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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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) …
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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…
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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 …
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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…
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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 …
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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:
…
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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…
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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…
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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…
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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…
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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 …
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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
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3
Table of Contents
SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4
TeamSTEPPS 4
V…