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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.8. Kaizen Activities
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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
C…
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www.ahrq.gov/cahps/news-and-events/events/webinar-111919.html
December 01, 2019 - Recent Insights Into CAHPS Survey Modes and Response Rates
November 19, 2019
Summary
Speakers
Recording
Transcript
Summary
This AHRQ webcast shared recent research findings on survey invitation formats, such as email and text, and administration modes, such as web and on-site distribution. This …
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psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic pain.
November 17, 2021
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced
dispensing to certain patients with chronic pain. Health Aff (Millwood). 2021;40(11):1…
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psnet.ahrq.gov/node/45055/psn-pdf
December 04, 2016 - Analysis of clinical decision support system
malfunctions: a case series and survey.
December 4, 2016
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case
series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005.
https://psnet.ah…
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psnet.ahrq.gov/node/854831/psn-pdf
January 01, 2024 - Medication safety events after acute myocardial infarction
among veterans treated at VA versus non-VA hospitals.
October 25, 2023
Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction
among veterans treated at VA versus non-VA hospitals. Med Care. 2024;62(2):72-78.
do…
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems.
February 3, 2011
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety
systems. JAMA. 2005;294(22):2858-65.
https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
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psnet.ahrq.gov/node/60635/psn-pdf
January 01, 2021 - Systemic defenses to prevent intravenous medication
errors in hospitals: a systematic review.
July 1, 2020
Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors
in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/pts.0000000000000688.
https://psnet.a…
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psnet.ahrq.gov/node/36586/psn-pdf
July 08, 2008 - House staff team workload and organization effects on
patient outcomes in an academic general internal
medicine inpatient service.
July 8, 2008
Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient
outcomes in an academic general internal medicine inpatient service. Ar…
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psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Changes in practice among physicians with malpractice
claims.
April 3, 2019
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N
Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
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psnet.ahrq.gov/node/47014/psn-pdf
July 02, 2019 - Multisource evaluation of surgeon behavior is associated
with malpractice claims.
July 2, 2019
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With
Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
https://psnet.ahrq.gov/issue/multisourc…
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psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - Extent of diagnostic agreement among medical referrals.
October 11, 2017
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval
Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
Diagn…
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psnet.ahrq.gov/node/47672/psn-pdf
January 17, 2019 - Adverse events and patient outcomes among hospitalized
children cared for by general pediatricians vs hospitalists.
January 17, 2019
Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw
Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.5686.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/61061/psn-pdf
October 28, 2020 - Safer prescribing for hospitalized older adults with an
electronic health records?based prescribing context.
October 28, 2020
Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health
records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…
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psnet.ahrq.gov/node/45829/psn-pdf
June 27, 2018 - Learning from errors: analysis of medication order
voiding in CPOE systems.
June 27, 2018
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order
voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187.
https://psnet.ahrq.gov/issue/le…
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psnet.ahrq.gov/node/848315/psn-pdf
May 03, 2023 - Nurse staffing and inpatient mortality in the English
National Health Service: a retrospective longitudinal
study.
May 3, 2023
Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health
Service: a retrospective longitudinal study. BMJ Qual Saf. 2023;32(5):254-263. …
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? The
case of warfarin-related medication errors.
January 6, 2017
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of
warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence
Among Medicare Beneficiaries in Two Selected Counties.
February 18, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-08-00220.
https://psnet.ahrq.gov/issue/adverse-eve…
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psnet.ahrq.gov/node/72498/psn-pdf
January 01, 2021 - Changes in weekend and weekday care quality of
emergency medical admissions to 20 hospitals in
England during implementation of the 7-day services
national health policy.
November 25, 2020
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency
medical admissions to 20 hos…
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - Racial and ethnic disparities in patient safety.
August 28, 2017
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf.
2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raise…