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  1. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…
  2. 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 Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next S…
  3. 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…
  4. 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 …
  5. 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. Copy Citation Save Save to you…
  6. 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…
  7. 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 Previous Page Next Page 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…
  8. 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. Copy Ci…
  9. 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…
  10. 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. Copy Citation Save Save to your lib…
  11. 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. Copy Citation Save Save to your library Print D…
  12. 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…
  13. 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. Copy Citat…
  14. 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.   Copy Citation Sav…
  15. 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. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  16. 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. Copy Citation F…
  17. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  18. 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…
  19. 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…
  20. 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…