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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Identifying Barriers to the Success of a Reporting System
167
Identifying Barriers to the Success
of a Reporting System
Michelle L. Harper, Robert L. Helmreich
Abstract
Spurred by a controversial report from the Institute of Medicine on the prevalence
of medical error, To Err Is Human, the medical profe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology
323
Evaluating and Predicting Patient
Safety for Medical Devices with
Integral Information Technology
Jiajie Zhang, Vimla L. Patel, Todd R. Johnson,
Philip Chung, James P. Turley
Abstract
Human errors in med…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies
453
Institutional Review Board Approval
of Practice-based Research Network
Patient Safety Studies
Deborah G. Graham, Wilson Pace, Jennifer Kappus, Sherry Holcomb,
James M. Galliher, Christine W. Duclos, Aaron J. B…
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www.ahrq.gov/faqs/index.html?page=24
Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/news/newsroom/case-studies/cp31307.html
May 01, 2013 - VA Provides Specialty Care in Local Offices Across the Country
Search All Impact Case Studies
May 2013
The U.S. Department of Veterans Affairs (VA) has launched a virtual model of medical education to deliver health care that is based on AHRQ's "Project Extension for Community Healthcare Outcomes" (Project …
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
August 01, 2023 - Section 3: Teaching Introductory Material
TeamSTEPPS 3.0 has been taught in a two-day format, is often taught in a half-day format, and is also frequently taught in smaller segments only 15–30 minutes long. While in-person trainings have been the norm, virtual trainings using an online platform are now common a…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre-teach.html
May 01, 2023 - Guidance for Teaching Section 4: Implementation
Who Should Teach and Learn These Topics
Only instructors with substantial experience teaching and implementing TeamSTEPPS across an organization or units should use the material in section 4: Implementation. Ideally, multiple trainers should lead trainings discu…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/register/registration.html
PBRN Registration Form
Asterisk denotes required fields
Name of Person Making Request
Email Address of Person Making Request
What is your title/role for this PBRN?
PBRN Organization Information
PBRN Name
PBRN Acronym (Nickname)
Network Category
To r…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp3.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Participation
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
Pedi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/134-clabsi-prevention-central-line-maintenance.docx
October 01, 2024 - Central Line Maintenance: Maintain Awareness and Proper Care of Catheters in Place
· Once a central line is inserted, it must be maintained and cared for meticulously to prevent introduction of pathogens.
· Step 2 of CLABSI prevention is to maintain awareness and proper care of catheters in place. Best practices shoul…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - Communication Assessment Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To help you identify members of your organization who are effective at delivering disclosure communications.
Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
January 01, 2017 - Tool: Premortem
Problem Statement
Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to project implementation and success BEFORE the launch of a new program can miti…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/ucsd-pocket-guide.pdf
June 02, 2025 - Urinary Incontinence Pocket Guide
```
OPTIMA Team – University of
California San Diego
This project was funded under grant number U18HS028740
from the Agency for Healthcare Research and Quality
(AHRQ),…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/whats-available.pdf
March 20, 2017 - What's Available for the CAHPS Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
What’s Available for the CAHPS Child Hospital Survey
Document No. 91
Updated 3/20/17
What’s Available for the CAHPS® Child
Hospital Survey
What Materials Are Available?..........................................…
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www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - What Is the Environment for Reporting on Health Care Quality?
Whether working alone or in collaboration with others, report sponsors need to understand:
The circumstances in which the reporting project will take place.
The likely implications of the project for:
The sponsoring organizations,
The org…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-slides.pptx
January 01, 2017 - Presentation: Program Overview
Communication Strategies for Sustainability
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-40-EF
January 2017
Communication ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After reviewing this module, you wil…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchcare-measures.html
June 01, 2018 - Chartbook on Healthy Living
Maternal and Child Health Care: Care Coordination Measures
Previous Page Next Page
Table of Contents
Chartbook on Healthy Living
Acknowledgments
Healthy Living
Summary
Healthy Living Measures
Maternal and Child Health Care
Maternal and Child Health Care: Eff…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - Conflict Resolution (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on October 12, 2010.
Contents
Slide 1. Conflict Resolution
Slide 2. What is Conflict?
Slide 3. Views of Conflict
Slide 4. Sources of Conflict
Slide 5. Types of Conflict
Slide 6. Goal of Co…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-English-12-15-22.docx
December 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey
SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help ho…