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1341. Just Culture Webcast November 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
      June 01, 2017 - So we don't have a negative idea around coaching.

1342. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - Williams and gain her perspective on the delivery, reinforcing the idea of the patient as a team member

1343. Using Home Visits to Understand Medication Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
      May 28, 2008 - incident reports.10 Limitations One concern with the use of observation to measure error rates is the idea

1344. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - Patient-Centered Outcomes Research Trust Fund (PCORTF) External Stakeholder Report June 2023 i i Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Trust Fund External Stakeholder Report Prepared for: Agency for Healthcare Research and Quali…

1345. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
      December 01, 2017 - His concept that culture varies by profession, by unit, and this idea that leadership must drive culture

1346. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
      October 08, 2013 - His concept that culture varies by profession, by unit, and this idea that leadership must drive culture

1347. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
      January 01, 2024 - Physicians did not like the idea of “training” and were resistant to taking additional time out of their

1348. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Williams and gain her perspective on the delivery, reinforcing the idea of the patient as a team member

1349. Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
      January 01, 2018 - But the idea here is that the core survey content that Stephanie described does support the standardization

1350. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - The data are consistent with the idea that when the nurses intend to raise the bed to the proper angle

1351. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Surgery – Implementation SAY: The goal is to build a shared mental model among your team—the same idea

1352. Final Progress Report: The Impact of Shift-Accumulated Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
      January 01, 2024 - after shifts, and tragic instances of nurses and doctors falling asleep at the wheel reinforce the idea

1353. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - Williams and gain her perspective on the delivery, reinforcing the idea of the patient as a team member

1354. Preparing for and Recovering After Colorectal Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
      November 01, 2023 - It’s a good idea for everyone to have this and to talk with their family about it.

1355. Preparing for and Recovering After Gynecologic Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gynecologic-booklet.pdf
      November 01, 2023 - It’s a good idea for everyone to have this and to talk with their family about it.

1356. Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization Title of Project: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilizati…

1357. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
      January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…

1358. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
      January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…

1359. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…

1360. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…