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psnet.ahrq.gov/node/855434/psn-pdf
January 22, 2022 - A risk science perspective on the discussion concerning
Safety I, Safety II and Safety III.
January 22, 2022
Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability
Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.108077.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - Learning from mistakes: factors that influence how
students and residents learn from medical errors.
February 24, 2011
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and
residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23.
https://psnet.ahrq.g…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module
Overview
Defining Patient and Family Engagement and its Benefits
Slides 4-7
Patient and Family Expectations in the ASC
Slides 8-10
Barriers, Facilitators, and Motivators
Slides…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre-teach.html
May 01, 2023 - Guidance for Teaching Section 4: Implementation
Who Should Teach and Learn These Topics
Only instructors with substantial experience teaching and implementing TeamSTEPPS across an organization or units should use the material in section 4: Implementation. Ideally, multiple trainers should lead trainings discu…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/major-depressive-disorder-disposition-160504.pdf
December 08, 2015 - Disposition of Comments for CER 161 Major Depressive Disorder
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Nonpharmacological Versus Phamacological Treatments for Adult
Patients With Major Depressive Disorder
Draft review available for public comment from Jan…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/06-pt-narratives-support-px-strategy-panel.pdf
June 02, 2025 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Panel Discussion
Panel Discussion
22
Q&A
?
?
23
Panel Discussion
Q&A
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-test_disposition-comments.pdf
April 01, 2013 - However, I found
the resulting discussions of z-scores confusing. … I think
the discussions of these analyses need to be clarified.
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cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
January 01, 2022 - April 2022 CDS Connect Work Group Summary
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
April 21, 2022
3:00 – 4:00 pm ET
Attendees: 31 people, including 6 phone dial-ins
Organization Attendees
AHRQ Sponsors Edwin Lomatan, Mario Teran, Roland Gamache (3)
WG Members Alex Go…
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psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-errors
April 09, 2009 - Study
The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper.
Citation Text:
The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. Johnstone MJ; Kanitsaki O.
Copy…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/huddle_message_master.pdf
June 02, 2025 - Huddle Messages - Weeks 1-10
Huddle Messages – Weeks 1 - 10
•
•
•
•
SCHEDULE TOUCH POINT SERVICE EXPECTATION HUDDLE MESSAGE
Week One Phone Interactions Always answer phones using the 4 part
greeting:
Greeting
Name and Title
Department
What can I do for you?
Discuss why a four part greeting would be import…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit
TeamSTEPPS Video Debrief Guide: SBAR on Inpatient
Medical Unit
Video Objective
To demonstrate each step of SBAR and emphasize the importance of standard communication and use
of the tool.
TeamSTEPPS Tool or Concept
SBAR.
Brief Video Descriptio…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-201-indoor-allergen-asthma-disposition-comments.pdf
February 15, 2018 - Disposition of Comments for CER 201 Effectiveness of Indoor Allergen Reduction in the Management of Asthma
Source: https://effectivehealthcare.ahrq.gov/topics/asthma-nonpharmacologic-treatment/final-report-indoor-allergen-
reduction
Published Online:February 15, 2018
Comparative Effectiveness Review Dispositio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
May 01, 2017 - Overview
Defining Patient and Family Engagement and its Benefits
· Slides 4-7
Patient and Family Expectations in the ASC
· Slides 8-10
Barriers, Facilitators, and Motivators
· Slides 11-18
General Communication Methods for Engaging Patients and Family Members
· Slides 19-21
Opportunities for Patient and Family Engageme…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015)
Webinar Transcript
Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
June 02, 2025 - Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I’m a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED Educational Webinar Series. Today’s webinar topic is ED Physician Engagement.
For Cohort Education we are using the…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.html
December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany March 3, 2015 ED Coaching Call
Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
June 02, 2025 - Warm Handoff Plus: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Warm Handoff Plus
Role Play Scenario 1
Facilitator Instructions
1. As facilitator, play the role of the clinician.
2. Request a volunteer to play the role of the staff member. T…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicide-prevention_disposition-comments.pdf
October 04, 2016 - Disposition of Comments for Evidence Report 222 Youth Suicide Prevention
Source: https://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/
?pageaction=displayproduct&productid=2203
Published Online: October 4, 2016
Evidence Report/Technology Assessment Disposition of Comments Report…
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-c.pdf
June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix C
C-1
Appendix C: Tips for Facilitating Brainstorming
Brainstorming is a group collaboration designed to generate ideas. When brainstorming, it is
important to create an open and receptive environment for group discussion. Not everyone i…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
September 29, 2014 - Clinical and Policy Decisionmaking (pES22, p89)
The report is written against the backdrop of recent discussions