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integrationacademy.ahrq.gov/sites/default/files/2025-07/MOUD_Playbook_Environmental_Scan_2025.pdf
January 01, 2025 - health
outcomes and reducing recidivism rates.150 By leveraging 1115 waivers, states can create more
integrated … A section with information on the evidence supporting
telehealth programs for MOUD and integrated care … and Recruitment of Key Informants
Key informants included primary healthcare providers, experts in integrated … International Journal of Integrated Care (IJIC).
2019;19(S1):1-2. doi:10.5334/ijic.s3071
20. … International Journal of Integrated Care (IJIC). 2024;24(2):1-14. doi:10.5334/ijic.7589
138.
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - Reflecting on how well
the proposed PC CDS can be integrated into patients’ or caregivers’ daily routine … ☒
Not Applicable ☐
Task Description
• How the PC CDS will be integrated into end-user workflows … The PC CDS tools were integrated into end-user workflows through a user-
centered design process that … Right Format: Our tools deliver information in accessible formats, including
EHR-integrated prompts … Right Channel: Our tools use EHR-integrated prompts for clinicians and
patient portal notifications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - The Act’s focus on improved access and integrated care together with increased attention to
controlling … The strategy continues to center around developing a large, integrated system of care. … Health IT systems, particularly
integrated electronic medical records that can provide the data to support … Alignment of System Redesign With Strategic Priorities
System redesign is aligned and integrated with … the safety-net systems in the study, for example, felt they lacked the
capital needed to invest in integrated
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - clinic staff
that a priority was to make
calculating MED on every
patient easy, accessible, and
integrated … Standardized previsit planning and pain
visits are integrated into the practice. … Alternatives to opioids are regularly
considered, discussed, and integrated into
care processes. … Pain Visit as Outlined in the
Revised Policy
Standardized Previsit Planning and Pain Visits Are Integrated … and Other SUDs
There Is an Approach to Connecting Patients to Mental/Behavioral Health Resources, Integrated
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digital.ahrq.gov/sites/default/files/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
September 01, 2024 - Reflecting on how well
the proposed PC CDS can be integrated into patients’ or caregivers’ daily routine … ☒
Not Applicable ☐
Task Description
• How the PC CDS will be integrated into end-user workflows … The PC CDS tools were integrated into end-user workflows through a user-
centered design process that … Right Format: Our tools deliver information in accessible formats, including
EHR-integrated prompts … Right Channel: Our tools use EHR-integrated prompts for clinicians and
patient portal notifications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
March 01, 2017 - Remember T.E.A.M.S. to Improve Safety Culture
T
E
A
M
S
Team
Formation
Excellent
Communication
Assess
What’s
Working
Meet
Monthly
Sustain
Efforts
The most effective teams are diverse. Make sure
your team includes people of differing perspectives
and roles.
Communication should be effective. Commu…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety.
January 15, 2020
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety. BMJ Qual Saf. 2020;29(8):645-654.
…
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psnet.ahrq.gov/node/47106/psn-pdf
August 15, 2018 - Imitating incidents: how simulation can improve safety
investigation and learning from adverse events.
August 15, 2018
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From
Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315.
https://psnet.…
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psnet.ahrq.gov/node/73699/psn-pdf
September 15, 2021 - Making safety training stickier: a richer model of safety
training engagement and transfer.
September 15, 2021
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement
and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2021.06.004.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/35251/psn-pdf
April 06, 2011 - Promoting health care safety through training high
reliability teams.
April 6, 2011
Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health
Care. 2005;14(4). doi:10.1136/qshc.2004.010090.
https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/840152/psn-pdf
November 16, 2022 - Scientific view of the global literature on medical error
reporting and reporting systems from 1977 to 2021: a
bibliometric analysis.
November 16, 2022
Ünal A, Seren Intepeler ?. Scientific view of the global literature on medical error reporting and reporting
systems from 1977 to 2021: a bibliometric analysis. J …
-
psnet.ahrq.gov/node/41166/psn-pdf
February 29, 2012 - Triangulating case-finding tools for patient safety
surveillance: a cross-sectional case study of
puncture/laceration.
February 29, 2012
Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a
cross-sectional case study of puncture/laceration. Inj Prev. 2011;17(6)…
-
psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
-
psnet.ahrq.gov/node/44996/psn-pdf
June 29, 2016 - Residents' numeric inputting error in computerized
physician order entry prescription.
June 29, 2016
Wu X, Wu C, Zhang K, et al. Residents' numeric inputting error in computerized physician order entry
prescription. Int J Med Inform. 2016;88:25-33. doi:10.1016/j.ijmedinf.2016.01.002.
https://psnet.ahrq.gov/issue/r…
-
psnet.ahrq.gov/node/866254/psn-pdf
July 10, 2024 - Top Penn State Health surgeon warned leaders about
transplant problems months before shutdown. Then he
was let go.
July 10, 2024
Massey W, Keith C. Spotlight PA: June 20, 2024.
https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-
months-shutdown-then
Whistleblowers…
-
psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
-
psnet.ahrq.gov/node/45504/psn-pdf
January 01, 2018 - Hospital nurses' work environment characteristics and
patient safety outcomes: a literature review.
December 16, 2017
Lee SE, Scott LD. Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A
Literature Review. West J Nurs Res. 2018;40(1):121-145. doi:10.1177/0193945916666071.
https://psne…