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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. 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
Ca…
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www.ahrq.gov/talkingquality/distribute/media/decide-medium.html
September 01, 2019 - How To Decide on a Medium for a Health Care Quality Report
How do you figure out which medium is right for your reporting project? If at all possible, try to base this decision on research with your audience. For example, you could ask them how they get information now and how they would like to get it. Then yo…
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
January 25, 2023 - Webinar
Creating a Communication Coaching Structure and Support for your CRP Program.
Citation Text:
Creating a Communication Coaching Structure and Support for your CRP Program. Collaborative for Accountability and Improvement. September 15, 2022.
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - Commentary
Peripheral vision: expertise in real world contexts.
Citation Text:
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102.
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/ashp-standard-certification-center-excellence-medication-use-safety-and-pharmacy-practice
December 14, 2022 - Organizational Policy/Guidelines
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice.
Citation Text:
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Am J Health Syst Pharm. 2022…
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psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
September 01, 2021 - Audiovisual Presentation
Patient Safety: A Health Affairs Briefing.
Citation Text:
Patient Safety: A Health Affairs Briefing. Project Hope.
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psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
April 24, 2018 - Newspaper/Magazine Article
Final five: ASCs told to target patient safety.
Citation Text:
Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56, 1.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise
November 02, 2011 - Meeting/Conference Proceedings
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.
Citation Text:
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise. Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.
Citation Text:
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.
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psnet.ahrq.gov/issue/your-patient-ready-go-home
November 08, 2023 - Newspaper/Magazine Article
Is your patient ready to go home?
Citation Text:
Hoenig LJ. Is your patient ready to go home? Medical economics. 2006;83(11):45-6.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
October 25, 2013 - Book/Report
Finding and Preventing Patient Safety Incidents.
Citation Text:
Finding and Preventing Patient Safety Incidents. Golden, CO: HealthGrades, Inc.; June 9, 2014.
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - Newspaper/Magazine Article
Medication errors involving healthcare students.
Citation Text:
Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
August 09, 2017 - Book/Report
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.
Citation Text:
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…