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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-mb-et-al-2008
January 01, 2008 - Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series."
Reference
Goetz MB, Bowman C, Hoang T, et al. Implementing and evaluating a regional strategy to improve tes…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mayo-smith-mf-et-al
January 01, 2023 - Mayo-Smith MF et al. 2007 "Factors associated with improved completion of computerized clinical reminders across a large healthcare system."
Reference
Mayo-Smith MF, Agrawal A. Factors associated with improved completion of computerized clinical reminders across a large healthcare system. Int J Med In…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
June 02, 2025 - 1
EHR Q&A Sessions
Introduction
Prior to each EHR Q&A event, participants were asked to submit questions related to the
implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned
diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians
regar…
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH
April 1, 2009
Also Read an Essay
Citation Text:
In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.In Conversation with...Mark Chassin, MD, MPP, MPH . PSNet [internet]. Rockville (MD): A…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings
381
From Here to There: Lessons from an
Integrative Patient Safety Project in
Rural Health Care Settings
Ann Freeman Cook, Helena Hoas, Katarina Guttmannova
Abstract
To date, few studies have focused on pat…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024124-meguid-final-report-2018.pdf
January 01, 2018 - Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology: Surgical Risk Preoperative Assessment System (SURPAS) - Final Report
…
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psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
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psnet.ahrq.gov/node/35396/psn-pdf
September 11, 2009 - Applying hierarchical task analysis to medication
administration errors.
September 11, 2009
Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors.
Appl Ergon. 2006;37(5):669-79.
https://psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administra…
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digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-clinical-workflow-emergency-departments/citation/methodological
January 01, 2023 - Methodological framework for evaluating clinical processes: a cognitive informatics perspective.
Citation
Kannampallil TG, Abraham J, Patel VL. Methodological framework for evaluating clinical processes: a cognitive informatics perspective. J Biomed Inform 2016 Dec;64:342-51. PMID: 27847328.
Li…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - Overview
Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Preventable Hospital
and Emergency Department Visits
Facilitator Training: Overview of
On-Time
This version of the On-Time Facilitator Training Overview is for
training Facilitators who have not had pressure ulcer prevention
training. If they h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time
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Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training: Overview of
On-Time
T…
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effectivehealthcare.ahrq.gov/sites/default/files/s50.pdf
October 01, 2007 - ORIGINAL ARTICLE
Practice-Based Evidence Study Design for Comparative
Effectiveness Research
Susan D. Horn, PhD, and Julie Gassaway, RN, MS
Objectives: To describe a new, rigorous, comprehensive practice-
based evidence for clinical practice improvement (PBE-CPI) study
methodology, and compare its features, advantag…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR
Health Services and Primary Care Research Study: Comprehensive Report
The previous chapter described the breadth, scope, and focus of the HSR and PCR portfolios of different federal agencies. That discussion indicated that agenci…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Overview
Slide
AHRQ’s Safety Program for Nursing
Homes
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
Note: This version of the On-Time
introduction is for training Facilitators who
have not had pre…
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digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions/citation/redesigning-care-0
January 01, 2023 - Redesigning care processes using an electronic health record: a system's experience.
Citation
Brokel JM, Harrison MI. Redesigning care processes using an electronic health record: a system's experience. Jt Comm J Qual Patient Saf 2009 Feb;35(2):82-92. PMID: 19241728.
Link
https://www.ncbi.nlm.…
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psnet.ahrq.gov/node/33972/psn-pdf
June 14, 2011 - Maximize Patient Safety with Advanced Root Cause
Analysis.
June 14, 2011
Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485
https://psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
A "how-to" book for organizations that have already implemented a root cau…
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www.ahrq.gov/nursing-home/resources/nhsn-prevention-process.html
April 01, 2022 - National Healthcare Safety Network (NHSN) Prevention Process Measures Surveillance Protocol for Long-Term Care Facilities
Resource: National Healthcare Safety Network (NHSN) Prevention Process Measures Surveillance Protocol for Long-term Care Facilities
This document presents information about the CDC’s Heal…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/asthma-provider-adherence_disposition-comments.pdf
May 19, 2013 - Disposition of Comments Report for Interventions To Modify Health Care Provider Adherence to Asthma Guidelines
Source: http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-
reports/?productid=1493&pageaction=displayproduct
Published Online: May 19, 2013
Comparative Effectiveness Res…