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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/obtain-training-and-support
January 01, 2013 - Operational Systems and Workflows
Screening and Diagnosis
Engaging Patients in Treatment
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meps.ahrq.gov/mepsweb/about_meps/workshops_events.jsp
The components in this navigation bar are fully operational
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - August 7, 2024
Becoming a High Reliability Organization: Operational Advice for Hospital
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meps.ahrq.gov/about_meps/workshops_events.jsp
The components in this navigation bar are fully operational
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meps.ahrq.gov/mepsweb/survey_comp/survey_spanish.jsp
January 01, 2002 - The components in this navigation bar are fully operational
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - October 6, 2016
Work Design Drivers of Organizational Learning about Operational Failures
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational
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psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
April 24, 2018 - March 24, 2019
Operational failures detected by frontline acute care nurses.
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psnet.ahrq.gov/issue/concept-analysis-systems-thinking
August 20, 2018 - September 23, 2020
Operational failures detected by frontline acute care nurses.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Infection After Carpal Tunnel Surgery
August 28, 2024
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
The Case
A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no
repo…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rotator-cuff-tear_disposition-comments.pdf
October 05, 2010 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: October 5, 2010
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Comparative Effectiveness of Nonoperative and Operative
Treatment f…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report
Preventing Perioperati…
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psnet.ahrq.gov/node/43309/psn-pdf
August 02, 2015 - Wrong-side thoracentesis: lessons learned from root
cause analysis.
August 2, 2015
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis.
JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learne…
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psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - Patterns of communication breakdowns resulting in injury
to surgical patients.
August 26, 2011
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in
injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40.
https://psnet.ahrq.gov/issue/patterns-communication-brea…
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psnet.ahrq.gov/node/865875/psn-pdf
May 15, 2024 - Digital health interventions and patient safety in
abdominal surgery: a systematic review and meta-
analysis.
May 15, 2024
Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal
surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555.
doi:10…
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psnet.ahrq.gov/node/60180/psn-pdf
April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year
period in a single national health service board.
April 1, 2020
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period
in a single national health service board. J Patient Saf. 2020;16(1):79-83.
doi:10.109…
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psnet.ahrq.gov/node/36346/psn-pdf
April 11, 2011 - Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the operating
room: report from the Pediatric Sedation Research
Consortium.
April 11, 2011
Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedu…
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - is remarkable that the Virginia Mason has integrated innovation and lean at
both the strategic and operational … The organization
has also developed an innovative culture that encourages clinical and operational associates
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - 45 are in the implementation stage (stage four) and 26 have identified
themselves as fully operational … HIE efforts expected to be in implementation within six months, and 25 expected to be fully
operational
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - and timely execution of CDS artifacts.
2) Utilize the pilot organization’s technical, clinical, and operational … Identification and support of clinical, operational, and technical staff.
4. … Organizational commitment and operational resources to meet pilot needs pre, during, and post implementation … There is substantial value in clinical, operational, and technical validation of newly developed CDS … Through collaboration with Alliance, MITRE benefitted from Alliance’s technical, clinical, and operational