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psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - Mixed results in the safety performance of computerized
physician order entry.
February 10, 2015
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician
order entry. Health Aff (Millwood). 2010;29(4):655-663. doi:10.1377/hlthaff.2010.0160.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46297/psn-pdf
March 21, 2018 - Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an
observational study of voided orders.
March 21, 2018
Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-
based inpatient medication ordering errors: an observational s…
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psnet.ahrq.gov/node/40725/psn-pdf
October 16, 2012 - Association of ICU or hospital admission with
unintentional discontinuation of medications for chronic
diseases.
October 16, 2012
Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional
discontinuation of medications for chronic diseases. JAMA. 2011;306(8):840-7.
doi:10.10…
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - Root cause analysis reports help identify common factors
in delayed diagnosis and treatment of outpatients.
August 21, 2013
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in
delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
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psnet.ahrq.gov/node/39620/psn-pdf
September 20, 2011 - The relationship between patients' perception of care and
measures of hospital quality and safety.
September 20, 2011
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and
measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475-
…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/registry-of-patient-registries_research-2014.pdf
January 01, 2014 - Outcome Measure Framework Design Document
Effective Health Care Program
Number 43
Research Reports
Outcome Measure Framework Design
Document
Richard E. Gliklich, M.D.
Michelle B. Leavy, M.P.H.
Jannette Karl, M.B.A., P.M.P.
Daniel M. Campion, M.B.A.
Daniel Levy, M.S.
May 2014
Research from the Developing Evid…
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ut-final-report.pdf
November 01, 2015 - Final Contract Report -- State and Regional Demonstration in Health Information Technology: Utah
Final Contract Report
State and Regional Demonstration in
Health Information Technology: Utah
HEALTH IT
Final Contract Report
State and Regional Demonstration in Health
Information Tech…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023785-lavallee-final-report-2021.pdf
January 01, 2021 - Guidelines for Integrating Electronic Patient-Reported Outcomes Into Health Systems - Final Report
Title: Guidelines for Integrating Electronic Patient-Reported Outcomes Into Health Systems
Principal…
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program
AHRQ Health Information Technology Ambulatory Safety and Quality | Summaryi
AHRQ Health Information Technology
Ambulatory Safety and Quality
Findings and Lessons
From the AHRQ
Ambulatory Safety and
Quality Program
• www.ahrq.gov HEALTH IT
…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026188-gong-final-report-2022.pdf
January 01, 2022 - Data elements that were mentioned including how they would use it were recorded and counted. … Each interview was recorded and transcribed and uploaded to NVivo12 qualitative data analysis
software
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digital.ahrq.gov/sites/default/files/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
September 01, 2023 - Each interview was approximately 60 minutes in
duration, conducted via Zoom, and video and audio recorded
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - Each interview was approximately 60 minutes in
duration, conducted via Zoom, and video and audio recorded
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
October 06, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Patient as a Team Member in Clinical Care
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Created By: Lorri Zipperer, Cybraria…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
August 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs026883-jih-final-report-2024.pdf
January 01, 2024 - Mobile Patient-Reported Outcomes for Value and Effectiveness (mPROVE) - Final Report
Title: Mobile Patient-Reported Outcomes for Value and Effectiveness (mPROVE)
Principal Investigator: Jane Jih, MD, MPH, MAS
Prior Principal Investigat…
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - SPOTLIGHT CASE
The Lost Start Date: an Unknown Risk of E-prescribing
Citation Text:
Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 7: Measuring Value in a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.2b
IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ
WINDOWS QI SOFTWARE
Guidance for Using the Windows QI Software and
an Example of Output for On…