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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.15. Outcomes by Category
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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 Hospital…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.15. Project Team Composition—Electronic Prescribing
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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/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave8.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Acknowledgments
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Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What Is AI?
Understanding A…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 4: Selecting Care Management Interventions
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Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Progra…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - It’s so exciting to see how enthusiastic you all are about making improvements in order to prevent falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - It’s so exciting to see how enthusiastic you all are about making improvements in order to prevent falls
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
October 01, 2017 - Module 2: How To Manage Change
Slide Presentation
Slide 1: How To Manage Change
ADD Hospital Name
Module 2
Slide 2: QI Change Process
Change process strategies can be applied to other quality improvement (QI) efforts:
Hospital falls.
Catheter-associated urinary tract infections.
Deep vei…
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www.ahrq.gov/news/newsletters/e-newsletter/917.html
June 01, 2024 - AHRQ Study Highlights Caregiver Needs in Mobile Health App Adoption
Issue Number
917
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 18, 2024
AHRQ Stats: Adverse Drug Events Involving Hypoglycemic Agents In 2021, 7.5 percent of Hispanic patients, 6.6 per…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Physicians in Preventing CLABSI and CAUTI
This “Making It Work” tip sheet provides additio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-co-success-story_0.pdf
April 01, 2015 - Oklahoma IMPaCT: Catalyzing Primary Care Transformation in Colorado
Oklahoma IMPaCT: Catalyzing Primary Care Transformation in
Colorado
A key goal of AHRQ’s IMPaCT grants is to learn
strategies for spreading successful primary care
transformation programs from State to State. Each IMPaCT
grant…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript
July 2018 https://www.ahrq.gov/sops/index.html 1
New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals
July 25, 2018 – Webcast Transcript
Speakers:
Joann Sorr…
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www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
January 01, 2024 - Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention
TITLE PAGE
Improving patient and clinician safety during COVID-19 through a rapidly adaptive
simulation intervention
Principal Investigator: Leigh V. Evans, MD
Team Members: Ambrose H.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - our preliminary results to review their institutions’ progress and
processes and for planning system improvements
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Slide Presentation
Slide 1: How To Measure Pressure Injury Rates and Prevention Practices
ADD Hospital Name Here
Module 5
Slide 2: Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
Image: Pu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Module 3: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. Wher…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Recogn…
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www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
January 01, 2025 - Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience
Project Title: Theory to Practice: Issues and Challenges for Engineering Resilience
Principal Investigator: Renaldo Blocker, Ph.D.
Team Members: Katherine Law, Ph.D., Susan Hallbeck, Ph.D., Shawna Perry, M.D., Erik
Hollnage…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices
How To Measure
Pressure Injury Rates
and Prevention Practices
ADD Hospital Name Here
Module 5
1
Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
2
2
Quality Improvement Principle
Pressure injury rates and preven…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for N…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Famolaro
The SOPS Databases
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
SOPS Databases
320
Hospitals
Version 1.0
(2021)
172
Hospitals
Version 2.0
(2021)
191
Nur…