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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Briefing and Debriefing Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
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www.ahrq.gov/hai/cusp/modules/spread/index.html
July 01, 2018 - Spread
The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture is local. This module explores how to take th…
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www.ahrq.gov/news/newsroom/case-studies/202503.html
March 01, 2025 - Virginia Health System Uses AHRQ Surveys on Patient Safety Culture® To Improve Quality of Care
Search All Impact Case Studies
March 2025
Riverside Health System, based in Newport News, VA, has been using the AHRQ Surveys on Patient Safety Culture ® (SOPS) for nearly a decade, administering surveys annually…
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www.ahrq.gov/evidencenow/projects/urinary/it2-interview.html
November 01, 2024 - Interview with the IT2 Project Team
Project Overview: The Identify, Teach and Treat (IT2) project is implementing screening for urinary incontinence at the time of pre-visit automated appointment confirmation in women presenting to primary care practice (PCP) annual visits. IT2 is being implemented in Northwes…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
A Future Vision for Better Diagnostic Outcomes
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 9)
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Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 11)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - CUSP Toolkit Spread Facilitator Notes
CUSP Toolkit
The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - PowerPoint Presentation
Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation
Presenter: Timothy B. McDonald, MD, JD
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - An essential skill of leadership is the ability to make effective delegations and then hold staff
accountable … Relational Delegation: Introduction to Making Effective
Delegations and Holding Team Members Accountable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Voluntary Hospital Coalitions to Promote Patient Safety
493
Voluntary Hospital Coalitions
to Promote Patient Safety
Kimberly J. Rask, Dorothy “Vi” Naylor, Linda Schuessler
Abstract
Translating research or care innovation into broader clinical practice requires
more than simply the publication of new findin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
October 01, 2014 - 53. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Dependence Treatment as a Part of Assessing Health Care Quality:
2000 Guideline: Recommendation: Provision of guideline-based interventi…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagn…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
August 03, 2022 - TeamSTEPPS Communication - Module 1
Communication
Module 1
1
Objectives
Describe how communication affects team processes and outcomes.
Define effective communication.
Identify communication challenges.
Identify TeamSTEPPS tools and strategies that can improve a team’s communication.
2
Communication
2
C…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapb.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
B. Legislation Cited in Report
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Eviden…
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www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers
Slide Presentation by Hector P. Rodriguez
Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH.
Sign up: Quality Measure Tools Email updates
Slide 1
Implementing Team Approaches for Improving Diabetes Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - performing skin prep The “intangible” components of work, like ensuring an operating room team holds members accountable … Adaptive work is the “intangible” components of work, like ensuring OR team members hold each other accountable … It is a communication tool that clarifies expectations and holds everyone accountable for their piece
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
Purpos…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab20.html
December 01, 2017 - Table 20. Number of prescribed medications and supplies by Veterans Administration Therapeutic Medication Class. All project sites. Fiscal year 2010
Fiscal year 2010
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendatio…