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  1. 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…
  2. 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…
  3. Cerner-Q-A-Session (pdf file)

    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…
  4. 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…
  5. 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…
  6. 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…
  7. 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 …
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. 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…
  11. 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…
  12. 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(…
  13. 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 - - Slide AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training: Overview of On-Time T…
  14. S50 (pdf file)

    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…
  15. 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…
  16. 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…
  17. 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.…
  18. Psn-Pdf (pdf file)

    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…
  19. 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…
  20. 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…