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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - Study
Risk reduction strategy to decrease incidence of retained surgical items.
Citation Text:
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
Copy …
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psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
January 15, 2020 - Study
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Citation Text:
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…
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psnet.ahrq.gov/issue/recommendations-individualized-medical-treatment-and-common-adverse-events-management-lung
March 24, 2019 - Commentary
Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.
Citation Text:
Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse event…
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psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
November 21, 2017 - Study
Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
January 01, 2023 - Tennessee
Project Overview | Data and Functionality | Technical Design and Architecture
Project Overview
MidSouth eHealth Alliance (MSeHA) is a non-profit organization that seeks to improve the health care system of Tennessee by focusing on health care quality, safety, and effici…
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psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
January 12, 2022 - Commentary
2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission.
Citation Text:
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - Chapman L 2009 "EHR supports healthier patients and a healthier bottom line."
Reference
Chapman L. EHR supports healthier patients and a healthier bottom line. 2009 [cited 2010 February 16]
Abstract
"Graybill Medical Group boasts 130,000 patient visits per year and annual revenues of more th…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - room procedure, by race/ethnicity and among Hispanics, by sex, 2008-2011
Image: Graphs show postoperative … sepsis per 1,000 adult discharges with an elective operating room procedure:
Left Graph:
Year … room procedure. … Slide 23
Postoperative sepsis per 1,000 adult discharges with an elective operating room procedure … room procedure by language: English - 11.84; Spanish - 10.54; API Languages - 14.44; Other Languages
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - https://psnet.ahrq.gov//#3
https://psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
January 01, 2018 - Ambulatory Clinic Exam Room Design with Respect to Computing Devices to Enhance Patient Centeredness - Final Report
Ambulatory Clinic Exam Room Design with
respect to Computing Devices to Enhance
Patient Cen…
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally … April 26, 2012
Incorrect surgical procedures within and outside of the operating room
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015196-crandall-final-report-2007.pdf
January 01, 2007 - Rural Iowa Redesign of Care Delivery with EHR Functions - Grant Final Report Grant ID: 1UC1HS015196-0.
1
Grant Final Report
Grant ID: 1UC1HS015196-0
Rural Iowa Redesign of Care Delivery with
EHR Functions
Inclusive Dates: 09/01/04 – 11/30/07
Principal Investigator:
Donald K Cranda…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook
Nurse Bedside Shift Report Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 3: Nurse Bedside Shift Report (Implementation Handbook)
Guide to Patient and Family Engagement
…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - CUSP: A Framework for Success (Transcript)
March 7, 2012
Operator: Excuse me, everyone, and thank you for holding, please be aware that each of your lines is in a listen-only mode. At the conclusion of today's presentation, we will open the floor for questions at that time. Instructions will be given as to t…
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - and placing high priority “STAT”
tests in central laboratories located near emergency departments, operating … rooms, and intensive care
units, while slower or more esoteric tests may be based in more distant satellite
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - The patient was taken to the operating room for lysis of adhesions but died
3 days later.
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www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Executive Summary
This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - Executive Summary
Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Accelerating Change and Transformation in Organizations and Networks II
Contract No. HHSA2902010…
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - He was taken to the operating room, and it was
discovered the angio-seal closure device had failed and
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www.ahrq.gov/policy/foia/instruct.html
July 01, 2025 - Instructions for Requesting Information
Submitting a FOIA Request
Instructions on how to submit a request for information via the Freedom of Information Act.
The Freedom of Information Act (5 U.S.C., Section 552), provides any individual access to Federal agency records, not otherwise accessible. The record…