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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - Program Evaluation - PowerPoint Presentation
Program Evaluation
Module 8 of 8
SPPC-II
Toolkit
JHU & AHRQ for
AIM
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 8 of the SPPC-II Teamwork Toolkit. In this module we will discuss aspects related to the evaluation of the p…
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - In Conversation With… Eduardo Salas, PhD
November 1, 2011
In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at
the University of Ce…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/chlamydial-infection-screening-2001
January 01, 2001 - Share to Facebook
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Recommendations and Rationale
Chlamydial Infection: Screening, 2001
January 01, 2001
Recommendations made by the USPSTF are independent of the U.S. government.…
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - SPOTLIGHT CASE
Failure to Report
Citation Text:
Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - Medication Monitoring for Vulnerable Populations via IT
Grant Final Report
Grant ID: R18HS17018-02
Medication Monitoring for Vulnerable
Populations via IT
Inclusive Dates: 09/21/07 – 05/31/10
Principal Investigator:
Dr. Christoph Ulrich Lehmann
Team Members:
Sean Berenholtz *
David …
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - RW : As you got into this, did you think that the problem was a cultural problem and the paternalism
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - RW : I think the socio-cultural phenomenon that you've observed in other industries is what we're going
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - RW: As you got into this, did you think that the problem was a cultural problem and the paternalism of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - increase patient safety within hospital settings are numerous and have resulted in many
organizational, cultural
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psnet.ahrq.gov/node/73243/psn-pdf
May 12, 2021 - COVID-19 and patient safety: time to tap into our
investment in high reliability.
May 12, 2021
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J
Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
https://psnet.ahrq.gov/issue/covid-19-and-pati…
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psnet.ahrq.gov/node/36528/psn-pdf
January 20, 2010 - Creating high reliability in health care organizations.
January 20, 2010
Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations.
Health Serv Res. 2006;41(4 Pt 2):1599-1617.
https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
High-reliabil…
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psnet.ahrq.gov/node/74726/psn-pdf
February 02, 2022 - Disclosing adverse events in clinical practice: the delicate
act of being open.
February 2, 2022
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of
being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.1830550.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/854827/psn-pdf
October 25, 2023 - Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR.
October 25, 2023
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278…
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psnet.ahrq.gov/node/48037/psn-pdf
May 29, 2019 - Beyond burnout: a physician wellness hierarchy designed
to prioritize interventions at the systems level.
May 29, 2019
Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to
Prioritize Interventions at the Systems Level. Am J Med. 2019;132(5):556-563.
doi:10.1016/j.amj…
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psnet.ahrq.gov/node/47670/psn-pdf
March 20, 2019 - Targeting the fear of safety reporting on a unit level.
March 20, 2019
Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124.
doi:10.1097/NNA.0000000000000724.
https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
Blame culture in health care settings …
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www.ahrq.gov/evidencenow/tools/opinion-leaders.html
February 01, 2025 - Opinion Leaders: Effect on Healthcare Practice and Evidence Use
Resource: Local Opinion Leaders: Effects on Professional Practice and Healthcare Outcomes (PDF, 1 MB, 121 pages) This review by the Canadian Health Services Research Foundation highlights the strong impact opinion leaders have on how much resear…
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psnet.ahrq.gov/node/856591/psn-pdf
November 29, 2023 - Relationship of the nursing practice environment with the
quality of care and patients' safety in primary health care.
November 29, 2023
Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care
and patients’ safety in primary health care. BMC Nurs. 2023;22(1):413…
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psnet.ahrq.gov/node/847041/psn-pdf
April 05, 2023 - Frontline nurses' clinical judgment in recognizing,
understanding, and responding to patient deterioration: a
qualitative study.
April 5, 2023
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and
responding to patient deterioration: a qualitative study. Int J Nurs St…
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - Knowledge, attitudes, and expectations of medical staff
toward medical error management policies in
humanitarian medicine: a qualitative study.
February 10, 2021
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff
Toward Medical Error Management Policies in Humanitari…