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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Stress that the purpose of the interview is to learn more about what happened and how to make the system … Can you tell me about your understanding of what happened?" … "I would like to learn more about what happened.
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www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association
Resource title: Aspirin, Heart Disease, and Stroke .
Resource description: This patient education booklet explains how heart attack and stroke happen, and the potential risks and benefits of aspirin in prevention and treatment.
Docu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/038-what-mrsa-info-sheet.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Patient Handout: What Is MRSA?
ICU & Non-ICU
What Is Methicillin-Resistant Staphylococcus aureus (MRSA)?
Staphylococcus aureus is a germ that lives on skin that can sometimes cause infections. Most strains of Staphylococcus aureus bacteria are easily treated using regular antibi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home Survey
Version: 1.0
Language: English
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a web-based survey, and
preparing and analyzing data, a…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
November 01, 2023 - It depends on what happened during surgery
and on your health before surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - What would you rather have happened?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - To understand what happened, let’s take a look at the diagram below of the belly area. … It depends on what happened during surgery
and on your health before surgery.
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of …
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - questions and documenting the answers to
help ensure resolution and support future learning:
What happened … This way of
looking at safety encourages staff to learn what happened and why, and how to take action
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - questions and documenting the answers to
help ensure resolution and support future learning:
What happened … This way of
looking at safety encourages staff to learn what happened and why, and how to take action
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Transcript
How To Empower Staff To Speak Up To Stop a Central Lin…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II
Community Pharmacy Survey on Patient Safety Culture: 2015
User Comparative Database Report
Part II
Appendix A—Overall Results by Community Phar…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
April 30, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast
Using TeamSTEPPS and SOPS to Enhance
Surgical Team Communication
Lukasz Mazur, Ph.D.
Division of Healthcare Engineering
University of North Carolina – Chapel Hill
Disclosures
Communify.us (quality/safety improvement management
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS
TM
Ambulatory Surgery Center Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS™ Ambulatory Surgery Center Survey
Version: 1.0
Language: English
Note
For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey,…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - , education, technology factors
► Local or institutional environment
Learning From Defects
What happened
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B17: Handout for Inservice #1, Why Falls Happen in Nursing Facilities
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapt…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb15.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B15: Pre and Posttests for Inservice #1, Why Falls Happen, Spanish
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - Visual Management Board Component Kit
Contents
1. Why Have a Visual Management Board?
2. Tips for Using a Visual Management Board
3. Plan-Do-Study-Act (PDSA) “Ramp”: Learn To Use a Visual Management Board
4. Visual Management Board Example: Elements You Can Use
5. Connections to Other Components
6. …