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9301. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/identify.html
      December 01, 2012 - Identify Defects Through Sensemaking 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. Note : Slide content is presente…

9302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33882/psn-pdf
      June 01, 2019 - Building a Safety Program Using Principles of Resilience Engineering June 1, 2019 Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering Persp…

9303. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/foundational-area.html
      March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…

9304. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Patient Safety Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research …

9305. Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
      April 01, 2022 - Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) Principal Investigator:  Anjali Joseph, Ph.D., Clemson University, Clemson, SC AHRQ Grant No.:  HS24380 Project Period:  09/30/15–08/31/21 Description:  The overarching goal of RIPCHD.OR was to use an integrate…

9306. Statistical Process Control Slides
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
      June 04, 2013 - Statistical Process Control Slides Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process Control Presenter: Jill Marsteller, PhD, MPP Discussant: Stephen Alder, PhD Moderator: Cindy Brach, MPP Sponsored b…

9307. 054-Dec-Guide-Pre-Launch-Activities (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Pre-Launch Activities ICU & Non-ICU Develop a CUSP Team The Comprehensive Unit-based Safety Program, or CUSP, is a proven patient safety and quality improvement framework that is integrated into the AHRQ Toolkit for MRSA Prevention. A core element of CUSP is the C…

9308. Daily Goals During Interdisciplinary Rounds: Facilitator Guide | Agency for Healthcare Research and Quality
      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 …

9309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49500/psn-pdf
      January 01, 2006 - Confusion With Acetaminophen January 1, 2006 Heubi JE. Confusion With Acetaminophen. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/confusion-acetaminophen The Case Parents brought their 5-year-old son to the emergency department (ED) with a 24-hour history of fever, cough, and frontal headache. Physical e…

9310. 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…

9311. Spotlight Case [MONTH] 2003 (ppt file)
      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,…

9312. Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
      December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change Slide 2:  Using Safety Culture Surv…

9313. Evaluation of Clinical Information Systems Expectations and Experience (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006WakefieldHalbeslebenWard_051311comp.pdf
      June 16, 2021 - Evaluation of Clinical Information Systems Expectations and Experience Evaluation of Clinical Information Systems Expectations and Experience Douglas S. Wakefield, PhD1 Jonathon R. B. Halbesleben, PhD1 Marcia M. Ward, PhD2 Qian Qiu, MA2 Jane Brokel, RN, PhD3 Donald Crandall, MD4 1 University of Missouri Cente…

9314. ED-to-Hospital Transitions | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
      June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action ED-to-Hospital Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action I…

9315. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
      March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…

9316. 4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework? | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas4.html
      March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas 4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework? Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was …

9317. 2.a-1 Preintervention Survey of Clinicians and Practice Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
      April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention 2.a-1 Preintervention Survey of Clinicians and Practice Staff Previous Page Next Page Table of Contents Tracking and Improving Screening for Colorectal Cancer Intervention I. Introduction II. Background III. Intervention Steps…

9318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49559/psn-pdf
      April 01, 2008 - The Forgotten Drip April 1, 2008 Josephson AS. The Forgotten Drip. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/forgotten-drip The Case A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a severe headache and "bizarre behavior." A computed tomography (C…

9319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33755/psn-pdf
      September 01, 2013 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety September 1, 2013 Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/what-weve-learned-ab…

9320. Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
      February 01, 2018 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA Value & Efficiency Survey Item Development and Pilot Test Results Joann Sorra, PhD Project Director User Network for Surveys on Patient Safety Culture™ (SOPS™) Westat, Rockville, MD 11 AHRQ Surveys on Patient Safety Culture Surve…