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  1. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …

  2. Webinar on Compendium of U.S. Health Systems | Agency for Healthcare Research and Quality

    www.ahrq.gov/chsp/data-resources/compendium-update-webinar.html
    July 01, 2023 - Webinar on Compendium of U.S. Health Systems AHRQ's Compendium of U.S. Health Systems, the first publicly available database to track trends in health system affiliation and consolidation over time, has been updated to include data from 2020 and 2021. Data on 635 U.S. health systems is available for analyses of…

  3. 172. Systems Strategy 2. Provide education, resources, and feedback to promote provider intervention | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide172.html
    October 01, 2014 - 172. Systems Strategy 2. Provide education, resources, and feedback to promote provider intervention Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation.   Action Strategies for implementation Health care systems should ensure that clinicians have sufficient t…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837026/psn-pdf
    May 04, 2022 - Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. May 4, 2022 Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):4313. doi:10.3390/ijerph19074313. h…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023 Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…

  6. SNAC Member: Elizabeth A. Shenkman, Ph.D. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-shenkman.html
    November 01, 2019 - SNAC Member: Elizabeth A. Shenkman, Ph.D. Professor and Chair Department of Health Outcomes and Biomedical Informatics University of Florida College of Medicine Elizabeth A. Shenkman, Ph.D., is the chair of the Department of Health Outcomes and Biomedical Informatics and the co-director of the University of…

  7. A National Web Conference on Health IT and Underserved Populations | Digital Healthcare Research

    digital.ahrq.gov/events/national-web-conference-health-it-and-underserved-populations
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73580/psn-pdf
    August 11, 2021 - Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. August 11, 2021 Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventability of adverse drug events in …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60521/psn-pdf
    May 27, 2020 - Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. May 27, 2020 Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4). doi:10.1001/jamanetwo…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40543/psn-pdf
    March 23, 2012 - Can we rely on patients' reports of adverse events? March 23, 2012 Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74862/psn-pdf
    February 23, 2022 - Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022 Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Ann…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72577/psn-pdf
    December 16, 2020 - Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020 Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/dx-2020-0122. https://psnet.ahr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45361/psn-pdf
    December 22, 2018 - Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. December 22, 2018 Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From English Hospitals. Med Care. 2017;5…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47993/psn-pdf
    May 15, 2019 - Using near-miss events to improve MRI safety in a large academic centre. May 15, 2019 Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. https://psnet.ahrq.gov/issue/using-near-miss-events-imp…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024 Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548. https://psnet.ahr…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863749/psn-pdf
    March 06, 2024 - Improving situation awareness to advance patient outcomes: a systematic literature review. March 6, 2024 Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288. doi:10.1097/cin.0000000000001112. …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73322/psn-pdf
    May 26, 2021 - Detecting and assessing suicide ideation during the COVID-19 pandemic. May 26, 2021 Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2021.04.002. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867083/psn-pdf
    November 06, 2024 - Patient-clinician diagnostic concordance upon hospital admission. November 6, 2024 Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45224/psn-pdf
    February 15, 2017 - Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. February 15, 2017 Alkan A, Ya?ar A, Karc? E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):229-236. https://psnet.ahrq.gov…
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