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  A Baseline Study of Communication Networks Related to Evidence-Based Infection Prevention Practices in an Intensive Care Unit

  Pavani Rangachari PhD,Peter Rissing MD,Peggy Wagner PhD,Karl Rethemeyer PhD,Chitra Mani MD,Cyndra Bystrom RN, MSN,Thomas Dillard MD,Donna Goins RN, MSN,Wanda Gillespie RN

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  A New Approach to Tracking the Harmfulness of Medical Errors in Health Care Systems

  Alok Madan PhD, MPH,Deza Borckardt MHA,Jeffrey J. Borckardt PhD,Joan Herbert MS,Harriet Cooney MSN

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  Attributes of an Independently Self-sustaining Implementation: Nurse-administered HIV Rapid Testing in VA Primary Care

  Herschel Knapp PhD, MSSW,Henry D. Anaya PhD,Matthew B. Goetz MD

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  Culture Counts—Sustainable Inpatient Computerized Surveillance Across Duke University Health System

  Heidi Cozart RPh,Monica M. Horvath PhD,Andrea Long PharmD,Julie Whitehurst PharmD, MPH,Julie Eckstrand RPh,Jeffrey Ferranti MD, MS

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  Lean Six Sigma in Health Care and the Challenge of Implementation of Six Sigma Methodologies at a Veterans Affairs Medical Center

  Christine Pocha MD, PhD

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  Risks in the Application of Medical Devices: Human Factors in the Medical Environment

  Uwe Wagner DScHum

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  Survey-Assessed Quality and Organizational Factors Related to Quality in Pursuing Perfection Hospitals

  Michael Shwartz PhD,Irene E. Cramer PhD, MSSA,Sally K. Holmes MBA,Alan B. Cohen ScD,Joseph D. Restuccia DrPH,Carol VanDeusen Lukas EdD,Jennifer L. Sullivan PhD,Martin P. Charns DBA

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  The Current State of Lean Implementation in Health Care: Literature Review

  Bozena Poksinska PhD