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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - Taxonomic Guidance for Remedial Actions 75 Taxonomic Guidance for Remedial Actions Bruce Thomadsen, Shi-Woei Lin Abstract Objectives: This project developed a taxonomy to provide guidance in selecting remedial actions to address problems uncovered during root cause analyses of events in a medical setting. M…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
    July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
    June 02, 2025 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Module Aim The aim of this module is to support your efforts to implement the new prevention practices at the patient care level. Module Goals…
  6. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
    September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the…
  7. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
    August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care? Evaluation Highlight No. 3 Authors: Rachel Burton, Ian Hill, and Kelly Devers Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstra…
  8. www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
    December 01, 2012 - Assemble the Team, Facilitator Notes CUSP Toolkit The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.   Contents Slide 1. Cover Slide . Slide 2. Learning Objectives . Slide 3. The Unit-Based CUSP Team . Slide 4. CUSP Team Memb…
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
    July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Hospital AIM Team Leads SPPC‐II Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
  11. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/using-large-datasets-pcr-052323.pptx
    May 24, 2023 - National Center for Excellence in Primary Care Research _x000b_Presents Using Large Datasets in Primary Care Research National Center for Excellence in Primary Care Research Presents Using Large Datasets in Primary Care Research May 24, 2023 Presented by: Yalda Jabbarpour, MD Yong-Fang Kuo, PhD Annie Elizabeth Lars…
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/gathering-stakeholder-input-summary.pdf
    January 01, 2024 - Executive Summary: Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence Implementation 1 2 This document is a stand-alone executive summary of the Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Full Report. Prepared for AHRQ by …
  14. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
    August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation National Center for Excellence in Primary Care Research Presents Research Methods for Studying the Primary Care Workforce May 2, 2024 Presented by: Hannah Neprash, PhD Lawrence P. Casalino, MD, PhD Sylvia Hysong, PhD Moderated by: …
  15. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Dispari…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Slide 1 Implementing Team Approaches for Improving Diabetes Care in Health Centers Hector P. Rodriguez, PhD, MPH (hrod@berkeley.edu) UC Berkeley School of Public Health iCARE (Innovative Care Approaches through Research & Education) Acknowledgements Other Research Team Members (University of California and RA…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care L&D Unit Safety 2 L&D Unit Safety Tools The Labor and Delivery…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
  19. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 4: Defining Language Need and Categories for Collection (cont.) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …
  20. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
    June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 Video-Based Simulation: Facilitator Guide Mutual Support Task Assistance TeamSTEPPS Training Curriculum This page intentionally left blank. 3 Table of Contents SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4 TeamSTEPPS 4 V…

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