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psnet.ahrq.gov/node/50776/psn-pdf
January 08, 2020 - Application of human factors to improve usability of
clinical decision support for diagnostic decision-making:
a scenario-based simulation study.
January 8, 2020
Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical
decision support for diagnostic decision-making: a…
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psnet.ahrq.gov/node/43931/psn-pdf
March 04, 2015 - Design of endoscopic retrograde
cholangiopancreatography (ERCP) duodenoscopes may
impede effective cleaning.
March 4, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015.
https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-
duode…
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psnet.ahrq.gov/node/45609/psn-pdf
November 16, 2016 - A review of healthcare failure mode and effects analysis
(HFMEA) in radiotherapy.
November 16, 2016
Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis
(HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/72486/psn-pdf
November 18, 2020 - ISMP Survey provides insights into preparation and
admixture practices OUTSIDE the pharmacy.
November 18, 2020
ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5.
https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-
pharmacy
Mistakes in …
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digital.ahrq.gov/ahrq-funded-projects/multi-site-trial-test-benefits-adding-personalized-risk-calculator-online/citation/integrating
January 01, 2023 - Integrating personalized risk scores in decision making about left ventricular assist device (LVAD) therapy: Clinician and patient perspectives.
Citation
Kostick-Quenet K, Blumenthal-Barby J, Mehra M, Lang B, Dorfman N, Bhimaraj A, Civitello A, Jorde U, Trachtenberg B, Uriel N, Kaplan H, Gilmore-Szot…
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psnet.ahrq.gov/node/42489/psn-pdf
May 19, 2014 - Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication
administration.
May 19, 2014
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication administration. A…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-collaborative-diet-goal-setting-primary-care/final-report
January 01, 2023 - Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care - Final Report
Citation
Burgermaster M. Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care – Final Report. (Prepared by University of Texas - Austin under Grant No. R21 HS027660). Rockville, MD: Ag…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-patient-reported-outcomes-shared-decision-making-patients/final-report
January 01, 2023 - Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee - Final Report
Citation
Bozic K., Tsevat J. Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee – Final Report. (Prepared by U…
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digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale/citation/implementation
January 01, 2023 - Implementation of lung cancer screening in primary care and pulmonary clinics: Pragmatic clinical trial of electronic health record-integrated everyday shared decision making tool and clinician-facing prompts.
Citation
Kukhareva PV, Li H, Caverly TJ, Del Fiol G, Fagerlin A, Butler JM, Hess R, Zhang Y,…
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/citation/capturing
January 01, 2023 - Capturing relevant patient data in clinical encounters through integration of an electronic patient-reported outcome system into routine primary care in a Boston community health center: Development and implementation study.
Citation
Loo S, Grasso C, Glushkina J, McReynolds J, Lober W, Crane H, Mayer …
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/final-report
January 01, 2023 - Implementation and Evaluation of psPRO: Person-Specific Patient-Reported Outcome Assessments for Patients in HIV Care living with Multiple Chronic Conditions - Final Report
Citation
Crane H., Lober W. Implementation and Evaluation of psPRO: Person-Specific Patient-Reported Outcome Assessments for Pati…
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/citation/patient
January 01, 2023 - Patient acceptability and usability of a self-administered electronic patient-reported outcome assessment in HIV care: Relationship with health behaviors and outcomes.
Citation
Fredericksen RJ, Harding BN, Ruderman SA, McReynolds J, Barnes G, Lober WB, Fitzsimmons E, Nance RM, Whitney BM, Delaney JAC,…
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve/final-report
January 01, 2023 - Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report
Citation
Rajamani S. Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report. (Prepared by the University of Minnesota und…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/establishing
January 01, 2023 - Establishing a framework for privacy-preserving record linkage among electronic health record and administrative claims databases within PCORnet®, the National Patient-Centered Clinical Research Network.
Citation
Kiernan D, Carton T, Toh S, Phua J, Zirkle M, Louzao D, Haynes K, Weiner M, Angulo F, Bai…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/assessing
January 01, 2023 - Assessing the impact of privacy-preserving record linkage on record overlap and patient demographic and clinical characteristics in PCORnet®, the National Patient-Centered Clinical Research Network.
Citation
Marsolo K, Kiernan D, Toh S, Phua J, Louzao D, Haynes K, Weiner M, Angulo F, Bailey C, Bian J,…
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digital.ahrq.gov/ahrq-funded-projects/expansion-implementation-evaluation-electronic-health-record-integrated-patient/citation/protocol
January 01, 2023 - Protocol for a type 2 hybrid effectiveness-implementation study expanding, implementing and evaluating electronic health record-integrated patient-reported symptom monitoring in a multisite cancer centre.
Citation
Garcia SF, Smith JD, Kallen M, Webster KA, Lyleroehr M, Kircher S, Bass M, Cella D, Pene…
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digital.ahrq.gov/ahrq-funded-projects/improving-diabetes-and-depression-self-management-adaptive-mobile-messaging/final-report
January 01, 2023 - Improving Diabetes and Depression Self-management Via Adaptive Mobile Messaging - Final Report
Citation
Adrian Aguilera. Improving Diabetes and Depression Self-management Via Adaptive Mobile Messaging - Final Report. (Prepared by the University of California, Berkeley under Grant No. R01 HS025429). Ro…
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digital.ahrq.gov/ahrq-funded-projects/integrating-patient-generated-digital-health-data-electronic-health-records/environmental-scan
January 01, 2023 - Integrating Patient-Generated Digital Health Data into Electronic Health Records in Ambulatory Care Settings: An Environmental Scan
Citation
Shaw RJ, Boazak M, Tiase V, et al. Integrating Patient-generated Digital Health Data into Electronic Health Records in Ambulatory Care Settings: An Environmental…
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digital.ahrq.gov/ahrq-funded-projects/clinical-trial-validate-automated-online-language-interpreting-tool-hispanic/final-report
January 01, 2023 - A Clinical Trial to Validate an Automated Online Language Interpreting Tool With Hispanic Patients Who Have Limited English Proficiency - Final Report
Citation
Yellowlees P. A Clinical Trial to Validate an Automated Online Language Interpreting Tool With Hispanic Patients Who Have Limited English Prof…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-20.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.20. Major Factors that Inhibit Lean Success
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case …