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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 4. Suntown Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…
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www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
January 01, 2024 - Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS)
Grant Final Report
Grant ID: R01HS015164
Toward an Optimal Patient Safety Information System
(TOPSIS)
Inclusive Dates: 09/30/04 - 03/31/08
Principal Investigator:
Richard Koss, MA
Team Members:
Stacey…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
January 01, 2011 - Section 5, Figure 1 and Tables 1-5
Figure 1. Conceptual Framework for Care Coordination/Fragmentation in the Context of the Patient-Centered Medical Home (PCMH) for
Children with Complex Needs
Suboptimal Care-
Seeking by Parent/Pt
•Lack of a PCMH
•Urgent care/ED use
instead of PCMH
•Lack o…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/expanding-cardiac-rehab-implementation-guide.pdf
December 01, 2022 - Hybrid Cardiac Rehabilitation (HYCR) Expanding Capacity Implementation Guide
Expanding Capacity Implementation Guide
December 2022
…
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www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care
AHRQ Final Report for grant R18HS024869
Title Leveraging a Social Network of Elders and Families to Improve
Medication Safety at Transitions of Care
Principal Investigator (PI) Yuri Quintana…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability
7
Applying Patient Safety Indicators (PSIs)
Across Health Care Systems:
Achieving Data Comparability
Peter E. Rivard, A. Rani Elwy, Susan Loveland, Shibei Zhao, Dennis
Tsilimingras, Anne Elixhauser, Patrick S. R…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023
Network of
Patient Safety
Databases
Chartbook, 2023
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2023. R…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Chapter-2 - Failure-To-Rescue
Failure To Rescue 2-1
2. Failure To Rescue
Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A.
Introduction
Background
Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient
experiencing complications from a disease p…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
January 31, 2024 - development is rooted in the framework for Community-Academic
Partnerships (CAPs).12 CAPs work to promote
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - Patient safety culture is the extent to
which these beliefs, values, and norms support and promote patient
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Environmental Scan of Patient Safety Education and Training Programs
Contract Final Report
Environmental Scan of Patient Safety
Education and Training Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, M…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - AHRQ Summit to Address Emergency Department Boarding
2
AHRQ Summit to Address
Emergency Department
Boarding
Technical Report
e
AHRQ Summit to Address Emergency
Department Boarding
Technical Report
Prepared by
Robin M. Weinick, PhD
Resonant, LLC
Sean Bruna, PhD, MA, MA
Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
January 01, 2018 - created the Comparative
Health System Performance (CHSP) Initiative to study how healthcare systems promote
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - Nursing champions should be able to:
Promote the intervention and serve as a peer leader for this intervention
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors
Improving Patient Safety by Examining Pathology Errors
Principal Investigator: Stephen S. Raab, MD
Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip
Gupta, MD, Richard J. Zarbo, MD, DMD, …
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Megan McHugh, PhD
Kevin Van Dyke, MPP
Mark Mc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdf
February 05, 2015 - You can promote a
team approach by:
• Eliciting agreement among staff and clinicians about the importance
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-Compendium-TechDoc.pdf
January 01, 2022 - created the Comparative
Health System Performance (CHSP) Initiative to study how healthcare systems promote
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www.ahrq.gov/sites/default/files/wysiwyg/2020-Compendium-TechDoc.pdf
January 01, 2020 - created the Comparative
Health System Performance (CHSP) Initiative to study how healthcare systems promote
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www.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
January 01, 2021 - created the Comparative
Health System Performance (CHSP) Initiative to study how healthcare systems promote