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  1. digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
    January 01, 2012 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - 2012 Project Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Principal Investigator Basco, William Organization Medical University of South Carolina Funding Mechanism PAR:…
  2. digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
    January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
  3. digital.ahrq.gov/document-type/data-collection-form
    January 01, 2023 - Data Collection Form ADE Incident Identification Form Description This form identifies an adverse drug event using data reported by a clinician. Document Source Statewide Implementation of Electronic Health Records ADE and Near Mis…
  4. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
    January 01, 2009 - How Do I Evaluate Workflow? What is Workflow? Defining workflow Definitions of workflow vary. Here are a couple: The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1] The activities, tools, and processes needed to produce or modify work, pr…
  5. digital.ahrq.gov/ahrq-funded-projects/novel-it-create-patient-integrated-quality-improvement
    January 01, 2023 - Novel IT To Create Patient-Integrated Quality Improvement Project Final Report ( PDF , 1.44 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.…
  6. digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
    June 16, 2021 - Clarify mechanisms to communicate whether monitoring taking place, whether actions occurring and whether
  7. digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
    January 01, 2023 - all admissions, compared against 4.8% of internal transfers within systems and 1.8% of admissions occurring
  8. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/idea
    January 01, 2023 - Idea Generation Benchmarking Description Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization. Brainwriting Description B…
  9. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/finalize
    January 01, 2023 - Finalize Workflows 1. Examples of flowcharts Patient Check In ( PDF , 18KB) Patient Check Out ( PDF , 18KB) Post-Appointment Lab Visit ( PDF , 17KB)   2. Why and how do we use the flowcharts we previously developed again, at this point? By now your flowcharts will provide a…
  10. digital.ahrq.gov/sites/default/files/docs/page/delrahim-howlett-podcast-transcript.pdf
    June 16, 2021 - Delrahim Howlett Podcast Transcript Podcast 1  Web‐Based Assessment and Brief Intervention for Alcohol Use in Women of Childbearing Age  (Dr. Katia Delrahim Howlett)  Narrator: Welcome to Health IT Spotlight from the Agency for Healthcare Research and Quality.  Fetal Alcohol Spectrum Disorders result from prenatal e…
  11. digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
    January 01, 2023 - program until in-person contact was allowed, thus some interviews were split with the first half occurring … virtually and the second part occurring in-person restrictions were lifted.
  12. digital.ahrq.gov/sites/default/files/docs/survey/survey-physician-computer-technology.pdf
    June 16, 2021 - problems in our practice 1 2 3 4 5 g) Our procedures and systems are good at preventing errors from occurring
  13. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/flowcharts
    January 01, 2023 - Flowcharts 1. Examples of flowcharts In-Office Prescribing - Paper System ( PDF , 22KB) Prescription Renewal Request - Paper System ( PDF , 25KB)   2. Why and how do we assess workflow using flowcharts when we are determining our clinic’s health it system requirements? A flow…
  14. digital.ahrq.gov/ahrq-funded-projects/shared-medical-records-and-chronic-illness-care
    January 01, 2023 - Shared Medical Records and Chronic Illness Care Project Final Report ( PDF , 237.74 KB) 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. No st…
  15. digital.ahrq.gov/medication-reconciliation
    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…
  16. digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
    August 01, 2011 - eliminate the root cause or contributing factor you will reduce the likelihood of similar problems occurring … The goal of RCA is to identify both active errors (errors occurring at the point of interface between
  17. digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2011
    January 01, 2011 - Closing the Feedback Loop to Improve Diagnostic Quality - 2011 Project Name Closing the Feedback Loop to Improve Diagnostic Quality Principal Investigator Weiss, Eta Organization University of Alabama at Birmingham Funding Mechanism RFA: HS07-002: Ambulatory Safety …
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/histogram
    January 01, 2023 - Histogram Also Known As Frequency Distribution Description A histogram graphically demonstrates the frequency with which various values of a particular variable occur in a set of data. The height of the bar indicates the frequency of occurrence. Uses To quickly and easily demonst…
  19. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/comms-usage-diagram
    January 01, 2023 - Comms Usage Diagram Acronym CUD Description A comms usage diagram (CUD) displays how teams in different geographical areas collaborate across their respective locations. The diagram also includes information about how and why the communication occurs, the specific technology being used, and th…
  20. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/workflow-diagram
    January 01, 2023 - Workflow Diagram Also Known As Physical Layout Flowchart Spaghetti Diagram Transportation Diagram Description A workflow diagram demonstrates movement through a process. The diagram is comprised of a map (such as a floor plan) of the area where the process occurs and uses lines to show…

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