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  1. digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-5.pdf
    June 16, 2021 - z Execution: When should each aspect of your dissemination plan occur (i.e., at which points during
  2. digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
    June 15, 2023 - findings to improve their guidelines and/or related derivative output to assure implementation actions occur … findings to improve their guidelines and/or related derivative output to assure implementation actions occur … findings to improve their guidelines and/or related derivative output to assure implementation actions occur
  3. digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
    January 01, 2008 - States health care system continues to face enormous quality, safety, and cost challenges, many of which occur … Further analysis is under way to examine the impact on specific clinician clinic activities that occur
  4. digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
    April 30, 2024 - Project Description Publications Technology-related medication errors occur … safety event reports revealed that most technology-related issues associated with medication errors occur
  5. digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
    January 01, 2009 - Business Goal: Synthesis and Dissemination Summary: Medication errors can occur at every step in … Medication errors that occur in the earlier stages of the process are more likely than others to be intercepted
  6. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/murphy-ja-et-al-1997
    January 01, 1997 - customization process documented the data flow and the changes to the current state process flows that would occur
  7. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
    January 01, 2023 - completed for a project to be finished, and when in the project timeline the phases or tasks need to occur
  8. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-path-method
    January 01, 2023 - Which tasks should occur immediately after another is completed? 3.
  9. digital.ahrq.gov/organization/northwestern-university
    January 01, 2023 - Indication Alerts in CPOE Systems Description This research implemented indication alerts, which occur
  10. digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
    January 01, 2012 - problems, such as adverse drug events, monitoring failures, and lack of followup on abnormal tests occur
  11. digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
    January 01, 2023 - They looked to another high-risk industry-–aviation-–that has examined why and what types of errors occur … They looked to another high-risk industry—aviation—that has examined why and what types of errors occur
  12. digital.ahrq.gov/goal/knowledge-creation
    January 01, 2023 - Indication Alerts in CPOE Systems Description This research implemented indication alerts, which occur
  13. digital.ahrq.gov/health-care-theme/human-factors
    January 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur
  14. digital.ahrq.gov/health-care-theme/medication-safety
    January 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur
  15. digital.ahrq.gov/type-care/behavioral-health
    January 01, 2023 - adding in an automated language translation process to allow multi-language clinical evaluations to occur
  16. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/aas-ih-2002
    January 01, 2002 - "The trend in the changes in the distribution of tasks between levels of care, where they occur, is for
  17. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/flowchart
    January 01, 2023 - To examine the handoffs that occur in a process.
  18. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
    January 01, 2019 - understanding what kinds of errors have started occurring, but few tools exist to determine why these errors occur … While understanding the types of errors which occur is a necessary and significant starting point, the … and nuclear energy have focused on the “context of use,” or the conditions under which the errors occur … analysis of the videos the team determined several different reasons for why these errors seemed to occur … errors through video review can provide a powerful story for how quickly and easily EHR errors can occur
  19. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident-technique
    January 01, 2023 - Critical Incident Technique Acronym CIT Description The critical incident technique (CIT) uses interviews to evaluate operator decisionmaking. The technique utilizes semistructured interviews to aid operator recall of past critical events or incidents. Things to note include decisions made …
  20. digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
    September 01, 2024 - These delays are not only dangerous but also more likely to occur in certain subpopulations of patients

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