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  1. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-11.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.11. Project Team Composition: Procedure Cards Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Cas…
  2. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.14. UTI Team Problem Statement 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 Ho…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43984/psn-pdf
    November 16, 2015 - Improving resident handoffs for children transitioning from the intensive care unit. November 16, 2015 Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067. https://psnet.ahrq.g…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.14. Project Team Composition—Hip and Knee Replacement Costs Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview He…
  5. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-1.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.1. Number of Interviewees by Type of Participant and Clinical Role Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lake…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73991/psn-pdf
    October 20, 2021 - Digital Clinical Safety Strategy October 20, 2021 NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. https://psnet.ahrq.gov/issue/digital-clinical-safety-strategy Digital clinical technologies hold promise for care improvement while contributing to potential failures due to th…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40861/psn-pdf
    October 19, 2011 - Registered nurses' judgments of the classification and risk level of patient care errors. October 19, 2011 Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097/NCQ.0b013e31820f4c57. https://ps…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40808/psn-pdf
    January 12, 2012 - Prevalence of polypharmacy exposure among hospitalized children in the United States. January 12, 2012 Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161. https://p…
  9. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-1.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.1. Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer in Lehigh Valley, Pennsylvania, by County and Sex, 2002-2006 Previous Page Next Page Table of Contents Health Care Sys…
  10. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.5. Organizational Goals of Lean 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 H…
  11. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-7.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.7. Lean Project Team Training 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 Hos…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44124/psn-pdf
    June 21, 2015 - Information gaps in newborn care and their potential for harm. June 21, 2015 Kumar P, Biswas A, Iyengar H, et al. Information gaps in newborn care and their potential for harm. Jt Comm J Qual Patient Saf. 2015;41(5):228-233. https://psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm Inter…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36682/psn-pdf
    March 28, 2011 - Insufficient communication about medication use at the interface between hospital and primary care. March 28, 2011 Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;16(1):34-9. https://psnet.ahrq.gov/i…
  14. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex5.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 5. Numbers of Tools Abstracted 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 Steps References App…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48136/psn-pdf
    August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…
  16. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  17. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  18. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-12.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.12. Lean Project Roles Mapped to Functional Roles Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …
  19. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74708/psn-pdf
    January 26, 2022 - COVID Risk In Hospitals. January 26, 2022 Weber L, Jewett C. Kaiser Health News. 2021-2022. https://psnet.ahrq.gov/issue/covid-risk-hospitals The infectious nature of COVID continues to impact the safety of hospitalized patients. This article series examines factors contributing to hospital-acquired COVID-19 infec…