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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
June 01, 2021 - Talking With Residents and Family Members About Urinary Tract Infections (UTIs)
Talking With Residents and Family Members
About Urinary Tract Infections (UTIs)
My father is not
himself today. His
urine is dark and
smells bad. Does
he have a urinary
tract infection?
Last time this
happened, the
do…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - Talking With Residents and Family Members About Lower Respiratory Tract Infections
—
Talking With Residents and Family Members
About Lower Respiratory Tract Infections
My mother has a
cough. She’s
bringing up yellow
phlegm. Does she
have pneumonia?
Last time this
happened, the
doctor prescribed
an …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - plan is through
briefings and team management, being
aware of what is going on and what is
likely to happen … delegated staff speaks to patient and partner
regarding the urgency of the situation and
what may happen
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - placement
Summarize the ED physicians’ role in urinary catheter placement
Slide 3
Could this happen … Slide 4
Could this happen at your hospital? The Story of Mr.
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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-Borowitz_4.pdf
January 22, 2008 - Did anything happen while you were on call that you were not adequately prepared for
after sign-out?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work?
Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It
Work?
June 2014 Webcast
Speakers
Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA
Rachel Grob, PhD, Senior Scientist, Cent…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-ks-success-story.pdf
April 01, 2015 - New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas
New Mexico IMPaCT: Catalyzing Community Health
Transformation in Kansas
A key goal of AHRQ’s IMPaCT (Infrastructure
for Maintaining Primary Care Transformation)
grants is to learn strategies for spreading successful
primary …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
October 01, 2024 - Why did it happen?
How do we reduce the likelihood of this defect from happening again? … Program for MRSA Prevention | ICU & Non-ICU
Optimizing Environmental Cleaning
Case Example: Why Did It Happen
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/02-listening-voice-of-patient-webcast-ginsberg.pdf
June 02, 2025 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Ginsberg
Patient Experience and the Patient’s Voice:
Introduction and Background
Caren Ginsberg, PhD
Director, CAHPS® and SOPS® Programs
Agency for Healthcare Research and Quality
AHRQ and the CAHPS P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.pdf
June 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 1)
Guide to Patient and Family Engagement
Be a Partner in Your Care
We work as a team to make sure
you get the best care
Your health care team includes you, doctors, nurses,
other clinical staff, and hospital staff. If you like, the team
can also include…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - several common themes
Defects or failures are clinical or operational events that you do not want to happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - How Can These Errors Happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
January 01, 2011 - Slide *
CUSP: How it Empowers Nurses in the Hospital
Nurses are empowered when —
They see change happen
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-hays.pdf
January 01, 2022 - If so, p lease explain
w hat happened, h ow it happen ed. and how it fel t to
you .
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Why did it happen?
3. How will you reduce the risk of the adverse event
from happening again?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Why did it happen (system lenses)?
What could you do to reduce risk?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/partner-care.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Be a Partner in Your Care
AHRQ Safety Program for Perinatal Care
Be a Partner in Your Care
We Work as a Team To Make Sure You Get the Best Care
Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include …
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/partner-care.html
July 01, 2023 - Be a Partner in Your Care
AHRQ Safety Program for Perinatal Care
We Work as a Team To Make Sure You Get the Best Care
Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include your family or friends.
At [ insert hospit…
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - Tool: DESC
The DESC script is a constructive approach to managing and resolving conflict. While used to address both informational and interpersonal conflict, it is most effective with the latter. It is especially appropriate for major conflicts such as hostile or harassing behaviors that are putting the well-b…
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - Conducting a Morning Briefing
CUSP Toolkit
Improve communication with nursing staff
Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges.
What is a Morning Briefing? A morning briefing is a dial…