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psnet.ahrq.gov/node/38937/psn-pdf
September 23, 2009 - Cascade iatrogenesis: factors leading to the development
of adverse events in hospitalized older adults.
September 23, 2009
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of
adverse events in hospitalized older adults. Int J Nurs Stud. 2009;46(11):1528-1535.
doi:10.1016…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-13.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.13. Project Team Composition—Clinic Flow Project
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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-exhibit4-17.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.17. Key Facilitators and Barriers to Organizing and Implementing Lean at Suntown Hospital (From Conceptual Framework)
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studie…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.18. Key Facilitators and Barriers to Organizing and Implementing Lean at Grand Hospital Center (from Conceptual Framework)
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case S…
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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - including delayed or missed diagnoses, suboptimal
disease management, and avoidable complications and hospitalizations … scores, delayed or missed diagnoses, suboptimal
disease management, and avoidable complications and hospitalizations
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meps.ahrq.gov/data_files/publications/st272/stat272.shtml
December 01, 2009 - STATISTICAL BRIEF #272:
National Health Care Expenses in the U.S. Civilian Noninstitutionalized Population, 2007
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An official website of the Department of Health & Human Services
…
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meps.ahrq.gov/data_files/publications/st301/stat301.shtml
December 01, 2010 - STATISTICAL BRIEF #301:
National Health Care Expenses in the U.S. Civilian Noninstitutionalized Population, 2008
Skip to main content
An official website of the Department of Health & Human Services
…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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hcup-us.ahrq.gov/reports/methods/2009_03.pdf
January 01, 2009 - Microsoft Word - deliverable57_02_CD_V2.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:
E…
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2011
January 01, 2011 - Improving Management of Test Results that Return After Hospital Discharge - 2011
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2012
January 01, 2012 - Improving Management of Test Results That Return After Hospital Discharge - 2012
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
May 02, 2018 - Book/Report
Hospital Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…
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digital.ahrq.gov/sites/default/files/docs/page/Utah%204-VI.ppt
June 16, 2021 - Medication History Settings
Utah Health Information Network
Evaluation Method Summary
AHRQ 2006
Jan Root, Ph.D.
Assistant Executive Director
UHIN Pilot
Submitter Receiver Message Format
Hospital Providers (clinical messages)
Payers (claim attachments) Discharge summaries, etc. HL7, pdf
Clinics Hospitals (clinic…
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psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
February 01, 2011 - Study
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Citation Text:
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - Review
A systematic review of failures in handoff communication during intrahospital transfers.
Citation Text:
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
Copy Citation
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psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
December 15, 2021 - Review
A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.
Citation Text:
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …
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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Study
Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.
Citation Text:
Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
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psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
October 06, 2021 - Study
Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.
Citation Text:
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…