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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
January 01, 2023 - When evaluating a problem, ask: What could we do to make the problem occur?
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digital.ahrq.gov/sites/default/files/docs/page/delrahim-howlett-podcast-transcript.pdf
June 16, 2021 - Fetal Alcohol Spectrum Disorders result from prenatal exposure to alcohol and occur in about
one in
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - Care transitions occur when either the setting (e.g., from home-based to hospital-based care), or the … When care transitions occur, it is necessary to share medical history and other types of health information
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - interventions after CPOE implementations identified increases in duplicate therapy events--presumed to occur … However, some clinically relevant drug-drug interactions will occur and such important messages may be
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/flowcharts
January 01, 2023 - tasks performed in your clinic, you can easily overlook potentially negative consequences that may occur
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digital.ahrq.gov/location/usa-ca-davis
January 01, 2023 - adding in an automated language translation process to allow multi-language clinical evaluations to occur
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cost-of-poor-quality-analysis
January 01, 2023 - there appears to be a minimal number of steps with red circles, attempt to determine what errors can occur
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digital.ahrq.gov/principal-investigator/yellowlees-peter-m
February 28, 2023 - adding in an automated language translation process to allow multi-language clinical evaluations to occur
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - Most medication errors occur at transitions in care, such
as when patients are admitted from ambulatory … number and fraction of outpatient medications prescribed or
addressed as to why prescribing did not occur … cases where any outpatient medications were not prescribed or
addressed as to why prescribing did not occur … Most medication errors that occur when
patients are discharged to ambulatory environments occur because
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
January 01, 2009 - It can occur at different and/or multiple levels (e.g., one person, between people, across organizations … )
It can occur sequentially and/or simultaneously
Work flows in different ways
Inter-organizational
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident
January 01, 2023 - Those which occur most frequently are the areas that should be considered for future prevention.
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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
June 16, 2021 - However, the
assessment only
needs to occur
once during the
first 24 hours, not
on each unit, for … However, the
assessment only
needs to occur
once during the
first 24 hours, not
on each unit, for … However, the
assessment only
needs to occur
once during the
24 hours, and not
necessarily on
each … However, the
assessment only
needs to occur
once during the
24 hours, and not
necessarily on
each
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data-display
January 01, 2023 - completed for a project to be finished, and when in the project timeline the phases or tasks need to occur
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digital.ahrq.gov/organization/university-california-davis
January 01, 2023 - adding in an automated language translation process to allow multi-language clinical evaluations to occur
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digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease/annual-summary/2012
January 01, 2012 - s with immunomodulator and anti-tumor necrosis factor soon after diagnosis and before complications occur
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
January 01, 2010 - geriatric patients in primary care settings by evaluating changes in: 1) number of preventable ADEs that occur … , 2) severity of those ADEs, and 3) stage of the medication use process in which they occur (i.e., diagnosis
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-51-sample-workflow-diagrams
January 01, 2023 - Tasks occur within two boxes, one set at the physician's office and another set at a pharmacy. … Tasks in-between starting and ending points occur within two boxes, one set at the physician's office
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/GroundRulesForConductingaRiskAssessment.pdf
January 01, 2010 - administration and medical staff support the activity and are
willing to ensure necessary changes will occur
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digital.ahrq.gov/principal-investigator/abraham-joanna
January 01, 2024 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur