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  1. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
    February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment TeamSTEPPS® for Diagnosis Improvement Knowledge Assessment This knowledge assessment tests the participants’ knowledge of the teamwork principles demonstrated in the TeamSTEPPS for Diagnosis Improvement course. 1. TeamSTEPPS provides resources to optimize…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…
  3. www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
    January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
    January 01, 2007 - Project Report - Lean Sigma 1 1 Learning Objectives 2 Identify and apply effective communication strategies from CUSP and TeamSTEPPS® Recognize the importance of effective communication Identify barriers to communication Describe the connection between communication and medical errors 2 Basic Compon…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
    June 26, 2024 - AHRQ Safety Program for MRSA Prevention How to Integrate a CUSP Approach ICU & Non-ICU AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU How to Integrate a CUSP Approach 1 Educational Objectives List the key steps…
  6. www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
    February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Daily Goals During Interdisciplinary Rounds Say: In this session, we will discuss Daily Goals during interdisciplinary rounds. Slide 2: Learning Objectives Say: After …
  7. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
    September 01, 2015 - PowerPoint Presentation Spotlight Abdominal Pain in Early Pregnancy This presentation is based on the September 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Charlie C. Kilpatrick, MD, Associate Professor of Obstetrics and Gynecology, Baylor …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49509/psn-pdf
    April 01, 2006 - Insert Omission April 1, 2006 Darney P. Insert Omission. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/insert-omission The Case A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC) placement (Figure). She was appropriately counseled on the risks and benefits o…
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
    May 01, 2009 - Spotlight Case July 2008 Spotlight Case Delirium or Dementia? Source and Credits This presentation is based on the May 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James L. Rudolph, MD, SM Editor, AHRQ WebM&M: Robert Wachter, MD Sp…
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Probability and the Diagnostic Pathway Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    June 02, 2025 - Survey on Patient Safety (facility version) Survey on Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error, and event reporting in your facility and will take about 10 to 15 minutes to complete. If you do not wish to answer a question, or if a question does not app…
  12. www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …
  13. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
    January 01, 2015 - Spotlight Case [MONTH] 2003 Spotlight Case February 2007 The ‘Customer’ Is Always Right Source and Credits This presentation is based on the February 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Niraj L. Sehgal,…
  14. www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
    December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustaining and Spreading Surgical Safety Improvements Say: This module will cover Sustaining and Spreading Surgical Safety Improvements. To preface the sustainability discussions, these modu…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
    December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Sustaining and Spreading Improvements – Facilitator Notes Slide Title and Commentary Slide Number and Slide Sustaining and Spreading Surgical Safety Improvements SAY: This module will cover Sustaining and Spreading Surgical Safety Improveme…
  16. www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Appendix C: Example Implementation Plan Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary …
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maryland-state-snapshot.pdf
    January 01, 2018 - Spotlight on Maryland -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Maryland’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33790/psn-pdf
    August 01, 2015 - New Insights on Safety and Health IT August 1, 2015 Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it Perspective Despite the widespread adoption of electronic health records (EHRs) over the las…
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
    May 01, 2016 - Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Numbe…
  20. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
    May 01, 2016 - Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Developer: Pediatric Mea…