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  1. Benchmarking Questions (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
    January 01, 2010 - Benchmarking Questions Benchmarking questions primarily related to workflow The following questions can be used to better understand others’ experiences with the health IT system or vendor and the impact or consequences of the health IT on workflow postimplementation. General questions regarding implemen…

  2. Task Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/task-analysis
    January 01, 2023 - Task Analysis Tabular Task Analysis Description A tabular task analysis (TTA) is conducted to evaluate a task or scenario with regard to the necessary task steps and the interface used. The analysis evaluates specific elements of the bottom-level task steps within a hierarch…

  3. Voices from the Frontlines of Health Care Safety. | PSNet

    psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
    May 03, 2023 - Audiovisual Voices from the Frontlines of Health Care Safety. Citation Text: Voices from the Frontlines of Health Care Safety. Boston, MA; Betsy Lehman Center for Patient Safety; April 2023. Copy Citation Save Save to your library Print Download PDF …

  4. Cause-and-Effect Diagram | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
    January 01, 2023 - Cause-and-Effect Diagram Also Known As Ishikawa Diagram Fishbone Diagram Examples Roberts L, Johnson C, Shanmugam R, et al. Computer simulation and six-sigma tools applied to process improvement in an emergency department. 17th Annual Society for Health Systems Management Engineering F…

  5. Safe Surgery Guide. | PSNet

    psnet.ahrq.gov/issue/safe-surgery-guide
    May 28, 2014 - Book/Report Safe Surgery Guide. Citation Text: Safe Surgery Guide. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  6. Bar-Coded Medication Administration (BCMA). | PSNet

    psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
    December 24, 2008 - Government Resource Bar-Coded Medication Administration (BCMA). Citation Text: Bar-Coded Medication Administration (BCMA). Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF Share …

  7. Kickoffagenda Recreated (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/kickoffagenda_recreated.pdf
    March 07, 2008 - Virginia Health Information Adding Clinical Data to Statewide Administrative Data Kickoff Meeting March 7, 2008 Draft Agenda 8:30 AM 8:45 AM Welcome and Introductions Project Objectives, Requirements, and Potential Benefits to Participants Michael Lundberg, Executive Director, Virginia…

  8. Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. | PSNet

    psnet.ahrq.gov/issue/do-you-know-what-doses-are-being-programmed-or-make-it-expectation-use-smart-infusion-pumps
    February 26, 2025 - Newspaper/Magazine Article Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. Citation Text: Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medicat…

  9. Improving the safety of telephone or verbal orders. | PSNet

    psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
    March 18, 2010 - Newspaper/Magazine Article Improving the safety of telephone or verbal orders. Citation Text: Improving the safety of telephone or verbal orders. PA-PSRS Patient Saf Advis. 2006 Jun;3(2):1,3-7. Copy Citation Save Save to your library Print Download P…

  10. Using Safety Cases in Industry and Healthcare. | PSNet

    psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
    November 30, 2016 - Book/Report Using Safety Cases in Industry and Healthcare. Citation Text: Using Safety Cases in Industry and Healthcare. London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  Copy Citation Save Save to your library Print Downlo…

  11. Canadian Patient Safety Dictionary. | PSNet

    psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
    September 13, 2017 - Glossary Canadian Patient Safety Dictionary. Citation Text: Canadian Patient Safety Dictionary. Royal College of Physicians and Surgeons of Canada Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…

  12. At VA hospital, a rogue cancer unit. | PSNet

    psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
    March 09, 2011 - Newspaper/Magazine Article At VA hospital, a rogue cancer unit. Citation Text: At VA hospital, a rogue cancer unit. Bogdanich W. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  13. Massachusetts Alliance for Communication and Resolution Following Medical Injury. | PSNet

    psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
    May 03, 2023 - Multi-use Website Massachusetts Alliance for Communication and Resolution Following Medical Injury. Citation Text: Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety. Copy Citation Save Save…

  14. State of Healthcare 2008. | PSNet

    psnet.ahrq.gov/issue/state-healthcare-2008
    March 28, 2018 - Book/Report State of Healthcare 2008. Citation Text: State of Healthcare 2008. Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN: 9780102958362. Copy Citation Save Save to your library Print Downl…

  15. Managing the aftermath of iatrogenic injury. | PSNet

    psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
    January 02, 2008 - Commentary Managing the aftermath of iatrogenic injury. Citation Text: Managing the aftermath of iatrogenic injury. Vincent C; Saunders A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  16. Safety. | PSNet

    psnet.ahrq.gov/issue/safety-0
    March 07, 2018 - Multi-use Website Safety. Citation Text: Safety. Center for Health Design. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 15, 2016 Center for Heal…

  17. Action needed to prevent dangerous heparin-insulin confusion. | PSNet

    psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
    May 07, 2018 - Newspaper/Magazine Article Action needed to prevent dangerous heparin-insulin confusion. Citation Text: Action needed to prevent dangerous heparin-insulin confusion. ISMP Medication Safety Alert! Acute care edition. May 3, 2007;12:1-2. Copy Citation Save Save to y…

  18. The London Declaration. | PSNet

    psnet.ahrq.gov/issue/london-declaration
    December 21, 2005 - Organizational Policy/Guidelines The London Declaration. Citation Text: The London Declaration. World Alliance for Patient Safety; World Health Organization; Patients for Patient Safety Copy Citation Save Save to your library Print Download PDF S…

  19. Opioid Wisely. | PSNet

    psnet.ahrq.gov/issue/opioid-wisely
    April 06, 2022 - Toolkit Opioid Wisely. Citation Text: Opioid Wisely. Choosing Wisely Canada. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 14, 2018 Choosing Wis…

  20. Fixing the medication reconciliation breakdown. | PSNet

    psnet.ahrq.gov/issue/fixing-medication-reconciliation-breakdown
    September 06, 2023 - Newspaper/Magazine Article Fixing the medication reconciliation breakdown. Citation Text: Fixing the medication reconciliation breakdown. Starr D; West L. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…
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