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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
April 01, 2015 - Transforming Primary Care: Evaluating the Spread of Group Health's Medical Home
Transforming Primary Care: Evaluating the Spread of Group Health’s
Medical Home
Principal Investigator: Robert Reid, MD, MPH, PhD
Institution: Group Health Cooperative
AHRQ Grant Number: R18 HS019129
Overview of Transformatio…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
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May 26, 2021
Innovation
Contact
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www.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Types of Health Care Quality Measures
Measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. Known as the Donabedian model, this classification system was named after the physician and researcher who formulated it.
Struct…
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digital.ahrq.gov/ahrq-funded-projects/meeting-information-needs-referrals-electronically
January 01, 2023 - Meeting Information Needs of Referrals Electronically
Project Description
Project Details -
Completed
Grant Number
P20 HS015208
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grant…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design
425
Creating a Culture of Patient Safety through
Innovative Hospital Design
John G. Reiling
Abstract
When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to
relocate and build an 82-bed acute care facility, we reco…
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Study
Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.
Citation Text:
McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process.
Citation Text:
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408.
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digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments
The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/fullerton-c-et-al
January 01, 2023 - Fullerton C et al. 2006 "Lessons learned from pilot site implementation of an ambulatory electronic health record."
Reference
Fullerton C, Aponte P, Hopkins R III, et al. Lessons learned from pilot site implementation of an ambulatory electronic health record. Baylor University Medical Center Proceedi…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
June 02, 2025 - 1
TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7
Purpose and Overview
This implementation guide is designed to help you think through the steps you can take to
troubleshoot a successful automatic referral (AR) order set for your hospital/health system.
…
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psnet.ahrq.gov/node/863746/psn-pdf
March 06, 2024 - What's going well: a qualitative analysis of positive
patient and family feedback in the context of the
diagnostic process.
March 6, 2024
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family
feedback in the context of the diagnostic process. Diagnosis (Berl)…
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psnet.ahrq.gov/node/72647/psn-pdf
January 20, 2021 - Association of unexpected newborn deaths with changes
in obstetric and neonatal process of care.
January 20, 2021
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in
Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589.
doi:10.1001/jamanetworkopen.20…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/45433/psn-pdf
October 27, 2016 - Reduction in hospital-wide clinical laboratory specimen
identification errors following process interventions: a 10-
year retrospective observational study.
October 27, 2016
Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification
Errors following Process Interven…
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psnet.ahrq.gov/node/47147/psn-pdf
November 19, 2018 - Developing a standard handoff process for operating
room–to-ICU transitions: multidisciplinary clinician
perspectives from the Handoffs and Transitions in Critical
Care (HATRICC) study.
November 19, 2018
Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to-
ICU Tra…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.14. Major Factors that Facilitated Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
C…
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psnet.ahrq.gov/node/74084/psn-pdf
November 17, 2021 - Healthcare failure mode and effect analysis in the
chemotherapy preparation process.
November 17, 2021
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect
analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595.
doi:10.1177/107815522…
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes
January 01, 2023 - Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes
Project Final Report ( PDF , 77.22 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…