
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psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
January 05, 2017 - Study
Classic
Multidisciplinary approaches to reducing error and risk in a patient care setting.
Citation Text:
Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…
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digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
January 01, 2012 - Decision Support to Improve Dental Care for Medically Compromised Patients - 2012
Project Name
Decision Support to Improve Dental Care for Medically Compromised Patients
Principal Investigator
Fricton, James
Organization
HealthPartners Institute
Funding Mechanism
PA…
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www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety
Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns during the patient-provider encounter are a leading contributor to diagnostic errors.
…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
January 01, 2017 - This is a substantial finding considering over 500,000 imaging tests are performed
annually in our institution … Radiology developed and implemented a process for
communicating critical imaging results as part of an institution-wide … separately, were both web-based and integrated with existing
clinical information systems at the study institution
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - Karl Rethemeyer, PhD (Consultant)
Project Organization:
• Augusta University (Grantee Institution) … to reduce
medication discrepancies and promote medication list accuracy for patients at the study institution … provider subgroups and care settings; and encourage providers to spread the learning
within the broader institution … implementation study, it is
influenced by context in which the practice (EHR MedRec) is implemented at the institution … Results of this exploratory study show that SKN Use was associated with MU-of-EHR MedRec at the study
institution
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digital.ahrq.gov/sites/default/files/docs/citation/evaluation-stage-3-meaningful-use-pa-ut-final-report.pdf
February 01, 2015 - All participants
represented multi-institution health systems. … • At the direction of the record-holding institution, respond
with a list of the patient’s releasable … on patient’s authorization
• At the direction of the record-holding institution, release
specific … • At the direction of the record-holding institution, respond with a list
of the patient’s releasable … documents based on patient’s
authorization
• At the direction of the record-holding institution,
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_9KLmyQyMnoE3agQJsgNE-
November 01, 2011 - Senger: Grant (money to institution): Agency for Healthcare
Research and Quality; Support for travel … to meetings for the study or other
purposes (money to institution): Agency for Healthcare Research and … Senger: Support for travel to
meetings for the study or other purposes (money to institution): National … Burda: Grant (money to institution): Agency
for Healthcare Research and Quality; Support for travel to … meetings for
the study or other purposes (money to institution): Agency for Health-
care Research and
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm24.pdf
June 16, 2014 - Are there guidelines at your institution to ensure the registration staff collects
race/ethnicity
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - a methodology by which to determine what their numbers need to be, using the same methodology from institution … to institution, it empowers the nurses to determine what they need to make that unit safe.
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - At this institution, culture specimens are ultimately tested at the microbiology laboratory located 10 … Mislabeled specimens occur frequently in healthcare and result in significant cost to the institution
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - These orders may be called
standing or protocol orders depending on the
institution.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 09, 2018 - interventions in pediatrics are not well studied
It was unclear what type of CDS would be beneficial in our institution