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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.2. Grand Hospital Center
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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 2. Central Hospital…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex2.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 2. Categories and Questions in the Environmental Scan
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Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next S…
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - Book/Report
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report
Citation Text:
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…
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psnet.ahrq.gov/issue/partnering-patients-drive-shared-decisions-better-value-and-care-improvement-workshop
September 23, 2015 - Meeting/Conference Proceedings
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.
Citation Text:
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. Roundtable on Value and …
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement.
Citation Text:
Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
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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 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - Newspaper/Magazine Article
Physician leadership is key to creating a safer, more reliable health care system.
Citation Text:
Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/14-engaging-stakeholders.pptx
June 01, 2023 - PowerPoint Presentation
AHRQ Safety Program for Improving Surgical Care and Recovery
Engaging Stakeholders
Developing a Vision for Your Improving Surgical Care
and Recovery Program
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Visit AHRQ’s Comprehensive Unit-Ba…
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psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Newspaper/Magazine Article
Investigators find hospital error caused mother’s death in Brooklyn.
Citation Text:
Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024.
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psnet.ahrq.gov/issue/why-current-breast-pathology-practices-must-be-evaluated
February 23, 2018 - Book/Report
Why Current Breast Pathology Practices Must Be Evaluated.
Citation Text:
Why Current Breast Pathology Practices Must Be Evaluated. Dallas, TX: Susan G Komen Breast Cancer Foundation; 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
November 09, 2016 - Just Culture Webcast Intro
Using Just Culture to Improve
Hospital Survey on Patient Safety
Culture Results
Webcast
November 9, 2016
1:00-2:00 ET
Presented by Westat under contract to the Agency
for Healthcare Research and Quality
Need Help?
• No sound from computer speakers?
– Join us by phone: 855-442-57…
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002.
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psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
December 16, 2015 - Special or Theme Issue
Diagnostic Errors and Strategies to Minimize Them.
Citation Text:
Diagnostic Errors and Strategies to Minimize Them. Cutrer WB, Sullivan WM, Fleming AE, et al. Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257.
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psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
September 14, 2011 - Newspaper/Magazine Article
Why are so many women being misdiagnosed?
Citation Text:
Why are so many women being misdiagnosed? Mickle K. Glamour. August 11, 2017.
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psnet.ahrq.gov/issue/encouraging-patients-ask-questions-how-overcome-white-coat-silence
April 17, 2019 - Commentary
Encouraging patients to ask questions: how to overcome "white-coat silence."
Citation Text:
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
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psnet.ahrq.gov/issue/patient-safety-break-silence
October 19, 2022 - Commentary
Patient safety: break the silence.
Citation Text:
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Readiness Assessment
Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve.
Are You Ready for TeamSTEPPS?
Determining whether your organization or u…
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www.ahrq.gov/cahps/surveys-guidance/surgical/index.html
March 01, 2025 - CAHPS Surgical Care Survey
The CAHPS Surgical Care Survey asks adult patients to report on surgical care, surgeons, their staff, and anesthesiologists. This standardized survey expands on the CAHPS Clinician & Group Survey , which focuses on primary and specialty care, by incorporating domains that are relevan…
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digital.ahrq.gov/principal-investigator/chalil-madathil-kapil
January 01, 2023 - Chalil Madathil, Kapil
An exploratory study investigating the barriers, facilitators, and demands affecting caregivers in a telemedicine integrated ambulance-based setting for stroke care.
Citation
Rogers H, Madathil KC, Joseph A, Holmstedt C, Qanungo S, McNeese N, Morris T, H…