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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Improving administration and documentation of enteral nutrition support therapy in a Veteran … Affairs health care system: use of medication administration record and bar code scanning technology
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Washington, DC: Veterans Affairs Office of Inspector General; 2022. … Book/Report
Evaluation of Quality, Safety and Value in Veterans Health Administration … Share
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Washington, DC: Veterans … Affairs Office of Inspector General; 2022. … This extensive inspection report shares findings from examinations at 45 Veterans Health Administration
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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - Improving administration and documentation of enteral nutrition support therapy in a Veteran … Affairs health care system: use of medication administration record and bar code scanning technology
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - Veterans Affairs hospitals.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapn.html
April 01, 2018 - Investigators from Denver Health, Intermountain Healthcare, and the Salt Lake City Veterans … Affairs Medical Center have been funded by the Agency for Healthcare Research and Quality to study ways
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2025 - Department of Veterans Affairs).
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Coordinator for Health Information Technology
OASH Office of the Assistant Secretary for Health
VA Veterans … Affairs
The aims of the meeting were to: (1) Provide agency updates related to diagnosis improvement
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - Interventions Research Branch
ONC Office of the National Coordinator for Health Information Technology
VA Veterans … Affairs
The aims of this meeting were to: (1) Engage in a followup discussion with representatives
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/b9Wt9yR9GZwPafcBeBDUqg
November 25, 2024 - Department of Veterans Affairs)
Abuse of Older Persons (Centers for Disease Control and Prevention)
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pso.ahrq.gov/common-formats/about
November 01, 2024 - Human Services (HHS) and from patient safety programs in the Department of Defense and Department of Veterans … Affairs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
January 01, 2003 - Usability Testing and Software Systems
369
Setting
The Veterans Health Administration (VHA), one … Acknowledgments
This research was supported by the Department of Veterans Affairs, the
Veterans Health … Affairs. … Author affiliations
Veterans Administration Getting at Patient Safety (GAPS) Center, Cincinnati, OH … Department of Veterans Affairs national-scale HIS. Int
J Med Inform 2003;69:135–56.
15.
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
July 27, 2022 - June 21, 2023
Healthcare-associated infections in Veterans Affairs acute-care and long-term
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psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
March 24, 2021 - May 3, 2023
Healthcare-associated infections in Veterans Affairs acute-care and long-term
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psnet.ahrq.gov/issue/reducing-unacceptable-missed-doses-pharmacy-assistant-supported-medicine-administration
June 07, 2023 - June 7, 2023
Successful implementation of the Department of Veterans Affairs' National
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psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
December 14, 2022 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans … Affairs healthcare settings.
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psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - Even in systems with highly-integrated electronic health records, such as the Veterans Affairs health
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psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
October 21, 2020 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans … Affairs healthcare settings.
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psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
October 21, 2020 - July 29, 2020
Healthcare-associated infections in Veterans Affairs acute-care and long-term
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/singh-summit2016.pdf
September 01, 2016 - Singh & Sittig BMJQS 2015
Thank you and Acknowledgements
Funding Agencies:
Department of Veterans … Affairs
Agency for Healthcare Research & Quality
National Institute of Health
Multidisciplinary
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psnet.ahrq.gov/issue/nosocomial-transmission-and-outbreaks-coronavirus-disease-2019-need-protect-both-patients-and
February 07, 2022 - September 22, 2021
Healthcare-associated infections in Veterans Affairs acute-care and