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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - Executive Summary
Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Accelerating Change and Transformation in Organizations and Networks II
Contract No. HHSA2902010…
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - SPOTLIGHT CASE
Right Regimen, Wrong Cancer: Patient Catches Medical Error
Citation Text:
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - SPOTLIGHT CASE
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
Citation Text:
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit
Bonnie Paris�, Pascale Carayon�, Tosha Wetterneck�
Department of Industrial & Systems Engineering, University of Wisconsin-Madison�; University of
Wisconsin School of Medicine and Public Health�; Center for Quality & Productivity Improvem…
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx
Spotlight
A Loss of Trust and a Missed Diagnosis
Source and Credits
• This presentation is based on the February 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.…
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www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Quality Improvement Methods, Research, and Evaluation Conference
1. TITLE PAGE
Pediatric Quality Improvement Methods, Research, and Evaluation Conference
Jonathan Finkelstein, MD, MPH, Principal Investigator
Team Members:
Denise Dougherty, PhD
Alex Kemper, MD, MPH, MS
Lawrence K…
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www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research
TITLE PAGE
Project Title: Addressing methodological and ethical issues in pediatric medication safety research
Principal Investigator: Delesha M. Carpenter
Organization: University of North Carolina at Chapel …
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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes
The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative.
Contents
Slide 1. Cover Slide.
Slide 2. Learning Objectives
Slide 3. What is a Nurse Manager?
Slide 4…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - ICU Assessment
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
Date Completed by Team: _____________________
ICU Assessment of Current CLABSI & CAUTI Prevention Practices
The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
May 01, 2013 - The Medical Home Index: Revised Short Form: Pediatric
Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families
The Medical Home Index (MHI) is a validated self-assessment and classification tool designed to translate the broad indicators defining the medical home…
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - In Conversation With… Maureen Bisognano
June 1, 2015
In Conversation With… Maureen Bisognano. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-maureen-bisognano
Editor's note: Maureen Bisognano is President and CEO of the Institute for Healthcare Improvement
(IHI). We spoke with her about I…
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM
February 1, 2017
In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
Editor's note: Dr. Edmondson is professor of Leadership and Management at Harvard Business School.
Her la…
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and
Professor of Anesthes…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
April 01, 2022 - Urine Culturing Stewardship in the ICU Setting Facilitator Notes
Urine Culturing Stewardship in the ICU Setting
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
1
Case Study: To C…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nc.pdf
November 14, 2015 - Practice Characteristic survey baseline NC Cooperative
Please complete the following survey, which is designed to collect
information about your practice for the Heart Health Now study.
We suggest you designate an Office Manager or a Lead Clinician to
complete this survey. We strongly encourage you to consult wit…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/general-operations
January 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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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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