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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
January 13, 2022 - Module 3: Communication
Module 3
Communication To Improve Diagnosis
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator.
Individuals who plan to take the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems
New Models of Primary Care
Workforce and Financing
Case
Example Cherokee Health Systems
7
New Models of Primary Care Workforce
and Financing
Case Example #7: Cherokee Health Systems
…
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www.ahrq.gov/sites/default/files/2024-07/picone-jollis-report.pdf
January 01, 2024 - Final Progress Report: Hospital Volume and Quality of Care
Hospital Volume and Quality of Care
Principal Investigators:
Gabriel Picone (University of South Florida)
James Jollis (Duke University).
Other team members:
Justin Trogdon (University of Adelaine)
Martin Salm (Duke University).
Organization:
University…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019792-li-final-report-2014.pdf
January 01, 2014 - Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy Diagnosis - Final Report
AHRQ Grant Final Report
Title of Project:
Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy…
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - In Conversation With… John Halamka, MD, MS
May 1, 2018
Citation Text:
In Conversation With… John Halamka, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Form…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative
153
Shared Learning and the Drive to Improve
Patient Safety: Lessons Learned from the
Pittsburgh Regional Healthcare Initiative
Carl A. Sirio, Donna J. Keyser, Heidi Norman,
Robert J. We…
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities
May 13, 2014
Download accessible version of slides (PDF, 1.1 MB)
Introducing Nine Levers to Support the Aims and Priorities [Slide 1]
Ann Gordon: Welcome to today's event featuring t…
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pso.ahrq.gov/faq
April 01, 2023 - SHARE:
Frequently Asked Questions
Frequently asked questions and definition of terms used in the Patient Safety Act or Patient Safety Rule are summarized here solely for convenience; always rely on the actual text of the Patient Safety Act or Patient Safety …
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports
Grant number: 1R03HS026291-01
Supported by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Research Team
Principal invest…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Vogus T, Lee M, Mos…
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety
Robert M. Wachter, MD | October 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Pro…
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Ci…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Throughout this handbook, we include examples and real-world experiences from
Advocate Trinity Hospital … This case study highlights key elements of Trinity’s
experiences with implementation on a 29-bed medical-surgical … A survey of primary care physicians in
eleven countries, 2009: perspectives on care, costs, and experiences
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www.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Measuring experiences and outcomes of patient safety in primary care: a systematic review of available … The missing evidence: a systematic review of patients’ experiences of adverse events in health care. … the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - you represents an important piece of a challenging health care puzzle, and I'm here to talk about my experiences … subject of hierarchy and how it impacts our own and our patient safety, as well as the quality of those experiences … mentorship that lead to sub-optimal patient outcomes and contribute to less than adequate staff and patient experiences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - you represents an important piece of a challenging health care puzzle, and I’m here to talk about my experiences … subject of hierarchy and how it impacts our own and our patient safety, as well as the quality of those experiences … mentorship that lead to sub-optimal patient outcomes and contribute to less than adequate staff and patient experiences