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  1. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33962/psn-pdf
    June 22, 2007 - Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. June 22, 2007 HB 1602. Washington State Legislature. 2003-2004. https://psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hosp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37836/psn-pdf
    September 25, 2008 - Staff attitudes about event reporting and patient safety culture in hospital transfusion services. September 25, 2008 Sorra J, Nieva V, Fastman BR, et al. Staff attitudes about event reporting and patient safety culture in hospital transfusion services. Transfusion (Paris). 2008;48(9):1934-42. doi:10.1111/j.1537- …
  4. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35186/psn-pdf
    July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42825/psn-pdf
    December 18, 2013 - Primary care physician communication at hospital discharge reduces medication discrepancies. December 18, 2013 Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10.1002/jhm.2098. https://psnet.a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38112/psn-pdf
    December 30, 2014 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. December 30, 2014 Murdaugh L, Jordin R. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. Hosp Pharm. 2010;43(9):728-733. doi:10.1310/hpj4309-728. https://psnet.ahrq.gov…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41498/psn-pdf
    December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey. December 31, 2014 Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37401/psn-pdf
    March 28, 2012 - Interventions for preventing falls in acute- and chronic- care hospitals: a systematic review and meta-analysis. March 28, 2012 Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1…
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-6-tables-6-7.pdf
    June 02, 2025 - Section 6, Tables 6 and 7 Table 6: Agreement and Kappa Statistics for Inter‐Rater Reliability at Three Sites Site Measure Numerator/ Eligibility Criteria Number of Records Reviewed N Agreed (%) Kappa Statistic Hospital #1 Pain Numerator 3 100% 1.00 Pain Criterion 3 100% 1.00 Hospital #2 Pain Numerator …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74009/psn-pdf
    October 27, 2021 - Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. October 27, 2021 Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436. https://psnet.ahrq.gov/issue/q…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38276/psn-pdf
    December 10, 2008 - Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. December 10, 2008 Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred from the hospital to the nursing h…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40911/psn-pdf
    November 09, 2011 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. November 9, 2011 Dequito AB, Mol PGM, van Doormaal J, et al. Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. Drug…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35583/psn-pdf
    June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital network. June 17, 2010 Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. American Journal of Health-System …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35043/psn-pdf
    June 22, 2009 - Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. June 22, 2009 Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. https://psnet.ahrq.gov/issue/human-factors-e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34960/psn-pdf
    June 22, 2009 - Making hospital care safer and better: the structure- process connection leading to adverse events. June 22, 2009 El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. https://psnet.ahrq.gov/issue/making-hospital-care-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35760/psn-pdf
    July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. July 19, 2010 Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. https://psnet.ahrq.gov/issue/achieving-rapid…