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  1. psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. Citation Text: Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…
  2. psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
    December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…
  3. psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
    June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…
  4. www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
    October 01, 2016 - Choosing the Right Toolkit The Guide is intended to allow nursing homes to pick and choose among toolkits, and even choose among individual tools. Each nursing home will have different needs and resources resulting in different choices. To help decide which tools may be most appropriate for a particular nursing…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Rationale for Improvement Tools Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
  6. digital.ahrq.gov/ahrq-funded-projects/consumer-engagement-developing-electronic-health-information-systems/annual-summary/2009
    January 01, 2009 - Consumer Engagement in Developing Electronic Health Information Systems - 2009 Project Name Consumer Engagement in Developing Electronic Health Information Systems Organization Westat Contract Number PSC TO#07R000131 Project Period 09/07 – 06/09 AHRQ Funding Amoun…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
    April 01, 2025 - CUSP Tip Sheet: Assembling the CUSP Team Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Purpose Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…
  8. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pluye-p-et
    January 01, 2023 - Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." Reference Pluye P, Grad RM. How information retrieval technology may impact on physician practice: an organizational case study in family medicine. J Eval Clin …
  9. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/glazner-je-et-al-2004
    January 01, 2004 - Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time." Reference Glazner JE, Beaty BL, Pearson KA, et al. Using an immunization registry: effect on practice costs and time. Ambulatory Pediatrics 2004;4(1):34-40. Abstract "Introduction: Immunization registri…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/117-decolonization-agent-one-pager.docx
    April 01, 2025 - Products Used for S. aureus Nasal Decolonization Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Why Focus on Nasal Decolonization To Prevent Surgical Site Infections (SSIs)? Staphylococcus aureus is a frequently a commensal organism known to colonize skin and mucosal areas. …
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
    April 01, 2025 - Comparison of Decolonization Strategies This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative managers and clinical leaders who are interested in implementing decolonization programs at their site may use this document to compare …
  12. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
    January 01, 2009 - How Do I Evaluate Workflow? What is Workflow? Defining workflow Definitions of workflow vary. Here are a couple: The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1] The activities, tools, and processes needed to produce or modify work, pr…
  13. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/what-are-4e.html
    December 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs What Are The 4 Es? Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & Resources …
  14. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
    January 01, 2023 - Carayon P et al. 2009 "Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff." Reference Carayon P, Smith P, Hundt AS, et al. Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff. Behaviour & Information…
  15. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
  16. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/samore-mh-et-al-2005
    January 01, 2005 - Samore MH et al. 2005 "Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial." Reference Samore MH, Bateman K, Alder SC, et al. Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial. JAMA 2005;294(18):2305-2314. [L…
  17. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chap…
  18. 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…
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/roland-mo-et-al-1985
    January 01, 2023 - Roland MO et al. 1985 "Evaluation of a computer assisted repeat prescribing programme in a general practice." Reference Roland MO, Zander LI, Evans M, et al. Evaluation of a computer assisted repeat prescribing programme in a general practice. Br Med J (Clin Res Ed) 1985;291(6493):456-458. [Link] …
  20. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ross-s-et-al-2005
    January 01, 2005 - Ross S et al. 2005 "Effects of electronic prescribing on formulary compliance and generic drug utilization in the ambulatory care setting: a retrospective analysis of administrative claims data." Reference Ross S, Papshev D, Murphy E, et al. Effects of electronic prescribing on formulary compliance an…