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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Team Structure and Assembly Hospital AIM Team Leads SPPC‐II Team Structure and Assembly Module 2 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) Teamwork Toolkit presented by the Johns Hopkins University, Agency for Healthcare Re…
  2. Sensemakingnotes (doc file)

    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 (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…
  3. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
    August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …
  5. www.ahrq.gov/ncepcr/communities/pbrn/registry/ucla-primary-care-research-network.html
    January 01, 2012 - UCLA Primary Care Research Network Status: Active Registered Date: January 1, 2012 PBRN Acronym: UCLA PCRN PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Network Category: Established Street…
  6. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - Identify institutional factors that contribute to diagnostic error, including policies and cultural … using the Safer Dx framework.16,17 Reviewing trends at a national/State level can affect care at the institutional
  7. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/index.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resources Pedia…
  8. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-pcor.pdf
    November 01, 2016 - Evidence Now Fact Sheets - Cholesterol Management Cholesterol Management Rationale for Cholesterol Management People with elevated levels of cholesterol are at increased risk of having a heart attack or stroke. Substantial PCOR evidence shows that taking a …
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
    June 01, 2021 - who is invested in the stewardship program can provide— · A shared sense of purpose, · Access to an institutional
  10. www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
    July 01, 2023 - that teaching TeamSTEPPS in a healthcare organization without effective implementation and a sustained institutional
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
    June 01, 2021 - Institutional behavior change can be challenging, and ASPs and frontline providers may be inclined to
  12. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/index.html
    October 01, 2014 - Guide to Patient and Family Engagement Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant Interview Protocol Appen…
  13. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - This inability may reflect lack of institutional support and prioritization, failure to create a protocol … performed on samples of patients to make sure that the prophylaxis being delivered is consistent with the institutional
  14. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - This inability may reflect lack of institutional support and prioritization, failure to create a protocol … performed on samples of patients to make sure that the prophylaxis being delivered is consistent with the institutional
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
    January 07, 2005 - implementation teams in the adopting organizations, helping them to identify and address specific institutional … Generally, it lasts until the innovation enters the routinization or institutional stage.
  16. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …
  17. www.ahrq.gov/takeheart/training/module-2/index.html
    December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans   YouTube embedded video: https://www.youtube-nocookie.com/embed/IJQC58AGQD0 Video: Systems Change: Laying the Foundation, Leadership, and Action Plans (1:05:01) Slides:  Systems Change: Laying the Foundation, Leadership, and…
  18. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p002-ef.pdf
    March 01, 2015 - Inpatient growth and resource use in 28 children’s hospitals: a longitudinal, multi-institutional study
  19. www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
    September 01, 2018 - , Shaw J, Gulczynski, D, Hunter, D, Martha, J., Miley GB, Parazzin, S, Dejoie, P, and Richmond, JC, Institutional
  20. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
    November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested that “A…

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