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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary
Executive Summary
Spreading Lean: Taking Efficiency
Interventions in Health Services Delivery to
Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - Medication Handling and Compounding Errors in the Operating Room.
Citation Text:
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
January 07, 2022 - The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers
Citation Text:
Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - SPOTLIGHT CASE
Hidden Heparins: HIT Happens
Citation Text:
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.jsp
July 01, 2016 - Enhancing Hawaii Hospital Information Content: Hospital Engagement.
An official website of the Department of Health & Human Services
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Careers
Contact Us
Espanol…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or16.jsp
August 01, 2014 - Link Plus Self-Training Manual for Linkage
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-value-rural-hospitals
January 01, 2023 - Health Information Technology Value in Rural Hospitals
Project Final Report ( PDF , 116.6 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 represent the views of AHRQ.…
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting to the Root of the Matter
June 1, 2005
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/getting-root-matter
Case Objectives
Appreciate the goals and limitations of root cause analysis
Outline the steps to conduct root cause analysis
The Case
A…
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD
March 30, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD. PSNet [internet]. 2020.In Conversation With... Ann Gaffey, RN, MS…
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - In Conversation With… Leah Binder, MA, MGA
April 1, 2014
Citation Text:
In Conversation With… Leah Binder, MA, MGA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - The University of Michigan Emergency Critical Care
Center (EC3) Provides Timely Intensive Care to Critically
Ill Patients in the Emergency Department
April 7, 2022
https://psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-
intensive-care
Summary
An increasing volume…
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
June 28, 2023
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During
Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - SAY:
The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, identify barriers to communication, and apply the effective teamwork and communication tools from CUSP and TeamSTEP…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - Slide Presentation: Contact Precautions for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Contact Precautions for MRSA Prevention
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Contact Precautions
1
| 2
Discuss the purpose behind using contact pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
June 01, 2010 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers
Best Practices in Public Reporting No. 1: How To
Effectively Present Health Care Performance Data To
Consumers
Prepared for:
Agency …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
August 03, 2020 - Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
PATIENT
SAFETY
e
Issue Brief 2
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality and
Safety of Diagnosis
Prepa…
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - From Possible to Probable to Sure to Wrong—Premature
Closure and Anchoring in a Complicated Case
April 1, 2013
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a
Complicated Case. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premat…
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - In Conversation With… Maureen Bisognano
June 1, 2015
Citation Text:
In Conversation With… Maureen Bisognano. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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