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psnet.ahrq.gov/node/38376/psn-pdf
February 04, 2009 - Patient safety climate in 92 US hospitals: differences by
work area and discipline.
February 4, 2009
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area
and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189d.
https://psnet.ahrq.gov/issue/p…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.9. Lean Project Roles Mapped to Functional Roles
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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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psnet.ahrq.gov/node/844760/psn-pdf
September 18, 2019 - Implementing a warm handoff between hospital and
skilled nursing facility clinicians.
September 18, 2019
Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing
Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.0000000000000529.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42488/psn-pdf
August 14, 2013 - Lessons learned from implementation of computerized
provider order entry in 5 community hospitals: a
qualitative study.
August 14, 2013
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider
order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
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psnet.ahrq.gov/node/44777/psn-pdf
April 05, 2016 - Predictors of warfarin-associated adverse events in
hospitalized patients: opportunities to prevent patient
harm.
April 5, 2016
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized
patients: Opportunities to prevent patient harm. J Hosp Med. 2016;11(4):276-82. doi…
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psnet.ahrq.gov/node/40678/psn-pdf
December 01, 2011 - Prevalence of adverse events in the hospitals of five Latin
American countries: results of the 'Iberoamerican Study
of Adverse Events' (IBEAS).
December 1, 2011
Aranaz-Andrés JM, Aibar-Remón C, Limón-Ramírez R, et al. Prevalence of adverse events in the hospitals
of five Latin American countries: results of the 'I…
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psnet.ahrq.gov/node/42681/psn-pdf
December 13, 2013 - Medication reconciliation: reducing risk for medication
misadventure during transition from hospital to assisted
living.
December 13, 2013
Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure
during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
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psnet.ahrq.gov/node/44009/psn-pdf
July 18, 2016 - Automated communication tools and computer-based
medication reconciliation to decrease hospital discharge
medication errors.
July 18, 2016
Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication
Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
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psnet.ahrq.gov/node/45173/psn-pdf
November 18, 2016 - Impact of hospital-acquired conditions on financial
liabilities for Medicare patients.
November 18, 2016
Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare
patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43034/psn-pdf
March 12, 2014 - Implementation of a pediatric rapid response team:
experience of the Hospital for Sick Children in Toronto.
March 12, 2014
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of
the Hospital for Sick Children in Toronto. Indian Pediatr. 2014;51(1):11-5.
https://psnet…
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psnet.ahrq.gov/node/39639/psn-pdf
August 03, 2010 - Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the Global Trigger
Tool.
August 3, 2010
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the Global Trigger Tool. International …
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psnet.ahrq.gov/node/40118/psn-pdf
January 05, 2011 - Hospital computerized provider order entry adoption and
quality: an examination of the United States.
January 5, 2011
Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of
the United States. Health Care Manage Rev. 2011;36(1):86-94. doi:10.1097/HMR.0b013e3181c8b1e5.…
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psnet.ahrq.gov/node/50685/psn-pdf
November 20, 2019 - 20 Years After “To Err is Human”, Leapfrog Hospital
Safety Grades Prove Transparency Can Save Lives.
November 20, 2019
Washington DC; National Quality Forum: 2019.
https://psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-
can-save-lives
The Leapfrog Group announces …
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psnet.ahrq.gov/node/60914/psn-pdf
September 16, 2020 - Opioid stewardship program and postoperative adverse
events: a difference-in-differences cohort study.
September 16, 2020
Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse
events: a difference-in-differences cohort study. Anesthesiology. 2020;132(6):1558-1568.
do…
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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - Medical errors kill thousands of people each year. But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023.
https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
The semi-annual Leapfrog Hospital Safety Grades are recognized across…
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www.ahrq.gov/patient-safety/resources/discharge/index.html
December 01, 2017 - Improving Hospital Discharge Through Medication Reconciliation and Education
Project focused on improving the hospital discharge process.
Mark Williams, M.D., Emory University, Atlanta, GA
AHRQ Grant No. HS015882-01
Overview
This project implements a "discharge bundle" consisting of medication reconcilia…
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hcup-us.ahrq.gov/db/nation/nis/reports/2005niscomparisonrpt.jsp
November 01, 2015 - 2005 HCUP Nationwide Inpatient Sample (NIS) Comparison Report
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/case_for_re.jsp
February 01, 2025 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
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Careers
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digital.ahrq.gov/sites/default/files/docs/publication/Appleby22206.pdf
February 22, 2006 - Montana: Big Sky Country
Beckons Health IT
By Chuck Appleby
Linking providers with varying levels of IT development, a Montana RHIO aims to ease the burden on emer-
gency room physicians and eliminate paper-based processes.
Big Sky Country has drawn its share of outsiders, including celebrity ranchers, writers and …
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hcup-us.ahrq.gov/toolssoftware/revisit/revisit.jsp
October 01, 2024 - HCUP Supplemental Variables for Revisit Analyses
An official website of the Department of Health & Human Services
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Careers
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Em…