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  1. Psn-Pdf (pdf file)

    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…
  2. 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…
  3. 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. Copy Citation Format: Google Scholar BibTeX EndN…
  4. 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 Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …
  5. 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…
  6. 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…
  7. 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…
  8. 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.…
  9. 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. Copy Citation Format: DOI Go…
  10. 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…
  11. 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…
  12. 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. …
  13. Psn-Pdf (pdf file)

    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)…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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.…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. 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…
  19. Psn-Pdf (pdf file)

    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…
  20. 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…