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psnet.ahrq.gov/node/35382/psn-pdf
October 05, 2005 - Rx for a better prescription. Hospital bans doctors from
using confusing medical abbreviations.
October 5, 2005
Hall J. Fredericksburg Times. September 25, 2005
https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-
abbreviations
This article presents one hospital’s pro…
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psnet.ahrq.gov/node/37137/psn-pdf
October 04, 2011 - Rural hospital patient safety systems implementation in
two states.
October 4, 2011
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States.
The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
https://psnet.ahrq.gov/issue/rural-hospital-patien…
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Implementation of Patient Safety Projects
Curated Library
Foundations
Leading change: why transformation efforts fail.
Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
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
Case 3. Grand Hospital Center
Case 4. Suntown …
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompia.jsp
August 01, 2006 - SID File Composition - Iowa
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, especially among older adults. The Centers for D…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca13.jsp
July 01, 2016 - Frequently Asked Questions about Collecting R/E/L Data
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Monitoring Progress for Sustainable Impro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool E.1
Monitoring Progress for Sustainable Improvement
What is the purpose of this tool? This tool provides guidance on how to monitor and report
your progres…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading
Safety Interventions
Contents
Background and Acknowledgments ............................................................................................... 2
How T…
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading
Safety Interventions
Contents
Background and Acknowledgments ............................................................................................... 2
How T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6)
Insert hospital logo here
Communicating to
Improve Quality
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 2: Communicating to Improve Quality Training (Tool 6)
Guide to Patient & Family Engagement
As people enter the …
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_1_6a.jsp
January 01, 2006 - Exhibit 1.6 Discharge Status
Distribution of Inpatient Hospital Stays by Discharge Status, 2006
Percent Distribution
Routine
74%
Long-term Care and Other Facilities
12%
Home Health Care
9%
In-hospital Deaths
2%
Another Short-term Hospital
2%
Against Medi…
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psnet.ahrq.gov/node/40924/psn-pdf
February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and
practical recommendations for improvement.
February 23, 2015
O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical
recommendations for improvement. J Hosp Med. 2012;7(1):48-54. doi:10.1002/jhm.970.
https://psne…
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psnet.ahrq.gov/node/867649/psn-pdf
January 01, 2015 - Improving Pain Management for Hospitalized Medical
Patients.
January 1, 2015
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
Pain management presents complex patient safety concerns. Info…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.16. Key Facilitators and Barriers to Organizing and Implementing Lean at Heights Hospital (From Conceptual Framework)
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studie…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-6-tables-5-6.pdf
June 02, 2025 - CHIPRA 213: Section 6, Tables 5 and 6
Table 5: Agreement and Kappa Statistics for Sickle Cell Disease for Inter‐Rater Reliability at Three
Sites
Site Total Records N Agreed (%) Kappa Statistic
Hospital #1 2 100% 1.00
Hospital #2 4 100% 1.00
Hospital #3 10 100% 1.00
All Sites 16 100% 1.00
Table 6: …
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psnet.ahrq.gov/node/35612/psn-pdf
June 23, 2010 - Case-control analysis of the financial cost of medication
errors in hospitalized patients.
June 23, 2010
Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in
hospitalized patients. Eur J Health Econ. 2006;7(1):66-71.
https://psnet.ahrq.gov/issue/case-control-…
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psnet.ahrq.gov/node/35279/psn-pdf
June 30, 2009 - Results of a survey on medical error reporting systems in
Korean hospitals.
June 30, 2009
KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med
Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005.
https://psnet.ahrq.gov/issue/results-survey-medical-error-reportin…
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psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
August 09, 2017 - Book/Report
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.
Citation Text:
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…