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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
January 01, 2020 - Transforming Hospitals: Designing for Safety and Quality
1
Background
The 1999 Institute of Medicine’s landmark report, To Err is Human:
Building a Safer Health System, exposed the tremendous costs, both in
human and financial terms, of medical errors in the U.S. health care
system.1 Two studies cited in the rep…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Canonsburg (PA): Mylan
Institutional LLC; 2014 Jan. 10 p.
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www.ahrq.gov/research/findings/final-reports/ptflow/section1.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 1. The Need to Address Emergency Department Crowding
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Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
November 01, 2023 - Grantee Profile
Improving Healthcare Using Engineering Principles
Ayse P. Gurses, Ph.D., M.P.H., M.S.
Founding Director, Johns Hopkins Center for Health Care Human Factors
Armstrong Institute for Patient Safety and Quality
Johns Hopkins Medicine
Ayse P. Gurses,
Ph.D., M.P.H., M.S.
“My car…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
April 01, 2015 - A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center
A Study of the Patient-Centered Medical Home: Lessons From a New
York State Community Health Center
Principal Investigator: Neil Calman, MD
Institution: The Institute for Family Health
AHRQ Grant Number: R18…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
January 31, 2024 - Additionally, institutional review board (IRB) requirements and timelines
posed challenges, including … The Abt Associates institutional review board (IRB) determined
that this project is exempt from IRB … Sometimes there are institutional barriers, some organizations hire faster than others.
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hcup-us.ahrq.gov/reports/methods/2006_8.pdf
January 01, 2006 - Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP P…
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www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
January 01, 2024 - The data are publicly available; therefore, use did not require
approval from an Institutional Review … These results may be due to chance or to patient or institutional characteristics. … Each site coped with major institutional changes (e.g.,
budget cuts, mergers, adoption of new electronic
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www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - This is important for engaging new champions and changing institutional
cultures to ones of quality
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa
AHRQ Grant No.: HS024379
Proj…
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psnet.ahrq.gov/curated-library/organizational-learning
August 11, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Organizational Learning
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Only one institutional unit (a small community hospital)
was used in this study, so it is possible that … attention to a problem not identified in our design process, it is
recommended that the process allow for institutional
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hcup-us.ahrq.gov/reports/methods/2003_04.pdf
January 01, 2003 - HCUP_methods_series_cover.ai
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcu…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
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digital.ahrq.gov/ahrq-funded-projects/value-imaging-related-information-technology/annual-summary/2008
January 01, 2008 - Value of Imaging-Related Information Technology - 2008
Project Name
Value of Imaging-Related Information Technology
Principal Investigator
Gazelle, Scott
Organization
Massachusetts General Hospital
Funding Mechanism
RFA: HS04-012: Demonstrating the Value of Health I…
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psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
July 03, 2016 - Study
Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.
Citation Text:
Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…
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psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
January 04, 2017 - Study
Closing the loop: follow-up and feedback in a patient safety program.
Citation Text:
Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21.
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Format:
…
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - Study
The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,
Citation Text:
Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…
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psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
October 19, 2022 - Study
Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.
Citation Text:
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization.
Citation Text:
Technical Evaluation, Testing, and Validation of the Usability …