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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.18. Major Factors that Inhibited 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
Cas…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes
Transitioning to the SOPS™ Hospital Survey
Version 2.0: What’s Different and What To Expect
Part II: Appendixes
Appendix A – Differences in Scores Between HSOPS 2.0 and
HSOPS 1.0
Appendix B – How T…
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www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT)
STRAIT (5U18HS016651-02) Final Report Weinger et al
STRAIT
Simulation Training For Rapid Assessment And Improved Teamwork
Principal Investigator: Matthew B. Weinger, MD
Team Members: Audrey Kuntz, Becky Arndt, Debbie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations
259
Developing a Veterans Health Administration
(VHA) Serious Injury Surveillance System that
Includes Adverse Event Hospitalizations
Robert R. Campbell, Douglas D. Bradham, Aurora S…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Inpatient-Weighted.pdf
September 26, 2023 - Clinical laboratory (billing independently) 888 0.01 7,166,677 82.58
70: Single or Multispecialty clinic
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
April 10, 2025 - Does everyone in the clinic use these measures?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report
1
Ratio of Magnetic Resonance Imaging Scans to
Computed Tomography Scans for the Evaluation of
Children with Atraumatic Seizure
Section 1. Basic Measure Information
1.A. Mea…
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www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
January 01, 2024 - White, African American, and Latina women
ages ≥ 50 years who were seeking care at two community-based clinic
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy
1
Assessing the Availability of the Preconception
Component of High-Risk Obstetrical Services by
Estimating the Use of Teratogenic Medications B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - On-Time Pressure Ulcer Prevention: Facilitator Training—Additional Exercises
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Prevention Facilitator Training
Additional Exercises
Nutrition Risk Reports Information Exercises ........................................................................…
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www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
January 01, 2024 - Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis
Title of Project
Epidemiology, Exploration, and Evaluation: Addressing
potentially dangerous medications in children on Medicaid with
a mental health…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIII.pdf
August 13, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair(s)
Marian Earls, MD, FAAP QuIIN Steering Committee Member; helped to lead the PreSIP QuIIN
QI project; actively involved on DSF projects including leadership for
ABCD 1, 2, 3.
John Duby, MD, FAAP Presi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIII.pdf
August 25, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair(s)
Marian Earls, MD, FAAP QuIIN Steering Committee Member; helped to lead the PreSIP QuIIN
QI project; actively involved on DSF projects including leadership for
ABCD 1, 2, 3.
John Duby, MD, FAAP Presi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_XIII.pdf
January 01, 2014 - Pediatric Patient Safety Consortium
DSF Expert Work Group Roster
Name Experience
Co-Chair(s)
Marian Earls, MD, FAAP QuIIN Steering Committee Member; helped to lead the PreSIP QuIIN
QI project; actively involved on DSF projects including leadership for
ABCD 1, 2, 3.
John Duby, MD, FAAP Presi…
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www.ahrq.gov/topics/ruralinner-city-residents.html
Topic: Rural/Inner-City Residents
Rural and inner-city populations each face unique healthcare challenges. Geographic isolation, persistent shortages of healthcare providers, lower socioeconomic status and levels of educational attainment, cultural and social differences, and lack of health insurance all contribute t…
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www.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plans
The work of AHRQ and other Federal agencies is guided by work groups, committees, investigators and expert advisors who contribute to reports on specific topics that impact health care.
National Action Plans
National Action Plans are developed with expert input to provide a framework f…
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www.ahrq.gov/patient-safety/settings/esrd/resource/engagement.html
December 01, 2014 - Patient and Family Engagement
ESRD Toolkit
The Patient and Family Engagement module of the ESRD Toolkit defines patient engagement in the context of end-stage renal disease facilities, discusses how to recognize and overcome obstacles to patient engagement, explains how to engage patients and their families i…
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www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
January 01, 2015 - Creating a Culture of Safety
ESRD Toolkit
The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers.
Presentation Slides ( PPTX, 20 M B)
Facilitator …
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www.ahrq.gov/evidencenow/tools/tools-tip-sheets.html
June 01, 2025 - Urinary Incontinence EHR Screening Tools Tip Sheets
Urinary Incontinence EHR Screening Tools Tip Sheets (PDF, 874 KB) This document contains IT 2 Team – Northwestern Medicine’s EPIC© Tip Sheets to guide clinicians and clinical support staff on how to review female urinary incontinence screening tools in the…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
May 01, 2017 - Toolkit Sections
Implementation
Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…