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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook) Strategy 2: Communicating to Improve Quality (Implementation Handbook) Guide to Patient and Family Engagement Communicating to Improve Quality Implementation Handbook Strategy 2: Communicating to Improve Quality (Implementation Ha…
  3. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
    February 16, 2011 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 2 Tools 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis 2D: Assessing Pressure Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer Care Planning 2I: Action Plan …
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_ig_summary.pdf
    May 10, 2017 - Summary (Instructor Guide) SUMMARY—PULLING IT ALL TOGETHER SUBSECTIONS • Review of Teamwork Skills, Team Effectiveness, and TeamSTEPPS Outcomes • Skills Practice Exercise • Identifying Opportunities to Use TeamSTEPPS Strategies and Tools • Practice Teaching Session Preparation TIM…
  5. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Sensemaking and Learn From Defects for Perinatal Safety SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring defects in your system and apply Comprehen…
  6. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - Combining Performance Feedback and Evidence-based Educational Resources 237 Combining Performance Feedback and Evidence-based Educational Resources John R. Meurer, Linda N. Meurer, Jean Grube, Karen J. Brasel, Chris McLaughlin, Stephen Hargarten, Peter M. Layde Abstract Objective: This study is intended t…
  8. www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
    June 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  9. www.cpsi.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. www.cpsi.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  11. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module9/9_ts_office_mgmt-ig.pptx
    January 20, 2006 - Office-Based Teams Instructor Guide for OFFICE-BASED CARE Change Management ® TeamSTEPPS | Office-Based Care Change Management Slide ‹#› INTRODUCTION INSTRUCTOR NOTE: In this module, you will present information about change management and how to achieve a culture of safety. Cultivating a culture of sa…
  12. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    August 31, 2017 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 3 Tools 3A: Pressure Ulcer Prevention Pathway for Acute Care 3B: Elements of a Comprehensive Skin Assessment 3C: Pressure Ulcer Identification Notepad 3D: The Braden Scale for Predicting Pressure Sore Risk 3E: Norton Scale 3F: Care Plan 3G: Pat…
  13. www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
    December 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - Preventing Falls in Hospitals Preventing Falls in Hospitals ADD Hospital Name Here Module 1 Ice Breaker Describe an interesting fact about yourself. ‹#› Compelling Reasons To Implement Program Falls are common. They are the most frequently reported incident in adult inpatient units. The rate of falls ranges f…
  15. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Sensemaking and Learn from Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify…
  16. www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
    February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …
  18. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
    April 01, 2022 - residents and do not use shortcuts to get their work done faster. 3 Feedback and Communication About Incidents … safe, tell someone if they see something that might harm a resident, and talk about ways to keep incidents
  19. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module11.pptx
    March 07, 2019 - FileNewTemplate Module 11: Implementation Planning Office-Based Care Online Course Welcome to Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. This presentation will cover Module 11, Implementation Planning, that you, as a practice facilitator, will review. In this modul…
  20. www.cpsi.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

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