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psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion
December 14, 2022 - Study
Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory.
Citation Text:
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/healthcare-team.docx
March 01, 2017 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Get to Know Your Health Care Team Tool
Long-Term Care Safety Toolkit
AHRQ Pub. No. 16(17)-0003-03-EF
…
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psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
June 13, 2011 - Study
Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system.
Citation Text:
Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-…
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psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - Study
Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.
Citation Text:
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Study
Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.
Citation Text:
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…
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psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score
August 24, 2022 - Study
The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.
Citation Text:
Adair KC, Heath A, Frye MA, et al. The Psychological S…
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psnet.ahrq.gov/issue/effectiveness-interruptive-prescribing-alerts-ambulatory-cpoe-change-prescriber-behaviour-and
February 02, 2022 - Review
The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.
Citation Text:
Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Study
Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.
Citation Text:
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…
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psnet.ahrq.gov/issue/systemic-safety-inequities-people-learning-disabilities-qualitative-integrative-analysis
June 30, 2021 - Study
Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers.
Citation Text:
Ramsey L, Albutt AK, Perfetto K, et al. Systemi…
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
January 01, 2022 - Research Spotlight
The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, and strea…
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psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
April 12, 2023 - Study
Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis.
Citation Text:
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care pr…
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms
Using algorithms for real-time monitoring during surgery can predict and prevent adverse outcomes, leading to better outcomes for patients.
Principal Investigator: Avidan, Michael Organization: Washington University…
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digital.ahrq.gov/2020-year-review/research-summary/strengthening-patient-engagement-improve-care-and-shared-decision-making-emerging-research
January 01, 2020 - Strengthening Patient Engagement to Improve Care and Shared Decision Making - Emerging Research
Using Technology to Support Patient-Centered, Shared Decision Making in Care and Treatment Decisions
Patient-centered shared decision making refers to the collaborative effort of a healthc…
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www.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders
Search All Impact Case Studies
October 2023
Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…
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www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum
SEP
12
2023
By
Craig Umscheid, M.D., M.S., and
Monika Haugstetter, M.H.A., M.S.N., R.N.
It has been 17 years since AHRQ launched TeamSTEPPS, a patient s…
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how the…
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digital.ahrq.gov/type-care/pediatrics
January 01, 2023 - Pediatrics
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time acces…
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psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - Study
An intervention model that promotes accountability: peer messengers and patient/family complaints.
Citation Text:
Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…
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digital.ahrq.gov/research-method/case-report
January 01, 2023 - Case Report
Evidence of clinically meaningful drug-drug interaction with concomitant use of colchicine and clarithromycin.
Citation
Villa Zapata L, Hansten PD, Horn JR, Boyce RD, Gephart S, Subbian V, Romero A, Malone DC. Evidence of clinically meaningful drug-drug interaction…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Preventing Pressure Ulcers in Hospitals
Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer prevention that we want to use?
4. How…