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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - a multidisciplinary team for learning from defects and sensemaking:
· Discovery form
· Root cause analysis … · Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk assessment
· Causal tree
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - • Share outcomes of process
improvement from informal and
formal analysis with staff to achieve … • Sharing outcomes or process
improvements from the informal
(debriefing) and formal analysis with
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - We directly estimate the size of
the reduction in HAC rates but rely on analysis from other researchers … The estimates used in our analysis originate from a variety of sources and methodologies.
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-november2016.pdf
January 01, 2016 - engages in some activity, looks back at
the activity critically, abstracts some useful insight
from the analysis