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psnet.ahrq.gov/node/37224/psn-pdf
December 15, 2011 - Medication errors: an important component of
nonadherence to medication in an outpatient population
of lung transplant recipients.
December 15, 2011
Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication
in an outpatient population of lung transplant recipients. A…
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psnet.ahrq.gov/node/850936/psn-pdf
June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care.
June 21, 2023
Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023.
https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
Delay in access to obstetric care hinders safe treatment for patients experienci…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.8. Lean Team Training at Central 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.…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-7.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.7. 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/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.3. Characteristics of LHC (All Hospitals)
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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…
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psnet.ahrq.gov/node/42205/psn-pdf
April 24, 2013 - Reported medication errors after introducing an
electronic medication management system.
April 24, 2013
Redley B, Botti M. Reported medication errors after introducing an electronic medication management
system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.x.
https://psnet.ahrq.gov/issue/re…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/837430/psn-pdf
June 15, 2022 - Stop using these adult bed rails, warns the Consumer
Product Safety Commission.
June 15, 2022
Treisman R. National Public Radio. June 6, 2022
https://psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
Bedrails are used in hospitals and at home to minimize falls despite t…
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psnet.ahrq.gov/node/42012/psn-pdf
February 06, 2013 - Quality of outpatient clinical notes: a stakeholder
definition derived through qualitative research.
February 6, 2013
Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition
derived through qualitative research. BMC Health Serv Res. 2012;12:407. doi:10.1186/1472-696…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.16. Project Team Composition–Cardiology Follow-up Appointment Scheduling
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1…
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psnet.ahrq.gov/node/39933/psn-pdf
December 31, 2014 - Assessing the accuracy of drug profiles in an electronic
medical record system of a Washington State hospital.
December 31, 2014
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of
a Washington state hospital. Am J Manag Care. 2010;16(10):e245-50.
https://ps…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.3. Characteristics of the Critical Access 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 …
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psnet.ahrq.gov/node/50568/psn-pdf
October 23, 2019 - Automation of the I-PASS tool to improve transitions of
care.
October 23, 2019
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J
Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-18.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.18. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Follow Up a Positive Stool Test or Abnormal Flexible Sigmoidoscopy With a Recommended or Not Recommended Action
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab3-6.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 3.6. Control Survey Respondents and Response Rates, by Practice
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Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-7.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.7. Percentage Distribution of LVPHO Patients (Ages 50-79) and Study Patients, by Practice Affiliation
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Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Su…
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psnet.ahrq.gov/node/853971/psn-pdf
September 27, 2023 - Unconscious bias among health professionals: a scoping
review.
September 27, 2023
Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review.
Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569.
https://psnet.ahrq.gov/issue/unconscious-bias-among-…
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psnet.ahrq.gov/node/843323/psn-pdf
February 01, 2023 - Long-Term Trends of Psychotropic Drug Use in Nursing
Homes.
February 1, 2023
Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-
00500.
https://psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
Misdiagnosis can result in inappropriate medication u…
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psnet.ahrq.gov/node/41649/psn-pdf
December 21, 2014 - Last orders: follow-up of tests ordered on the day of
hospital discharge.
December 21, 2014
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital
Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
https://psnet.ahrq.gov/issue/last-orde…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table1.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Table 1. Four Models of Self-management Support
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Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options…