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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - SSI | Surgical Services
Antimicrobial Prophylaxis Part 2
Case Example: Learning From Defects
What happened … Prevention: Targeting SSI | Surgical Services
Antimicrobial Prophylaxis Part 2
Case Example: What Happened
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.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/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
October 01, 2016 - Has anything happened recently at the nursing home? … Discuss what happened.
2.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
April 01, 2018 - First case of day before open up any equipment will do damp dust to settle dust since the full clean happened … Only happened once or twice last year.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
March 06, 2013 - What would you rather have happened?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - She is not acting like herself today, and the last three times this happened, someone told you she had
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
How Can Leaders Drive Improvements in Diagnostic Safety?
Previous Page Next Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnosti…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
Say:
Today, we will give you an overview of the…
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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - in injury by muting the intense emotions that result from (1) not knowing the truth of
what really happened … In the words of the attorney:
“Now, what happened in this mediation is exactly what I think would happen … So what happened?
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Please tell us what happened with your concern or experience in as much detail as you can.
2. … Considering only respondents for whom the diagnostic problem
happened 3 or more years in the past, 28 … clinicians, scaffolding questions asked about these encounters and encouraged respondents
to “explain what happened … , how it happened, and how it felt to you.”
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www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - What actually happened?
What did you learn?
What are your next steps?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Module 2: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ’s Safety Program for Ambulatory
Daily Huddle Component Kit
Contents
1. Why a Daily Huddle? 2
2. “Know What, Know How, Know Why” for Daily Huddle 4
3. Plan-Do-Study-Act “Ramp”: …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-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/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
January 05, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 1.
Detecting Change
in a Resident’s
Condition
Student
Workbook
These training materi…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
January 01, 2017 - their experiences could understand not only what happens, but as best they could
retell it, why it happened … We added the details about “please explain what happened, how it happened, and how it felt to you”, because … coherence or meaningfulness, if you were listening or
reading the narrative, could you get why things happened … the way they happened?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
SAY:
Today, we will give you an overview of the Science of Safety and identifying defects.
Slide 1
Learning O…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority
The Timeline to Diagnostic Safety
SIDM - Research as a Priority
Mark L Graber MD FACP
Senior Fellow – RTI International
Professor Emeritus - SUNY Stony Brook
Founder and President – SIDM
graber.mark@gmail.com
VISION: Creating a world
where no pat…
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www.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - If yes, what happened? If no, what will happen?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
February 01, 2014 - If
yes, what happened? If no, what will happen?