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  1. www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
    June 21, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes VIEWPOINT Bridging the feedback gap: a sociotech…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
    January 01, 2020 - report to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129) Provides a comprehensive … cervical cancer screening is through federally supported community health centers (CHCs), which provide comprehensive
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
    March 01, 2009 - The reports and assessments provide organizations with comprehensive, science- based information on common … For example, a comprehensive and transparent search strategy, with adequate justifications for inclusion
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
    April 23, 2004 - medication safety research in the primary care office setting.8 Objective This research describes a comprehensive … These results suggest that pharmacists should continue comprehensive patient counseling at the time
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - available anticoagulants.6 Finally, a meta-analysis performed by Wang et al. (2017) sought to provide a comprehensive … of both PE and DVT, was nearly significantly lower for those on aspirin (p=0.052).10 In a more comprehensive
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - The QDR provides a comprehensive overview of the quality of healthcare received by the general U.S. … safety culture • Methods: Implementing evidence-based, practical resources and concepts from the Comprehensive … safety culture • Method: Implementing evidence-based, practical resources and concepts from the Comprehensive
  9. www.ahrq.gov/hai/cusp/videos/02d-psych-safety/index.html
    June 01, 2018 - Psychological Safety CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Psychological Safety …
  10. www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
    December 01, 2012 - Infection Checklist CUSP Toolkit Who should use this tool? Infection preventionists. Checklist items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.     2. Introduce …
  11. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  12. www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
    December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…
  13. www.ahrq.gov/hai/cusp/toolkit/shadowing.html
    December 01, 2012 - Shadowing Another Professional Tool CUSP Toolkit Learn about other disciplines to improve the coordination of patient care. Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care provide…
  14. www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - Conducting a Morning Briefing CUSP Toolkit Improve communication with nursing staff Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dial…
  15. www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
    December 01, 2012 - Implement Teamwork and Communication CUSP Toolkit The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4. Four…
  16. www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
    December 01, 2012 - Presentation Slides CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPP…
  17. www.ahrq.gov/hai/cusp/videos/02b-the-4e/index.html
    June 01, 2018 - The 4 E's CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. The 4 E's — Engage, Educate, Exec…
  18. www.ahrq.gov/hai/cusp/videos/01a-intro/index.html
    June 01, 2018 - Introduction The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Learn About CUSP [10 min. 10 sec.] YouTube…
  19. www.ahrq.gov/hai/cusp/videos/03a-engage-senior-exec/index.html
    June 01, 2018 - Engage the Senior Executive CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Engage the Seni…
  20. www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
    December 01, 2012 - Background Quality Improvement Team Information Form CUSP Toolkit Health care provider roles Who should use this tool? Health care providers. Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles. These in…

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