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psnet.ahrq.gov/node/45270/psn-pdf
June 29, 2016 - Using contemporary leadership skills in medication safety
programs.
June 29, 2016
Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs.
Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338.
https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…
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psnet.ahrq.gov/node/47076/psn-pdf
August 15, 2018 - Incident learning in radiation oncology: a review.
August 15, 2018
Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119.
doi:10.1002/mp.12800.
https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
Learning from adverse events is a core component of …
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psnet.ahrq.gov/node/47037/psn-pdf
October 03, 2018 - Redesigning rounds in the ICU: standardizing key
elements improves interdisciplinary communication.
October 3, 2018
O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements
Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf. 2018;44(10):590-598.
doi:10.101…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/toolkit-contents.pdf
March 01, 2022 - Toolkit Table of Contents
Decolonization of
Non-ICU Patients With Devices
Toolkit Table of Contents
Introduction and Toolkit Overview Section
Introduction and Welcome .................................................................................... 1
ABATE Trial Investigators and Toolkit Project T…
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psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.6. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.6. Organizational Goals of Lean
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. Central H…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.10. Lean Projects Studied at LHC
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central …
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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/43298/psn-pdf
June 25, 2014 - Electronic prescribing: improving the efficiency and
accuracy of prescribing in the ambulatory care setting.
June 25, 2014
Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of
prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014;11:1g.
htt…
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www.ahrq.gov/evidencenow/tools/practice-team.html
November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide
Resource: The Practice Team
This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-1.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.1. Interviewees by Type of Participant and Clinical Role
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.15. Major Factors that Inhibited Lean Success
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/node/44352/psn-pdf
August 12, 2015 - Hospital checklists are meant to save lives—so why do
they often fail?
August 12, 2015
Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature.
2015;523(7562):516-8. doi:10.1038/523516a.
https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai…
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psnet.ahrq.gov/node/38725/psn-pdf
November 23, 2016 - A new structure of attention? Open disclosure of adverse
events to patients and their families.
November 23, 2016
Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2).
doi:10.1177/0261927x08330614.
https://psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-a…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-13.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.13. Project Team Composition—Pediatric Continuity of Care
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Heal…
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psnet.ahrq.gov/node/44062/psn-pdf
September 09, 2015 - How to make medication error reporting systems
work—factors associated with their successful
development and implementation.
September 9, 2015
Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--
Factors associated with their successful development and implementation. Hea…
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52.
doi:10.1136/bmjqs-2015-005076.
https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been embraced as an approach t…
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psnet.ahrq.gov/node/33936/psn-pdf
May 27, 2011 - Computer physician order entry: benefits, costs, and
issues.
May 27, 2011
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med.
2003;139(1):31-9.
https://psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
Using existing research, this revie…