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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 3. Grand Hospital Center
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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
Ca…
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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/2024-01/bates-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety Across Clinical Settings
FINAL REPORT: November 29, 2007
Improving Medication Safety Across Clinical Settings
Principal Investigator: David W. Bates; dbates@…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - International guidelines recommend that antibiotic therapy for children begin as soon as possible
following
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www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby,
Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar,
Richard…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - complexity and may compromise a practice’s
ability to sustain a PCMH.11 Reiter et al (PI: Donahue) recommend
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-a.pdf
January 01, 2025 - Final Report - AHRQ EvidenceNOW Technical Assistance (TA) to and Evaluation of Grant Initiative to Develop State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care
EvidenceNOW BSC: Final Evaluation Report January 2025 ▌i
January 2025
EvidenceNOW BSC: Fin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby,
Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar,
Richard…
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects
Introduction Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning …
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www.ahrq.gov/prevention/resources/vision/resources/vision1.html
October 01, 2002 - Chapter 1
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Introduction
There is a growing need for public and private health and social services programs to serve people with disabilities. Rehabilitation services may include medical or surgical therapy, environmental measures, or so…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix I: Online and Journal Resources (continued)
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introdu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings.
Slide 1
Educational…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
September 08, 2015 - How the CHIPRA quality demonstration elevated children on State health policy agendas
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
August 01, 2014 - How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format?
Evaluation Highlight No. 10
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration Grant Program…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
September 08, 2015 - Evaluation Highlight No.10, August 2014
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
…
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www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care
AHRQ Grant Final Progress Report
Title of Project: Challenges and Innovations in Evaluation of Quality of Care
Measures Based on Small Counts
“National Conference on Small Numbers”
Principal Investigators and Team Members:
…
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www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents
Final Progress Report for AHRQ Grant 1R13HS017577-01
Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty
Incidents
Principal Investigator: Melissa L. McCarthy, ScD
Te…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
December 01, 2017 - Presentation: Turning Data Into Action
Turning Data Into Action:
Using HSOPS and SSI Data as
Part of a Meaningful Change
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module, you’ll learn about using data as part of your team’s improvement efforts.
1
USING SAF…