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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - translatable to any community resource and any
practice willing to take the extra step to make it happen … implementation of the
project, he or she provides the support needed for the project champion to make it happen … translatable to any community
resource and any practice willing to take the extra step to make it happen
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - Part of burnout is the depersonalization of patients, which seemed to happen to this patient once he
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - training sessions may be part of planning and program development
while other training sessions may happen
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
January 01, 2013 - training sessions may be part of planning and program development
while other training sessions may happen
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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - would still be able to bring their case to court; however, research found that this was less likely to happen
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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 - Include patient/family responsibilities
• Next: What will happen next? Anticipated changes?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - Slide 1
CAUTI Sustainability:
Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
1
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality Implementation Programs
Society of Critical Care Medicine
William S. Miles, MD, FACS, FCCM, FAPWCA
Director of Surgical Critical Care and the …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
January 01, 2017 - Patient-Centered Postoperative Wound Surveillance Using Current Technology - Final Report
Project title: Patient-Centered Postoperative Wound Surveillance Using Current Technology
Principal Investigator: K. Craig Kent, MD
Team Members: Sara Fernandes-Taylor, PhD; Dai Yamanouchi, MD, Rebecca Gunter, MD
Organiza…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
March 01, 2015 - already adopted
EHRs and with only one exception, it was an
exceptional office manager that made it happen … Ideally, you are going in and working with a
physician champion and then an office manager
to make it happen
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I
Pilot Test Results From the 2019 AHRQ
Surveys on Patient Safety CultureTM (SOPSTM)
Hospital Survey Version 2.0
Part I: Overall Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rock…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process
Primary Care
Practice Facilitation
Curriculum
Module 6: An Overview of the Facilitation Process
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Information to Help Hospitals Get Started
Key Takeaways
Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety.
Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
Supporting Patient and Family
Engagement: Best Practices
for Hospital Leaders
The Guide to Patient and Family Engagement in Hospital Quality …
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series
National Action Alliance to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August 22, 2023
Beth Daley Ullem
Founder and CEO, Quality and Safety First
National Action Alliance To Advance …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
SPPC-II
Toolkit
Introduction
to the SPPC-II Teamwork Toolkit
for Obstetric Hemorrhage
Module 1 of 8
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in …