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www.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
December 01, 2022 - We continue to face the challenge of turning data into usable information—a challenge that will always … One challenge we have observed with home health QI is its integration with care delivered in other settings
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
December 01, 2017 - Task Assistance=protecting each other from work overload
Feedback
Advocacy and Assertion
Two-Challenge … improved teamwork and communication by employing CUSP methodology
TeamSTEPPS: Brief, Huddle, Two-challenge … CUS and two challenge rule to express concerns about unneeded catheter insertion or retention. … CUS or Two Challenge Rule - question the need for catheter.
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www.ahrq.gov/news/newsletters/e-newsletter/931.html
October 01, 2024 - Winners Announced in Challenge Competition on Data Visualizations To Advance Equity . … Winners Announced in Challenge Competition on Data Visualizations To Advance Equity First- and second-place … winners have been named in AHRQ’s challenge competition, Harnessing Data Visualization To Advance Equity … The goal of the Challenge was to create data visualizations to identify disparities in the receipt of … Learn more about AHRQ’s challenge competitions.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - .................................23
Advocacy and Assertion ..................................24
Two-Challenge … Mutual Support Page 25
Two-Challenge Rule
Empowers all team members to “stop the line” if they
sense … feedback to team members
Effectively advocates for patient safety using the Assertive Statement,
Two-Challenge … Rule, or CUS
Uses the Two-Challenge Rule or DESC to resolve conflict
Communication
Provides brief, … Rule, or CUS
Uses the Two-Challenge Rule or DESC to resolve conflict
Barriers, Tools and Strategies
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Define the problem, challenge, or opportunity for improvement. … Step 2: Define the Problem, Challenge, or Opportunity for Improvement
Objective
State the problem … , challenge, or opportunity for improvement your TeamSTEPPS intervention will target. … Key Actions
Identify a problem, challenge, or opportunity, through consensus, that enhanced teamwork … Identify risk points where things could go wrong and lead to a recurrence of the problem or challenge
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/funded-resources.html
November 01, 2021 - addressing this problem, as well as develop and test innovative tools and practice models to address the challenge … AHRQ Step Up App Challenge was a multiphase competition aimed to develop user-friendly applications … In addition to being the grand prize winner in the challenge competition, the PRISM app also won second … More information about the challenge competition winning teams is available at https://www.ahrq.gov/
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - The chart has four quadrants:
Possible idea
Implement idea
Challenge idea
Kill idea
An easy way to create … The team can then start looking at some of the ideas in the “challenge” quadrant that are more difficult … Module 2: How To Manage Change
Hospital: 400+ beds
Pilot Unit: Neuro MICU; 9 beds
Challenge: Defining … Module 2: How To Manage Change
Hospital: 400+ beds
Pilot Unit: Neuro MICU; 9 beds
Challenge: Process … Module 2: How To Manage Change
Hospital: Up to 50 beds
Pilot Units: Med/Surg, ICU; 37 beds
Challenge
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www.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - AHRQ funds grants and contracts to study how the healthcare system can effectively solve the challenge … AHRQ is funding multiple responses to this challenge:
Prevention, Diagnosis, and Management of
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
July 01, 2023 - Two other tools for addressing conflict are the Two-Challenge Rule and the DESC script . … When team members have different information, the Two-Challenge Rule can be used to bring up the differing
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.html
March 01, 2022 - From 2018 to 2020, it was identified as the number 1 patient safety challenge, 1 well after publication … While individual, professional, contextual, patient, and health system factors make diagnostic error a challenge
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
June 02, 2025 - Obtain an agreement on next steps.
13
13
Two-Challenge Rule
Mutual Support
Empowers any team … requires immediate cessation of the process and resolution of the safety issue.
14
14
Two-Challenge … Two-Challenge Rule
Interpersonal Conflict
(Hostile and harassing behavior)
DESC Script
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/coping-staff-challenges-slides.pdf
June 02, 2025 - Please use the chat to share a staffing strategy that you
have used to cope with a current staffing challenge
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge … Final Report
Re-engineering the Hospital Discharge for Patient Safety
Safe Practices Implementation Challenge … PURPOSE: This “Safe Practices Implementation Challenge Grant,” RFA (HS-03-005),
responded to AHRQ and … The
‘challenge grant’ program came along at an opportune time for us, because we had determined
that,
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-rubenstein.pdf
November 17, 2020 - Challenge: Achieving Intervention Models that Meet High-Risk
Patient Goals Better than Current Primary … (in VA)
Challenge: Achieving Intervention Models that Meet High-Risk Patient Goals Better than Current
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - On February 16, Lawrence Casalino made this slide presentation at the AHRQ Expert Meeting on the Challenge … Measure Tools Email updates
Slide 1
Identifying Key Areas For Delivery System Research
The Challenge
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www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - The health care system still faces the challenge of ensuring that this knowledge is used every day to … Advances in Patient Safety: From Research to Implementation is an important step in meeting that challenge
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - organizations
Top 10 Causes of Death
Diagnostic errors are a significant but
underappreciated challenge … research area that the committee evaluated,
diagnostic errors were a consistent quality and safety
challenge … Slide Number 25
Slide Number 26
Diagnostic errors are a significant but underappreciated challenge … research area that the committee evaluated, diagnostic errors were a consistent quality and safety challenge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p-transcript.docx
June 02, 2025 - (Slide 10) I’d like to propose an action step and challenge you to take a look at your currently used … product utilization, mean scores on acceptance, but what I'd like to propose as an action step, as a challenge … I would suggest or challenge you to pick someone in your facility who is a hand hygiene champion that … of hand hygiene and hand hygiene improvement strategy.5
If you're looking for an even greater challenge … , I would challenge you to take a look at the WHO method protocol two and implement that.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - The Leadership Challenge. San Francisco: John Wiley & Sons; 2007. … The Leadership Challenge. San Francisco: John Wiley & Sons; 2007. … Slide 12: Challenge the Process
Say:
Leaders Challenge the Process by—
Searching for opportunities … Does she inspire a shared vision and challenge the process? … The Leadership Challenge. San Francisco: John Wiley & Sons; 2007.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
July 01, 2023 - Module 4: Handoffs With I PASS the BATON—Obstetric Hemorrhage (14 minutes, 22 seconds)
Module 5: Two-Challenge … Module 4: Handoffs With I PASS the BATON—Severe Hypertension (14 minutes, 38 seconds)
Module 5: Two-Challenge