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Showing results for "processes".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42061/psn-pdf
    October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. October 5, 2015 Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF. https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38439/psn-pdf
    December 23, 2012 - Legality of technicians' involvement in medication reconciliation not clear. December 23, 2012 Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2009;66…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41943/psn-pdf
    August 15, 2013 - Medication reconciliation: a qualitative analysis of clinicians' perceptions. August 15, 2013 Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.2012.08.002. https://psnet.ahrq.gov/is…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35025/psn-pdf
    September 21, 2005 - A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22. https://psnet.ahrq.gov/issue…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36057/psn-pdf
    September 24, 2010 - Failure mode and effect analysis: a technique to prevent chemotherapy errors. September 24, 2010 Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. https://psnet.ahrq.gov/issue/failure-mode-and-effect-anal…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50850/psn-pdf
    January 29, 2020 - Better Safer Care Victoria. January 29, 2020 Safer Care Victoria and Victorian Agency for Health Information. https://psnet.ahrq.gov/issue/better-safer-care-victoria Large scale tracking of adverse care incidents offers evidence that governments and organizations can use to target care process improvement efforts.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38897/psn-pdf
    April 21, 2011 - Quality initiatives: developing a radiology quality and safety program: a primer. April 21, 2011 Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006. https://psnet.ahrq.gov/issue/quality-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35018/psn-pdf
    November 28, 2018 - Your company's secret change agents. November 28, 2018 Pascale RT, Sternin J. Your company's secret change agents. Harv Bus Rev. 2005;83(5):72-81, 153. https://psnet.ahrq.gov/issue/your-companys-secret-change-agents The authors describe how to leverage "positive deviants," individuals within an organization who fin…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42941/psn-pdf
    February 12, 2014 - Risk and Safety Management in Infertility and Assisted Reproductive Technology. February 12, 2014 Fertil Steril. 2013;100:1497-1523.  https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology Introduction of assisted reproductive technology has led to new risks i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36328/psn-pdf
    January 02, 2011 - Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. January 2, 2011 Olympio MA; Reinke B; Abramovich A. https://psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee- technology The authors describe the complexity of…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34716/psn-pdf
    February 18, 2011 - Facing our mistakes. February 18, 2011 Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. https://psnet.ahrq.gov/issue/facing-our-mistakes In this piece, Dr. Hilfiker shares his personal experience with medical error. He describes the emotional toll of these mistakes and the difficulty processing t…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39390/psn-pdf
    March 23, 2011 - Teamwork behaviours and errors during neonatal resuscitation. March 23, 2011 Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. https://psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37980/psn-pdf
    October 28, 2009 - Double checking medicines: defence against error or contributory factor? October 28, 2009 Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. https://psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor Th…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37930/psn-pdf
    July 23, 2008 - Measurement for improvement: a survey of current practice in Australian public hospitals. July 23, 2008 Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. https://psnet.ahrq.gov/issue/measurement-improvemen…

  15. Allergy entry and deletion in the electronic health record. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/allergy
    January 01, 2023 - Allergy entry and deletion in the electronic health record. Citation Blumenthal KG, Acker WW, Li Y, et al. Allergy entry and deletion in the electronic health record. Ann Allergy Asthma Immunol 2017 Mar;118(3):380-1. PMID: 28126435. Link https://www.ncbi.nlm.nih.gov/pubmed/28126435 Princ…

  16. Epidemiology of ACE inhibitor angioedema utilizing a large electronic health record. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/epidemiology
    January 01, 2023 - Epidemiology of ACE inhibitor angioedema utilizing a large electronic health record. Citation Banerji A, Blumenthal KG, Lai KH, et al. Epidemiology of ACE inhibitor angioedema utilizing a large electronic health record. J Allergy Clin Immunol Pract 2017 May - Jun;5(3):744-9. PMID: 28377081. Link…

  17. Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/rising
    January 01, 2023 - Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. Citation Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experie…

  18. Standard information models for representing adverse sensitivity information in clinical documents. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/standard
    January 01, 2023 - Standard information models for representing adverse sensitivity information in clinical documents. Citation Topaz M, Seger DL, Goss F, et al. Standard information models for representing adverse sensitivity information in clinical documents. Methods Inf Med 2016;55(2):151-7. PMID: 26905461. Li…

  19. Machine Learning Tools To (Semi-)Automate Evidence Synthesis: A Rapid Review and Evidence Map, Version 2 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/white-paper-machine-learning-tools-v2.pdf
    July 01, 2025 - These studies evaluated the performance of tools primarily relative to standard human processes across … and development efforts and to help systematic reviewers determine which tools may improve their processes … redundant research and development efforts, and to help EPCs determine which tools may improve their processes … we followed the AHRQ EPC Program methodology, as described in its Methods Guide,13 with specific processes … evidence map demonstrates that AI/ML tools are probably sufficiently accurate for implementation in ESP processes

  20. March 2022 CDS Connect Work Group Summary (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/71451/CDS_Connect_WG_March_2022_Summary.pdf
    January 01, 2022 - March 2022 CDS Connect Work Group Summary Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary March 17, 2022 3:00 – 4:00 pm ET Attendees: 37 people, including 4 phone dial-ins Organization Attendees AHRQ Sponsors Mario Teran; Roland Gamache; Steve Bernstein (3) WG Members Andrey…
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