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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptxAugust 20, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 8: Organizational Learning and Sustainability Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CAND…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33822/psn-pdfJanuary 01, 2017 - In Conversation With… Paul H. O'Neill, MPA January 1, 2017 In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa Editor's note: Mr. O'Neill served as the United States Secretary of the Treasury under President George W. Bush and, prio… -
www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdfAugust 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49864/psn-pdfJune 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841139/psn-pdfDecember 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah… -
www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdfJanuary 01, 2024 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Final Progress Report Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge Principal Investigator and Team Members: Veerappa K. Chetty, PhD Organization: Boston M…
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Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning (pdf file)
www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdfJanuary 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning PI: Curtis Scott Smith, MD Team: Chris Francovich, EdD Magdalena Morris, RN, MSN Andrew Turner, PhD Bruce Robbins, PhD Lynne Robins, … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49600/psn-pdfApril 01, 2010 - Bad Writing, Wrong Medication April 1, 2010 Devine B. Bad Writing, Wrong Medication. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/bad-writing-wrong-medication Case Objectives Differentiate between a medication error and an adverse drug event. Appreciate the system complexities involved in medication erro… -
Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation (pdf file)
www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdfJanuary 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation Grant Number: U18 HS16634-01 Grant Period: 9-30-2006 to 10-1-2008 No-cost extension: 10-1-2008 to 9-30-2009 Reporting Period: Close-Out Report Title of Project: Improving Resuscitation Team Response to Inpatient Cri… -
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/spanish-composite-measures.pdfDecember 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdfMay 01, 2017 - Sensemaking and Learn from Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49528/psn-pdfJanuary 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. … -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.htmlJuly 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.htmlJuly 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdfMay 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docxMay 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptxMay 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.htmlJuly 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.htmlOctober 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 6: Operating a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptxNovember 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Behavior Changes …
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