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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …
  2. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
    July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety Say: This module introduces the comprehensive unit-based safety program, also calle…
  3. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
    July 01, 2023 - Sample Scenario for Shoulder Dystocia In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit wh…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
    March 01, 2017 - Antibiotic Stewardship Slides, Part 2 Antibiotic Stewardship AHRQ Pub. No. 16(17)-0003-22-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on antibiotic stewardship. This module is part of the Agency for Healthcare Research and Quality (or AHRQ) Safety Progra…
  5. www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
    January 01, 2024 - The line-of-sight constraints of an optical system effectively restrict the space through which a surgical
  6. www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
    January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety research Principal Investigator: Delesha M. Carpenter Organization: University of North Carolina at Chapel …
  7. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
    January 05, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                          …
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings. Slide 1 Educational…
  9. www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
    February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 7: Measuring Value in a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management P…
  11. www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home AHRQ Grant Final Progress Report TITLE PAGE Title of Project: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home 1 Principal Investigators Kathleen E. Walsh, M…
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 14. Delirium Delirium 14-1 14. Delirium Authors: Lynn Hoffman M.A., M.P.H., Aline Holmes D.N.P., R.N., Jennifer Riggs, Ph.D., R.N., and Stephanie Schneiderman, M.P.P. Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm …
  13. www.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
    April 01, 2008 - Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Ou…
  15. www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
    January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project: Impact of state policies on nursing home patient safety culture Principal Investigator: Yue Li, Ph.D., University of Rochester Team Members: Helena Temkin-Greener, Ph.D., University of Rochester Xueya Cai, Ph…
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Hand Hygiene Promotion ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Hand Hygiene Promotion SAY: Welcome to this presentation about hand hygiene promotion and how it impacts MRSA prevention. This presentation will provide information about hand hygiene indi…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
    April 22, 2004 - Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program 291 Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program Rosa M. Cotayo, Holly A. Grems, Elizabeth Sloan Abstract Patient safety is a critical dimension of program …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
    January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…
  19. www.ahrq.gov/news/newsroom/case-studies/201530.html
    November 01, 2015 - Research Medical Center Develops Video to Encourage Continued Use of TeamSTEPPS® Search All Impact Case Studies November 2015 The Graduate Nurse Residency Program at Research Medical Center in Kansas City, Missouri, created a video highlighting nine concepts of AHRQ's TeamSTEPPS® program as a way to re-…
  20. www.ahrq.gov/teamstepps-program/evidence-base/primary.html
    May 01, 2023 - TeamSTEPPS Research/Evidence Base: Primary Care Abu, O., & Ní Riain, A. (2012). Implementation of the primary care strategy 2005: a study of the experiences of team work among members of primary care teams in County Wexford in 2011.  Irish Medical Journal  105(2), 60-61. Select to access the  abstract . Adam,…

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