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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - Safety Climate on Hospital Units: A New Measure
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Safety Climate on Hospital
Units: A New Measure
Mary A. Blegen, Ginette A. Pepper, Joseph Rosse
Abstract
Objectives: The purpose of this project was to create a measure of safety climate
for hospital inpatient care units and to determine the psychometric …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
February 02, 2008 - The Impact of Standardized Order Sets on Quality and Financial Outcomes
The Impact of Standardized Order Sets on
Quality and Financial Outcomes
David J. Ballard, MD, MSPH, PhD; Gerald Ogola, MS, MPH; Neil S. Fleming, PhD;
Dave Heck, MD; Julie Gunderson, RN, BSN, MM ; Raaj Mehta; Roger Khetan, MD;
Jeffrey D. Ker…
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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-Paige_6.pdf
January 24, 2008 - The Mobile Mock Operating Room: Bringing Team Training to the Point of Care
The Mobile Mock Operating Room: Bringing Team
Training to the Point of Care
John T. Paige, MD; Valeriy Kozmenko, MD; Tong Yang, MD, MS;
Ramnarayan Paragi Gururaja, MD; Isidore Cohn, Jr., MD; Charles Hilton, MD;
Sheila Chauvin, MEd, PhD …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - identify barriers, differences in personality styles, and areas where communication may fall through the gaps
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Technology involved (e.g., any usability issues, downtime, individual knowledge gaps)
3.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
October 01, 2011 - Several gaps in the literature exist.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
July 01, 2016 - Researchers
cleaned interview notes, using audio recordings to fill in
gaps, and coded the notes
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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 - We have glaring gaps in inequities in health, both within and between countries, and it underscores our
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - analysis, or sentinel events, and then also things like monthly data reports that identify recurring gaps
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - analysis, or sentinel events, and then also things like monthly data reports that identify recurring gaps
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - We have glaring gaps in inequities in health, both within and between countries, and it underscores our
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www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - value of
data collection about existing practices as a first step in accurately identifying current gaps
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www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
January 01, 2024 - Staff and physician
knowledge deficits, personal biases and beliefs, and communication gaps present
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www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
April 01, 2013 - And so the delays, the gaps between the cars are the mistakes and errors we make that you can get rid
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - Onboarding
SAY:
The surgeon leader is charged with advancing the initiative, bridging communication gaps
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - CAUTI as a defect and again it is, but you want to look at feedback, quality and safety measures, other gaps
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - actions will plug those holes, reengineer the system to catch holes before they line up, and end system gaps
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - responsibilities, use check-backs to repeat what you have understood and clarify any concerns or information gaps
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - responsibilities, use check‐backs to repeat what you have
understood and clarify any concerns or information gaps
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www.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Introduction
Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps