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  1. psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
    June 10, 2018 - Newspaper/Magazine Article Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. Citation Text: Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. ISMP Medicat…
  2. psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
    March 15, 2023 - Commentary Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. Citation Text: Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. Copy Citation …
  3. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
    January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 Project Name Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Principal Investigator Ciemins, Elizabeth …
  4. digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications
    January 01, 2023 - Impact of Consumer Health Informatics Applications Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10061-5 Funding Mechanism(s) Evidence-based Practice Centers (EPCs) …
  5. psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  6. psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…
  7. psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
    April 10, 2024 - Commentary Enhancing patient safety: improving the patient handoff process through appreciative inquiry. Citation Text: Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. C…
  8. psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
    May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned from commercial aviation. Citation Text: Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
  9. digital.ahrq.gov/project-background
    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…
  10. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex58.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Exhibit 5-8. Measure 8: Plan of care includes at least one public and/or private community service/resource (Wrap-Around Observation Form-2) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Intro…
  11. digital.ahrq.gov/2018-year-review/research-summary/simple-mobile-application-key-patient-engagement-reporting-and
    January 01, 2018 - A Simple Mobile Application is Key to Patient Engagement in Reporting and Monitoring of Asthma Symptoms Key Finding and Impact: A simple app, designed with input from patients, resulted in 92 percent of patients continuing to report their asthma outcomes at the end of the study. A tool like this simple app ma…
  12. psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…
  13. psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…
  14. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cammisa-m-et-al-2004
    January 01, 2004 - Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience." Reference Cammisa M, Guglielmi G, Zarrelli N, et al. Design and implementation of an integrated HIS-RIS-PACS system: our experience. Radiological Medicine 2004;107(1-2):102-112. Abstract "Pu…
  15. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
    January 01, 2023 - Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." Reference Lesselroth BJ, Felder RS, Adams SM, et al. Design and implementation of a medication reconciliation kiosk: the Automated Patient H…
  16. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pagliari-c-et-al-2004
    January 01, 2004 - Pagliari C et al. 2004 "Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation." Reference Pagliari C, Gilmour M, Sullivan F. Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation. J Eval Clin Prac…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37838/psn-pdf
    June 11, 2008 - Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008 Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine offices: a report from the American Ac…
  18. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tree-diagram
    January 01, 2023 - Tree Diagram Also Known As Hierarchy Diagram Tree Analysis Description A tree diagram breaks down one broad topic into increasing levels of granularity. It is a step-by-step process from general to specific. Uses When seeking a problem's root cause. To take a general concept …
  19. www.ahrq.gov/patient-safety/settings/hospital/match/figure-10.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 10: Script for Patient Reminders Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. …
  20. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-10.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 10: Script for Patient Reminders Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. …