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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
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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/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
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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 Ho…
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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…
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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
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview He…
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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
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lake…
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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…
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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…
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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…
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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
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Table of Contents
Health Care Sys…
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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
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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 H…
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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
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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 Hos…
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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…
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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…
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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
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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 Steps
References
App…
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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…
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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
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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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
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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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
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
…
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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
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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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…