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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - One senior leader thought that many teams volunteered because "the word was out there that Lean was something
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 (continued)
Previous Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
E…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Implementation Guide
Purpose of This Guide
This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - Guide for Safe Transitions to New Appointments
Guide for Safe
Transitions to
New Appointments
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. No statement in this report should be con…
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www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department
1. TITLEPAGE
Title: Conference Proceedings: Interventions to Improve Quality in the Crowded
Emergency Department
Co-Principal Investigators:
Jesse M. Pines, MD, MBA, MSCE, George Washington Un…
-
www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED)
Principal Investigator: Hall, Kendall K. 7P20HS017111-02
FINAL REPORT
Evaluation of Risk by Active Surveillance in the Emergency Department
(ERASED)
Principal Investigator: Kendall K. Hall, MD, MS (University of …
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www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
December 01, 2012 - Learn About CUSP, Facilitator Notes
CUSP Toolkit
The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. CUSP Supports Kotter's…
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www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
January 01, 2024 - Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism
Optimal Prevention
Of
Hospital-Acquired Venous
Thromboembolism
Greg Maynard, M.D., M.Sc. - Principal Investigator
Tim Morris, M.D.
Ian Jenkins, M.D.
Sarah Stone, M.D.
Joshua Lee, M.D.
Marian Renvall, M.Sc.
Ed Fink …
-
www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice
Title of Project: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice
Principal Investigator and Team Members: Haut, Elliott (PI); Owodunni, Oluwafemi (Postdoc); Webster,
Kristen Li…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation
Guide for Care Coordination
March 2023
1
Implementation Guide
for Enhancing Care Coordination for CR
Acronym List
Term Abbreviation
AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation
AR Automatic Refe…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - Implementation Guide: MRSA and SSI Prevention
AHRQ Safety Program for MRSA
Prevention: Targeting SSI
Implementation Guide:
MRSA and SSI Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Introduction
Setting up or improving a methicillin-resistant Stap…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings
381
From Here to There: Lessons from an
Integrative Patient Safety Project in
Rural Health Care Settings
Ann Freeman Cook, Helena Hoas, Katarina Guttmannova
Abstract
To date, few studies have focused on pat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work
279
Cognitive Artifacts’ Implications for
Health Care Information Technology:
Revealing How Practitioners Create and
Share Their Understanding of Daily Work
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - Using Patient Complaints to Promote Patient Safety
Using Patient Complaints to Promote Patient Safety
James W. Pichert, PhD; Gerald Hickson, MD; Ilene Moore, MD, JD, FCLM
Abstract
Patients can help promote safety and reduce risk in several ways. One is to make known their
concerns about their health care e…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
January 01, 2017 - In this U.S. study, only 17.7 percent of respondents thought it was easier to care for an awake and alert … for one-third of
variance in number of pa=ents who received
seda=ves
• Only 17.7% of respondents thought
-
www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
January 01, 2024 - Communication,17 including providing structure to the consultation, making organization
overt, sharing thinking
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - science allows for a third framework: risk-based patient safety metrics
that are consistent with systems thinking
-
www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - this project would integrate prior conference implementation
strategies with the talents of national thought … to present those concepts in
sessions (either in podium or storyboard form) moderated by national thought … The committee
designated for the 2010 Leadership Conference was composed of individuals who are key
thought … that in turn influence intentions and subsequent behaviors.14,15 Thus, the
importance of bringing thought … Although there
was limited impact on intention to act, this was thought to be secondary to a ceiling
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
April 01, 2025 - representatives;
• Ease of access to laboratory, imaging, consultant, and other results; and
• Thoughts … What is
thought to be a conclusion based on fact at one moment can be discarded later when additional