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  1. 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…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  3. 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 …
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
    June 02, 2025 - User-Centered Quality Report Transcript release date 3/1/12 www.talkingquality.ahrq.gov Tips on Making Quality Reports User-Centered Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group Speaker: Jeanne McGee, Sociologist, McGee and Evers Consulting Lise Rybowski From th…
  5. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
    December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Executive Summary Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…
  6. www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
    May 01, 2016 - Meeting Minutes, November 2015 National Advisory Council Minutes from the November 3, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2015, Summary Report Director's Update Health Information Technol…
  7. www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
    January 01, 2025 - Final Progress Report: The National Quality Forum Annual Meeting 2005 The National Quality Forum Annual Meeting 2005 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: C. Bock, D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 9/30/2005 – 09/29/2006 Federal Project Officer: Beth Kosiak Sup…
  8. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
    December 31, 2022 - Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care Getting Started Laying the Groundwork for Implementing Automatic Referral & Effective Care Coordination This presentation is designed to help you understand the steps required for laying the necessary foundati…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
    November 01, 2022 - Analysis of Requirements for Coverage With Evidence Development (CED) - Topic Refinement Topic Refinement Analysis of Requirements for Coverage With Evidence Development (CED) – Topic Refinement Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers La…
  10. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
    January 01, 2024 - NAA National Webinar October 2024 Workforce Safety and Well-being Webinar Series (Session 1) Leadership Strategies that Improve Workforce Safety and Well-being NATIONAL WEBINAR SERIES October 8, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Pleas…
  11. www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
    March 01, 2013 - Identify Defects Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
  12. www.ahrq.gov/es/sops/bibliography/index.html
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 1-50 of 505 Bibliography Items displayed Pagination 1 2 3 4 5 6 7 8 9 next …
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
    December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Steps and Timeline The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
  14. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-chat-transcript.pdf
    May 01, 2025 - May 2025: National Action Alliance for Patient and Workforce Safety Webinar Chat Transcript Welcome to the May NAA National Webinar.   Stay Connected with the National Action Alliance for Patient and Workforce Safety: Subscribe to the NAA Listserv Monthly Bulletin and Email us at NationalActionAlliance@hhs.gov   …
  15. www.ahrq.gov/sops/bibliography/index.html?page=7
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 351-400 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  16. www.ahrq.gov/sops/bibliography/index.html?page=4
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 201-250 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  17. www.ahrq.gov/sops/bibliography/index.html?page=2
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 101-150 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  18. www.ahrq.gov/es/sops/bibliography/index.html?page=7
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 351-400 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  19. www.ahrq.gov/es/sops/bibliography/index.html?page=4
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 201-250 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …
  20. www.ahrq.gov/es/sops/bibliography/index.html?page=2
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 101-150 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

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