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4661. Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
      February 01, 2024 - Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness Principal Investigator: Brian Pickering, M.B., B.Ch., M.Sc., Mayo Clinic, Rochester, MN AHRQ Grant No.: HS26609 Project Period: 09/30/18-11/30/22 Description: The overall goal of this learning lab was to reduce …

4662. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhacrate2014.html
      January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Next Page Table of Contents Saving Lives and Saving Money: Hospital-Acquired Conditions Update Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact …

4663. SOPS® Workplace Safety Supplemental Items for Nursing Homes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.docx
      September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes SOPS® Workplace Safety Supplemental Items for the SOPS Nursing Home Survey Language: English Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) …

4664. TeamSTEPPS Team Leadership Module 2
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
      February 28, 2022 - TeamSTEPPS Team Leadership Module 2 Team Leadership Module 2 1 Understanding Teams and Team Structure 2 Objectives: Team Structure Team Leadership Understand the benefits of teamwork and clear team structure. Define a “team.” Identify the roles of patients and family caregivers within the care team. Desc…

4665. ASTD Coaching Self-Assessment Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
      May 31, 2023 - ASTD Coaching Self-Assessment Form ASTD Coaching Self-Assessment Form Instructions The purpose of this activity is to assist you in learning about what you need to be successful as a coach an…

4666. AHRQ Safety Program for MRSA Prevention
      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…

4667. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
      September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …

4668. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - a result, the team implemented a code specific to obstetric medical emergencies and a policy that guides

4669. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - and feedback systems with automated coding driven by a functional error-classification scheme that guides

4670. Final Progress Report: What Is Patient Safety in the Medical Home? (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
      January 01, 2024 - Measures: For the in-depth interviews and focus groups, the semi-structured discussion guides addressed

4671. 2016 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/2016qdrintromethods.pdf
      July 01, 2017 - • The Resources panel provides additional information about tools, guides, and other materials related

4672. 2017 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017nhqdr-intro-methods.pdf
      November 01, 2018 - • The Resources panel provides additional information about tools, guides, and other materials related

4673. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
      January 01, 2011 - The template guides the user through communication in a consistent and concise fashion, using standard

4674. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
      January 01, 2024 - The template guides the user through communication in a consistent and concise fashion, using standard

4675. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - Say: The core surgical quality team guides the use of the Learning from Defects tool.

4676. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - Conceptual framework guides observation, but data parsing occurs at the time of observation, not after

4677. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - A phone-intake administrator (in the case of the prototype, a member of the research team) guides the

4678. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - analyses were used to describe barriers to effective information transfer.39 Key informant interview guides

4679. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - and hospital- and pharmacy-design features.16 Also, information resources, such as published drug guides

4680. Medical Team Training Programs in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
      February 01, 2005 - Case studies were based upon the following: reviews of student and instructor guides, slides, and other