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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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/developing-consistent-useful-quality-improvement.pdf
September 01, 2020 - Types of Intervention
Effects
Describe each effect of the intervention (e.g., hospitalization, visits … Secondary
measures: any asthma
hospitalization and any
emergency department
visit for asthma in the
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary24/falls-prevention-in-older-adults-counseling-and-preventive-medication-2012
December 15, 2010 - for serious harms, including clinically significant abnormal laboratory or other diagnostic testing, hospitalization … falls, gait and balance impairment, clinical history (for example, stroke, Parkinson disease, recent hospitalization … comprehensive falls assessment; self-reported musculoskeletal complaints (but not outpatient visits or hospitalizations
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Similarly, certain patterns, such as unexpected hospitalizations after a primary care visit,
can be … Error
Patient-provider encounter Emergency department or primary
care visit followed by unplanned
hospitalization … Adverse events during hospitalization: results of a patient survey.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012
May 15, 2012 - requiring clinician follow-up that the men consider a "moderate or major problem"; approximately 1% require hospitalization … include persistent hematospermia (50.4%), hematuria (22.6%), fever (3.5%), urinary retention (0.4%), and hospitalization
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/impaired-visual-acuity-in-older-adults-screening-2016
March 01, 2016 - CI, 0.73-1.18
NR by treatment group; narrative report of no significant increase in incidence of hospitalization … mineral supplements
The large AREDS trial found zinc aassociated with significantly increased risk of hospitalization
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prioritization-selection-of-harms.pdf
February 01, 2018 - the
FDA definition, serious harms are those that result in death, are life-threatening, result in
hospitalization … or prolongation of an existing hospitalization, result in persistent or significant
incapacity or ability
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Similarly, certain patterns, such as unexpected hospitalizations after a primary care visit,
can be … Error
Patient-provider encounter Emergency department or primary
care visit followed by unplanned
hospitalization … Adverse events during hospitalization: results of a patient survey.
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hcup-us.ahrq.gov/reports/methods/2008_01.pdf
January 01, 2008 - Microsoft Word - deliverable45_01.doc
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: …
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdf
January 01, 2009 - Creating Online NICU Networks to Educate, Consult, and Team (Project CONNECT)
Grant Final Report
Grant ID: 1UC1HS016147
Creating Online NICU Networks to Educate, Consult,
and Team (Project CONNECT)
Inclusive Dates: 10/01/05 - 09/30/09
Principal Investigator:
Valerie Rachal, RN, PhD
Team…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
-
psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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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/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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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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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-…