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psnet.ahrq.gov/node/47988/psn-pdf
June 12, 2019 - how-one-health-system-overcame-resistance-surgical-checklist
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
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digital.ahrq.gov/participant-recruitment-research
January 01, 2023 - Recruitment for Research
Background
Participant recruitment is a major challenge … Despite the widely acknowledged fact that recruitment is a challenge, details about recruitment efforts … Recruitment challenges The overarching recruitment challenge noted during both the one-on-one calls and … Grantees also mentioned language barriers as a challenge, in that their rate of enrollment is slowed … grantees noted participants' limited access to, discomfort, and/or inexperience with computers as a challenge
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - participating in the simulation followed the incorrect order, 23% followed the order with no attempt to
challenge … errors-during-resuscitation-impact-perceived-authority-delivery-care
https://psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
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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/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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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - This editorial summarizes evidence supporting I-PASS implementation and the challenge of rigorously … , 2012
The ins and outs of change of shift handoffs between nurses: a communication challenge
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psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic
May 18, 2022 - Eliminating preventable maternal morbidity and mortality is a global public health challenge. … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety 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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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - The Two-Challenge Rule is a communication strategy designed to ensure that a concern is properly
emphasized … In this case, the first challenge occurred when the
anesthesiologist alerted the surgeon during the … The second challenge was
her use of a CUS word to focus the surgeon on the persistent hypotension of … Both the CUS Tool and the Two-Challenge Rule are communication tools to empower individual team
members … five-step process for making an
assertive statement, which the anesthesiologist did on her second challenge
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digital.ahrq.gov/sites/default/files/docs/page/KING_3_II.ppt
June 16, 2021 - www.volunteer-ehealth.org
For more information: www.volunteer-ehealth.org
Volunteer eHealth Initiative
Challenge … www.volunteer-ehealth.org
For more information: www.volunteer-ehealth.org
Volunteer eHealth Initiative
Challenge … www.volunteer-ehealth.org
For more information: www.volunteer-ehealth.org
Volunteer eHealth Initiative
Challenge … www.volunteer-ehealth.org
For more information: www.volunteer-ehealth.org
Volunteer eHealth Initiative
Challenge … www.volunteer-ehealth.org
For more information: www.volunteer-ehealth.org
Volunteer eHealth Initiative
Challenge
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psnet.ahrq.gov/node/47464/psn-pdf
October 17, 2018 - issue/how-prevent-top-4-medication-errors
Medication errors continue to be a worldwide patient safety challenge … report-short-life-working-group-reducing-medication-related-harm
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
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psnet.ahrq.gov/node/42505/psn-pdf
August 28, 2013 - Setting quality and safety priorities in a target-rich
environment: an academic medical center's challenge … Setting quality and safety priorities in a target-rich environment: an
academic medical center's challenge
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psnet.ahrq.gov/node/42907/psn-pdf
August 02, 2015 - national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
https:/
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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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psnet.ahrq.gov/node/34129/psn-pdf
January 16, 2019 - provides access to a range of initiatives launched since
then, such as the Medication Without Harm challenge … world-alliance-patient-safety-forward-programme
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
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psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - global-oximetry-international-anaesthesia-quality-improvement-project
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
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psnet.ahrq.gov/node/46764/psn-pdf
March 28, 2018 - report-short-life-working-group-reducing-medication-related-harm
Medication errors are a prominent challenge … report-short-life-working-group-reducing-medication-related-harm
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
-
psnet.ahrq.gov/node/43751/psn-pdf
February 11, 2015 - perceptions-time-spent-safety-tasks-surgical-operations-focus-group-study
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
https:/