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  1. 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 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 …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47061/psn-pdf
    July 25, 2018 - Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. July 25, 2018 Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm. Nu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34594/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837744/psn-pdf
    July 27, 2022 - Medication orders with future start dates: how far away is too far? July 27, 2022 ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far Human errors that occur while interacting with electronic health recor…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46360/psn-pdf
    October 25, 2017 - Creating a culture of caregiver support. October 25, 2017 Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospital Psychiatry. 2016;43. doi:10.1016/j.genhosppsych.2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43045/psn-pdf
    August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38663/psn-pdf
    May 27, 2009 - Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. May 27, 2009 Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. Surgery. 2009;145(5):527-35. doi:10.1016…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37794/psn-pdf
    February 15, 2011 - Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. February 15, 2011 Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47801/psn-pdf
    May 11, 2019 - Opioid prescribing trends and the physician’s role in responding to the public health crisis. May 11, 2019 Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jamainternmed.2018.7934. https://psnet.ahrq…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74042/psn-pdf
    November 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021. https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- foundation-trust…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44440/psn-pdf
    August 26, 2015 - Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. August 26, 2015 Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.06.1889. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…
  13. pso.ahrq.gov/pso/alliance-dedicated-cancer-centers-patient-safety-organization
    June 14, 2022 - SHARE: More topics in this section Return to Search Alliance of Dedicated Cancer Centers Patient Safety Organization PSO Number: P0240 Components of Parent Org(s): Alliance of Ded…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41392/psn-pdf
    July 02, 2014 - Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. July 2, 2014 Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):792-8. doi:10.1097/ACM.0b013e318253c9e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74032/psn-pdf
    November 03, 2021 - Patient, surgeon, and health care worker safety during the COVID-19 pandemic. November 3, 2021 Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124. https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44908/psn-pdf
    June 07, 2016 - Speak up! Addressing the paradox plaguing patient- centered care. June 7, 2016 Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center…
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Long-term Care Resources Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors, and increase patient safety. Sign up: Long-Term Care Email updates Comparative Effectiveness Reviews Comparative effectiveness reviews about long-term care Evidence …
  18. www.ahrq.gov/talkingquality/assess/index.html
    September 01, 2019 - Assess Your Health Care Quality Reporting Project Reporting comparative quality information to consumers is typically not a one-time event but an ongoing activity. For this reason, evaluation is a key part of your work, an aspect that has to be thought about and, in some cases, acted upon from the outset. An …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43967/psn-pdf
    November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35553/psn-pdf
    July 03, 2013 - Maximizing the Use of State Adverse Event Data to Improve Patient Safety. July 3, 2013 Rosenthal J, Booth M. National Academy for State Health Policy; 2005. https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety This report, generated by the National Academy for State Health Po…