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21. TeamSTEPPS Mutual Support Facilitator Participant Worksheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-participant-worksheet.pdf
    June 02, 2025 - attention to how the clinicians in the video share information and speak up, as these topics will be discussed … small group ~8 minutes ▪ What are the most important takeaways and TeamSTEPPS tools that you discussed

22. Lessons From Healthcare Organizations on Improving Patient Experience (webcast) | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/news-and-events/events/webinar-012821.html
    February 01, 2021 - Speakers discussed using CAHPS surveys to identify aspects of patient experience needing improvement, … RAND’s Denise Quigley discussed AltaMed's use of shadow coaching and financial incentives to improve

23. Webinar: Empowering Frontline Staff with Competencies for Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/empowering-frontline-staff.html
    August 01, 2024 - Lillee Gelinas (University of North Texas Health Science Center) discussed the importance of safety competency

24. Improving Response Rates and Representativeness for CAHPS Survey Data: An Overview of Web-First and Other Strategies (Webcast) | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/news-and-events/events/webinar-011124.html
    June 01, 2024 - Speakers discussed ways to increase participation in CAHPS surveys, as well as current experiments to … Speakers also discussed technological approaches to increase response rates.

25. Reducing Unnecessary Urinary Catheter Use in the Emergency Department
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
    June 02, 2025 - physician staff on the importance of appropriate ED UC use Collaborative UC guidelines are presented and discussed … Final UC guidelines are placed on pocket cards and posters and discussed at department meetings and

26. Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix E—Overview of Stage of Change Results (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/AppendixE_Comm_Tech_For_AA_Women.pdf
    June 16, 2021 - Initial stage of change and distribution of final stage of change (all risks discussed) Initial stage … 4.76% 7 33.33% 2 Action/ Maintenance 18 26.87% 1 5.56% 0 0.00% 1 5.56% 13 72.22% 3 All risks discussed … Initial stage of change and distribution of final stage of change (all risks discussed) Table 2.

27. Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/progress-update.html
    May 01, 2024 - held on April 23, webinar speakers shared an update on the National Action Alliance's progress and discussed

28. CHIPRA 240: Section 2, Technical Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-2-technical-specifications.pdf
    June 02, 2025 - percentile and an outpatient care visit whose parents were surveyed and reported that their provider discussed … calculated as follows: The percentage of eligible children whose parents reported that their provider discussed

29. National Action Alliance Webinar: Resolving Workforce Turnover Crisis | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/workforce-turnover-crisis.html
    January 01, 2025 - This webinar held on December 10, the final part of a series on workforce safety and well-being, discussed

30. CDS Connect Work Group Meeting Summary 4-15-2021 (pdf file)
    cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
    April 15, 2021 - The team examined questions people posed during the pandemic, discussed their search for answers, and … The presenters discussed the creation of personas for purposes of their study, as well as how they grouped … The presenters discussed how this Work Group might leverage CDS Connect standards expertise to evolve … Finally, the presenters discussed ways to apply their findings to the CDS community. … Other WG members discussed the person-first focus of the approach.

31. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
    August 01, 2022 - The report by the Institute of Medicine, Patient Safety: Achieving a New Standard for Care , discussed … Members discussed the substantial resources needed for system development and stressed the importance … TEP members discussed in detail whether Patient Safety Organizations (PSOs) may be relevant models for … However, this issue was discussed by TEP members. … TEP members discussed that public reporting will inform consumers about rates of patient safety events

32. Implementing CMS’ Patient Safety Structural Measure | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
    June 01, 2025 - Measure On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed

33. TeamSTEPPS Team Leadership Participant Worksheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-participant-worksheet.pdf
    June 02, 2025 - attention to how the clinicians in the video share information and speak up, as these topics will be discussed … small group ~8 minutes ▪ What are the most important takeaways and TeamSTEPPS tools that you discussed

34. Appendix B4: Falls Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
    February 01, 2023 - check when the primary care provider report is faxed and orders are received and when the resident is discussed … ___ Primary Care Provider Report faxed ___ Primary Care Provider Orders received ___ Discussed

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837866/psn-pdf
    August 17, 2022 - This hearing discussed the findings of a United States Senate investigation into waste and harm in the … Blood-type mistakes, transport failures, and process challenges were amongst the problems discussed.

36. A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. | PSNet
    psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
    August 10, 2022 - This hearing discussed the findings of a United States Senate investigation into waste and harm in the … Blood-type mistakes , transport failures, and process challenges were amongst the problems discussed.

37. 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 - Once you’ve discussed what coaches do, ask the trainees to think about the characteristics of effective … After you review the coaching competencies on the next slide, you may want to compare what is discussed … Providing Feedback – As we have discussed, feedback involves carefully observing performance and sharing … Motivating Others – As we have discussed, coaches must encourage others to achieve desired results. … A coaching brief may help achieve buy-in; its contents were discussed in the implementation planning

38. Measuring and Responding to Safety Culture Across Healthcare | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/measuring-safety-culture.html
    May 01, 2025 - On April 15, 2025, presenters discussed how to measure and improve safety culture using tools like AHRQ

39. National Action Alliance Webinar: Engineering Safety Into Practice Through Implementation of the 2025 SAFER Guides | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/safer-guides.html
    February 01, 2025 - Singh, M.D., M.P.H., the authors of the Safety Assurance Factors for EHR Resilience (SAFER) Guides, discussed

40. National Action Alliance Webinar: Addressing Healthcare Workforce Burnout | Agency for Healthcare Research and Quality
    www.ahrq.gov/action-alliance/webinars/addressing-workforce-burnout.html
    December 01, 2024 - distress within organizations, presented evidence-informed interventions to address these challenges, and discussed