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psnet.ahrq.gov/node/44455/psn-pdf
September 02, 2015 - Finding antecedents of psychological safety: a step
toward quality improvement.
September 2, 2015
Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality
Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084.
https://psnet.ahrq.gov/issue/finding-antecedents-…
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psnet.ahrq.gov/node/47161/psn-pdf
July 25, 2018 - Quality and the health system: becoming a high reliability
organization.
July 25, 2018
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization.
Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
https://psnet.ahrq.gov/issue/quality-and-health-system-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - It is sometimes hard for people to wrap their quite capable heads around that idea. … Don’t evaluate or criticize an idea. … They can place all three votes on a single idea or spread them out.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pediatric-ehr_disposition-comments.pdf
May 01, 2015 - Unfortunately, a full review of outcomes was outside the
scope of this project although this is a good idea … This gives the reader an idea of what this
section is about. … This is an interesting idea but out of scope for this
particular project. … If the parent is
fundamentally opposed to the idea it probably does
more harm than good to hide parts … Many
practitioners will weigh this risk against the benefit and
decide to proceed with the idea of
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Contents …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facnotes-spanish.docx
June 02, 2025 - Notas para el facilitador
DIGA:
El módulo Sostenibilidad de este kit de herramientas ayuda a las organizaciones a mantener y sostener los procesos que funcionan correctamente.
DIAPOSITIVA 1
DIGA:
En este módulo, haremos lo siguiente:
· Definir la sostenibilidad y comprender la importancia de mantener cambios po…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs029275-final-report-gisondi-2023.pdf
January 01, 2023 - Precision Emergency Medicine: Setting a Research Agenda - Final Report
FINAL PROGRESS REPORT
1. TITLE PAGE
Grant Title
Precision Emergency Medicine: Setting a Research Agenda
Principal Investigator:
Michael A. Gisondi, MD
Co-Investigators:
Matthew Strehlow, MD
Holly Caretta-Weyer, MD, MHPE
Jody Vog…
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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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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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digital.ahrq.gov/sites/default/files/docs/citation/cdsic-year-3-report-2024.pdf
January 01, 2024 - Clinical Decision Support Innovation Collaborative 2023-2024 (Year 3) Period of Performance Report
Clinical Decision Support
Innovation Collaborative
2023-2024 (Year 3) Period
of Performance Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q8…
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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - This report advances the idea of information technology as a solution to many of the
problems present … The authors note that the idea of
transforming health care via optimization of the microsystem relies … A similar problem exists with the idea that implementing change at the level of the
microsystem will
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - that there's a high percentage of our staff that use
our clinics for their own family's care, and the idea … Do
you have an idea about that?
Mon L. Yee
That's a good question. … They've been focusing a lot on employee buy-in to the idea of focused patient care, and
that's really
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - Again, the sample questions seemed like
a good idea to people.
Fowler, Slide 27
Limitations. … It also gives you an idea if someone's
opened the email and not responded. … I think doing a little testing before you do your survey is probably a good idea in that respect.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - Nurse: No, but that’s a really good idea. Wouldn’t one of the On-Time reports cover that? … Facilitator: Great idea. Let’s finish up this section. … DON: What a good idea.
Facilitator: You have all done a great job.
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www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - Babcock’s idea did not
spread widely within medicine. In the 1980s, modeled after such tools, Drs. … early 2000s, they led a team that worked with the VA’s National
Center for Patient Safety to bring the idea … The creators of these tools came together to spread
the idea of using cognitive aids, like the checklists
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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2001_Design_Report.jsp
January 01, 2001 - However, when creating nationwide estimates, it is a good idea to check your estimates against other … Therefore, it is a good idea to check your estimates against other data sources, if available. … It was an appealing idea that the NIS sample could be a “miniaturization” of the universe of hospitals
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digital.ahrq.gov/sites/default/files/docs/citation/cedar-year1-final-report.pdf
September 01, 2022 - The team explored this idea in a curation trial with two repositories (USPSTF and SRDR) in
which the … Stakeholder and pilot
tester feedback has enforced the idea that
additional AHRQ data sources would … This idea was considered as
a use case for the initial CEDAR pilot,
but a different use case was selected
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www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
January 01, 2025 - We concluded that the lowest “bar” would be
the idea that either the sedation allowed the procedure … provided a more consolidated, unified outcome with fewer elements to
measure, in recognition of the idea
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - Chronic Care Technology Planning Project
Grant Final Report
Grant ID: 1P20HS014949-01
Chronic Care Technology Planning Project
Inclusive Project Dates: 10/01/04 – 09/30/05
Principal Investigator:
John M. Branscombe Jr., MSB
Team Members:
David Peterson, President/CEO
Joy Barresi-Sauci…
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psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…