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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Objectives
Say:
After this session, you will be able to understand and apply the Science of Safety, identify … Once these systems are understood, staff will be able to effectively identify system failures that can … Ask:
What levels can you identify within your health care delivery system? … Defects
Say:
The second step of CUSP is to proactively identify defects within your organization … Ask:
But, what is the most effective way to identify defects, particularly in a localized environment
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www.ahrq.gov/diagnostic-safety/ideas-project/calibrate-dx.html
July 01, 2025 - Plan and apply: Identify improvement strategies for yourself and begin to take appropriate actions. … Uncover diagnostic missed opportunities relevant to your practice setting and identify evidence-based … Identify improvement strategies that may advance diagnostic quality and safety for patients cared for … Identify at least four to six highly engaged clinicians (at least two clinicians for rural or other … Identify a site champion to coordinate project activities at the site and engage others.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
June 02, 2025 - • Raise staff awareness about patient safety;
• Assess patient safety culture;
• Identify strengths and … • Identify initiatives
• Evaluate the options
• Select your initiative and define its scope
• Leadership … • Identify key people who will be affected
► Consider domino effects in other units
23
5. … • Identify a leader and/or champion
► Essential to identify enthusiastic, respected leader
and/or champion … • Identify barriers and how they can be overcome
► For example
− Satisfaction with the status quo
−
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www.ahrq.gov/patient-safety/resources/learning-lab/dream-lab-long-desc.html
August 01, 2025 - emergency departments.[ 1 ] The lab used a systems engineering framework and human-centered design to identify … The specific aims were to: Identify factors contributing to diagnostic errors and inappropriate clinical … Using patient experience surveys to identify potential diagnostic safety breakdowns: A mixed methods … Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety … Using patient experience surveys to identify potential diagnostic safety breakdowns: A mixed methods
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-section-2-tables-1-3.pdf
June 02, 2025 - Internal Medicine
Pediatrics (Unspecified)
General Practice
Pediatric General Medicine
Table 2: Identify … Primary Care Visits
CAP-A: Codes to Identify Ambulatory or Preventive Care Visits
Description CPT … 99381-99385, 99391-99395,
99401-99404, 99411-99412,
99420, 99429
G0438, G0439
AAP-A: Codes to Identify … 99397,
99401-99404, 99411, 99412,
99420, 99429
Table 3: NCQA 2013 NDC List Used to Identify
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
June 02, 2025 - Identify MHP provider experts to help educate other
providers. … Identify exemplary pharmacies for providers and patients
Disperse 1-month supply of penicillin (1/2 … Process for clinic to create notarized care plans to identify
authorized caregivers. … Create and maintain patient registry to identify gaps in care
and enable QI processes. … Population health
approach to identify and
resolve clinical care gaps.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
June 02, 2025 - safety
• Describe the role and value of the Warm
Handoff strategy in improving patient safety
• Identify … Leadership Buy-in
13
• Identify a Warm
Handoff practice
champion
• Obtain leadership buy-
in … and support
• Identify a process
improvement team
Engage a patient or two
in developing your plan … Design Implementation
• Identify a team to help
design processes for
each of the Warm
Handoff strategy … tools
• Identify resources for
implementation
14
Step 3.
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www.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - about $52 million over 5 years to establish three Centers of Excellence and a Coordinating Center to identify … understand the factors that affect health systems' use of patient-centered outcomes research (PCOR) and to identify … Identify characteristics of high-performing health systems. … Identify, characterize, and classify the proliferating forms of health systems. … Identify characteristics of high-performing health systems, the influence of external environments on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program … will apply CUSP tools to identify defects, define them, and identify their sources. … Identify the contributing factors.
· Step 3. Prioritize the contributing factors.
3. … ASK:
· What defect did the team lead identify for the group to discuss? … · CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - AHRQ Patient Safety Network (PSNET) https://psnet.ahrq.gov/
2
Module 3 Goals
Identify opportunities … Order support surfaces and skin care products for patients you identify as at risk. … your bundle of best practices
32
Identify Best Practices
Comprehensive skin assessment
Standardized … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … 35
Identify Best Practices
Care plan:
Does your current pressure injury planning process suffice for
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Also identify measurable outcomes. … Identify potential failure points in the redesigned process. … Identify a measure and define target ranges for that measure. … Identify the instructors for each audience. … Key Actions
Identify the stakeholders for the communications plan.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/135-translating-research-into-practice-one-pager.docx
April 01, 2025 - Identify Barriers1
The second step of the TRiP model is to identify barriers to translating the evidence … One way to do identify barriers is to observe the existing workflow of the clinical setting to understand … Additionally, check with staff to assess their awareness of current evidence—this can identify barriers
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
September 01, 2022 - � Identify larger group settings for willing participants to share insights and learning with a broader … � Help clinicians identify types of cases to review. … � Identify barriers to clinicians using the resource and address them when possible. … � Identify learning opportunities for quality improvement. … � Identify system issues and communicate them to others in the organization (such as quality or safety
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Image: Four ascending steps show the learning objectives:
Introduce CUSP and Sensemaking tools to identify … Identify sources of defects.
Apply CUSP tools to identify defects. … Use the Staff Safety Assessment Form to first, identify clinical or operational problems that have or … Use this form during safety rounds, to identify safety issues, potential solutions, and available resources … CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
June 02, 2025 - Identify communication challenges 1 2 3
4. … Identify the role of patients and their families as part of
the care team
1 2 3
4. … Identify different types of team leaders 1 2 3
7. … Explain situation awareness and identify approaches to
maximize it
1 2 3
3. … Identify specific tools to facilitate mutual support 1 2 3
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - The self-
assessment tool is intended to help identify the current processes and structures the nursing … home
uses to prevent falls and identify gaps and places for improvement. … This is the first step to help them determine how to transform their current
practices and to identify … It is expected that the Facilitator will work with the Change Team to identify gaps in current falls … Identify Multidisciplinary Team Members To
Serve as the Change Team
Within 2 weeks
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - Leadership agrees to identify a change team champion and establish a
multidisciplinary Change Team to … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team
The Change Team consists … The team is guided by the Facilitator to identify gaps and begin to
think about ways On-Time reports … In completing this task, the team may identify problems in, for example, nursing assistant
documentation … Identify Multidisciplinary Team Members To
Serve as the Change Team
Within 2 weeks
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
June 02, 2025 - · Can you identify examples of human error in your unit or hospital? … · Can you identify example of reckless behaviors in your unit or hospital? … Identify Defects Through Sensemaking
5. … Slide 20
SAY:
After completing the “Identify Defects Through Sensemaking” module, staff will be … able to:
· Use CUSP and Sensemaking tools to identify defects or errors,
· Discuss the relationship
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
October 01, 2024 - be successful, it is important to identify challenges and outcomes that might occur over time. … If MRSA rates rise, again identify areas that need improvement. … Identify and maintain the CUSP team and identify members with clearly defined roles. … Identify additional key stakeholders that should be a part of the team. … Identify and address challenges along the way.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar5/aspire_webinar5.pptx
June 02, 2025 - through aligning and leveraging resources to address whole-person needs
Describe why investing effort to identify … services
Objectives
Cast aside the assumption that “there are no resources in our community”
Identify … We need to inventory them and collect this information in one place”
Identify Medicaid-Relevant Partners … Continue to improve
Identify ways to make effective linkage easy. … Identify and actively collaborate with care management entities; identify ways to efficiently connect