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1601. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/registries-guide_executive.pdf
      April 01, 2007 - Adverse Event Detection, Processing, and Reporting The U.S. … whether or not AEs constitute outcomes for the registry, it is important to develop a plan for detecting, processing

1602. Value of Imaging-Related Information Technology (VIRIT) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs014891-gazelle-final-report-2008.pdf
      January 01, 2008 - In the past, healthcare providers relied on ad-hoc processes to support information collection, processing … First, the cost of buying, processing and handling hard-copy film has continued to increase, while the

1603. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - Natural Language Processing Methods: Test the potential of Natural Language Processing technology to

1604. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - ability to document intravenous fluid administration and other limitations related to the timely processing … Thus, a color-coded cognitive tool was developed to standardize IV medication order processing by pharmacists

1605. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - Modifications were made to the TIPI-IS to address unique IT needs, including special processing of … interfaces are fairly standardized, they are interpreted differently by different organizations, and processing

1606. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - of Medical Error Event Reports 141 most primary care practices are sent to an external lab for processing … (or imaging procedures are sent to external imaging centers) and there is little to no analytic processing

1607. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - All monitoring data will be captured electronically, and processing will be done in the background to … Background processing will help ensure that providers do not miss important diagnoses.

1608. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - impregnated steam tape and indicators), silk tape and/or string will maintain package integrity through processing … The lesson learned with regard to surgical instruments used on animals is never to mix the processing

1609. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet
      psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
      July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

1610. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
      January 01, 2024 - contained three major subprocesses: the ordering process, the pharmacy process of reviewing and processing

1611. Collaborative EHR Implementation to Bridge the Continuum of Care in Rural Iowa (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
      January 01, 2009 - Expectations that were matched with results included ease of data access in processing as well as increased

1612. Incorporating Health IT Into Workflow Redesign: Request for Information Summary Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/workflowredesignrfi.pdf
      July 01, 2010 - looked at flow they knew would be directly impacted – i.e., patient registration to rooming, call processing … This real-time dashboard is the focal point for clinical processing when the patient is in the medical

1613. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
      January 01, 2024 - We found about a 10-fold increase in detection for the new system at sample processing (RR = 9.98; 95%

1614. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - 8 CBC facilities to create risk models that describe potential failure combinations resulting from processing … process maps that represented medication delivery processes under the direct control of the facility (processing

1615. Methodology Report #28: Construction of Weights for the 2011 Medical Expenditure Panel Survey Insurance Component
      meps.ahrq.gov/data_files/publications/mr28/mr28.shtml
      October 01, 2013 - Nonresponding government classification 1.3.11 Insurance plan weight assignment 1.3.12 Special processing … ^top Special processing case—missing employment governments Governments with missing employment are

1616. Candor-Impguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
      April 01, 2016 - Purpose: The Communication and Optimal Resolution (CANDOR) Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementation phases, resources, and responsibilities to support s…

1617. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
      August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…

1618. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
      June 02, 2025 - Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR Pro…

1619. Module-3-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
      June 02, 2025 - 1 Implementation Guide - Module 3 Understanding your Workflow Processes to Prepare for Systems Change Module Purpose This module continues the discussion of the steps necessary for systems change to support the implementation of automatic referral with effective care coordination. Topics include the “w…

1620. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…