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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-implementation-tip-sheet.pdf
June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Implementation Tip Sheet
General Tips for Getting Started
� Identify the course leaders:
� The leader may be the course facilitator or additional site champions, who will
share the roles and responsibilities of the facilitator at the local level. Course
leaders are responsible fo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List
SOPS Nursing Home 2.0 Survey Resource List 1
Improving Patient Safety in Nursing Homes: A
Resource List for Users of the AHRQ Nursing Home
Survey on Patient Safety Culture Version 2.0
I. Purpose
This document provides a list of publicly available resour…
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psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
April 24, 2018 - Study
Improving the quality of discharge communication with an educational intervention.
Citation Text:
Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884.
…
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psnet.ahrq.gov/issue/improving-safety-maternity-services-toolkit-teams
February 13, 2013 - Toolkit
Improving Safety in Maternity Services: a Toolkit for Teams.
Citation Text:
Improving Safety in Maternity Services: a Toolkit for Teams. Thomas V, Dixon A. London, UK: The King's Fund; March 2012. ISBN: 9781857176384.
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psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review
August 02, 2015 - Review
Are quality improvement collaboratives effective? A systematic review.
Citation Text:
Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926.
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - Review
Core principles of quality improvement and patient safety.
Citation Text:
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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DOI Google Scholar BibTeX EndNote X3 XML EndNo…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
September 08, 2015 - Engaging Stakeholders to Improve the Quality of Children's Health Care
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Engaging Stakeholders
to Improve the Quality of
Children’s Health Care
Ellen Albritton, Margo Edmunds, Veronica Thomas, Dana Petersen, Grace Ferry,
Cindy Brach, and …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.html
March 01, 2019 - Improving Care and Proving It!
Second Annual CMS Quality Conference
The National Evaluation of the CHIPRA Quality Demonstration Grant Program
Presentation to the Demonstration States at the CMS Medicaid and CHIP Quality Conference, Friday, June 15, 2012
National Evaluation of the CHIPRA Quality Demonstr…
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psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
January 22, 2016 - Review
Using simulation to improve systems-based practices.
Citation Text:
Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.html
March 01, 2017 - Improve Safety Culture
Long-Term-Care Safety Toolkit Modules
Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety. They support learning and implementation efforts to improve safety culture and practices in long term care facilities. The…
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psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
March 24, 2019 - Commentary
Information behavior in the context of improving patient safety.
Citation Text:
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…
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psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
March 24, 2011 - Study
Gaps in pediatric clinician communication and opportunities for improvement.
Citation Text:
Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54.
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Format:
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www.ahrq.gov/hai/cusp/videos/06a-improve-team/index.html
June 01, 2018 - Improve Teamwork and Communication
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Improve …
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psnet.ahrq.gov/issue/beth-israel-cited-improving-obstetrics-care
August 24, 2016 - Newspaper/Magazine Article
Beth Israel cited for improving obstetrics care.
Citation Text:
Beth Israel cited for improving obstetrics care. Kowalczyk L.
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digital.ahrq.gov/sites/default/files/docs/page/2006Muller_052411comp.pdf
June 16, 2021 - Medication Information: A Community Working Together to Improve Communication
Medication Information: A
Community Working Together to
Improve Communication
Melinda Muller, MD
Medical Director, Legacy Clinics
Medical Director of Quality for Primary
Care
Legacy Health System
Portland, Oregon
Support
This wo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects
The Science of Improving Patient Safety
and Identifying Defects
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements
Performing an SSI Investigation – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Performing an SSI Investigation
SAY:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
Slide …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements
Sustaining and Spreading Improvements – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Sustaining and Spreading Surgical Safety Improvements
SAY:
This module will cover Sustaining and Spreading Surgical Safety Improveme…