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8361. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
      July 20, 2020 - AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra AHRQ Surveys on Patient Safety Culture™ Hospital Survey Version 2.0 Joann Sorra, PhD Project Director, AHRQ Surveys on Patient Safety Culture User Network, Westat 12 HSOPS 2.0 Development Team • Westat Research Team: Theresa Famolaro, MPS, MS, …

8362. TeamSTEPPS Building Block Exercise Instructions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
      June 02, 2025 - TeamSTEPPS Building Block Exercise Instructions TeamSTEPPS Exercise Instructions Overview TeamSTEPPS trainers use a number of exercises to introduce TeamSTEPPS and begin their trainings. This exercise has been created to support onsite trainings, entirely virtual trainings, or trainings with a blend of…

8363. Teaching Implementation Coaching for Culture Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
      February 01, 2024 - Teaching Implementation Coaching for Culture Change Coaching Objectives and Overview Display Slide 42, “Coaching for Culture Change,” as you transition to the culture section. Present Slide 43, “Objectives,” after you complete the implementation planning section. Note that executing a plan requires subs…

8364. Current Processes: Refining Evidence-based Recommendation Development | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
      January 01, 2014 - Current Processes: Refining Evidence-based Recommendation Development Share to Facebook Share to X Share to WhatsApp Share to Email Print Table of Contents Preface Introduction Types of Recommendations Types of Evidence Reviews Co…

8365. Research Overview | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
      January 01, 2021 - Research Overview Digital healthcare knowledge and tools can enhance the efforts of patients, clinicians, and health systems working to improve healthcare quality and safety. AHRQ’s DHR program funds research to create actionable findings on what and how digital healthcare works best for t…

8366. Continuing Education | PSNet
      psnet.ahrq.gov/continuing-education
      February 26, 2025 - Continuing Education What is PSNet Continuing Education? PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of Calif…

8367. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…

8368. In Conversation with...Sorrel King | PSNet
      psnet.ahrq.gov/perspective/conversation-withsorrel-king
      March 01, 2007 - In Conversation with...Sorrel King March 1, 2007  Also Read an Essay Citation Text: In Conversation with..Sorrel King. PSNet [internet]. 2007.In Conversation with...Sorrel King. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

8369. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

8370. Module-3-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
      June 02, 2025 - 1 Implementation Guide - Module 3 Understanding your Workflow Processes to Prepare for Systems Change Module Purpose This module continues the discussion of the steps necessary for systems change to support the implementation of automatic referral with effective care coordination. Topics include the “w…

8371. Implementing Team Approaches for Improving Diabetes Care in Health Centers | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
      December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers Slide Presentation by Hector P. Rodriguez Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…

8372. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 3. Developing Change: Designing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Recon…

8373. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 3. Developing Change: Designing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Recon…

8374. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
      August 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…

8375. NAA National Webinar August 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
      January 01, 2024 - NAA National Webinar August 2024 Empowering Frontline Staff with Competencies for Patient Safety NATIONAL WEBINAR SERIES August 20, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website • Please use the ‘Chat’ function to engage with us throughout to webina…

8376. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…

8377. Resources by Safety Topic | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/type-harm.html
      September 01, 2025 - Resources by Safety Topic Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…

8378. Table of Contents: Volume 1. Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
      January 01, 2025 - Table of Contents: Volume 1. Assessment Contents Volume 1. Assessment Prologue: Laying the Foundation Kerm Henriksen Looking Forward, Benefiting from the Past Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al. What Exactly Is Patien…

8379. Discharge Fumbles | PSNet
      psnet.ahrq.gov/web-mm/discharge-fumbles
      September 09, 2009 - SPOTLIGHT CASE Discharge Fumbles Citation Text: Forster AJ. Discharge Fumbles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

8380. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…