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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - haven't done enough work with them, or maybe we sent out a memo and said, “Hey, this is what's going to happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - haven’t done enough work with them, or maybe we sent out a memo and said, “Hey, this is what’s going to happen
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www.ahrq.gov/cahps/about-cahps/cahps-program/index.html
April 01, 2023 - The CAHPS Program
The Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) program is a multi-year initiative of the Agency for Healthcare Research and Quality (AHRQ). Its purpose is to support investigator-led research to better understand patient experience with healthcare and develop scientific…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
43
Problems that happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
April 02, 2025 - Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
April 02, 2025 - Suspect a Urinary Tract Infection?
How Taking Antibiotics
When You Don’t Need Them
Can Cause More Harm Than Good
Did You Know That…
»Up to 50 percent of all antibiotics prescribed are not
needed or are not prescribed appropriately?
»Confusion or sudden behavior changes don’t
necessarily indicate a urinary tra…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
April 02, 2025 - Tool 2: Readmission Review Tool
Tool 2: Readmission Review tool
Purpose
Readmission reviews are designed to elicit the “story behind the story”: going well beyond chief complaint, discharge diagnosis, or other clinical parameters to understand the communication, coordination, or other logistical barriers experienc…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - Our walkabouts sometimes happen in the nursing station.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - entering an order or taking off an order and the typical communication that happens doesn’t necessarily happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - entering an order or taking off an order and the typical communication that happens doesn’t necessarily happen
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - adverse events in the United States was 134, based on the assumption that all of the OBAE-related deaths happen … Of note, this calculation assumes all OBAE-related deaths happen in the hospital setting, which, if not
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - So, it may work in certain areas, but what you worry about is what would happen if that process where … What would happen to the evaluation of the catheter? … Link it to other things that happen in your ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - So, it may work in certain areas, but what you worry about is what would happen if that process where … What would happen to the evaluation of the catheter? … Link it to other things that happen in your ICU.
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www.ahrq.gov/talkingquality/plan/gain-trust.html
November 01, 2018 - How Will You Gain the Trust of Health Care Providers or Plans?
For some quality reports, little if any cooperation is required from the organizations whose performance is being reported. Many sponsors of reports on health plan quality, for instance, have relied on sources of publicly available data rather than …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - Shadowing Another Professional Tool
AHRQ Safety Program for Perinatal Care
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other discip…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - (Item D10)
67%
This nursing home lets the same mistakes happen again and again. … 17% 49% 56% 69% 79% 85% 94%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapi.html
September 01, 2018 - ability to track specific languages would be enhanced by unique coding for distinct languages; this could happen
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
February 01, 2017 - Share what will happen with results.
Show what will be done based on their input.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
February 01, 2005 - Workflow
Workflow
Ann Lefebvre MSW, CPHQ
Associate Director, NC AHEC
North Carolina Area Health Education Centers
North Carolina Area Health Education Centers
“Every system is perfectly designed to get the
results that it gets.”
Paul Batalden, MD
North Carolina Area Health Education CentersNorth Carolina…