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  1. www.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 - Sensemaking has five attributes: First, Sensemaking involves a conversation among team members.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
    January 01, 2004 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care 309 A Conceptual Framework for Studying the Safety of Transitions in Emergency Care Ravi Behara, Robert L. Wears, Shawna J. Perry, Eric Eisenberg, Lexa Murphy, Mary Vanderhoef, Marc Shapiro, Christopher Beach, Pat Croskerry, Ka…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - In particular, we focus on the integration-based development approach we adopted, which involves reusing … The final step in the project involves using the shared medical error ontology to build a knowledge
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
    April 01, 2016 - Purpose: To provide guidance to leaders and staff who are building a business case for implementing the Communication and Optimal Resolution (CANDOR) process in their organization. Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are leading the imple…
  5. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Sustainment involves continual monitoring of metrics related to project activities and frequent communication … emergency room and the time a percutaneous coronary intervention is completed; often, this intervention involves … Because the D2B value stream involves the ED and the cardiology department (specifically, the cardiac … The hospital's approach to implementing Lean involves training senior management on the concepts and
  6. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
    September 01, 2019 - 2018 National Healthcare Quality and DIsparities Report c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2018 This document is in the public domain and may be used and reprinted without permission. Ci…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - The surgical setting involves functionally diverse teams, where people do different tasks based on specialized … Coaching involves role modeling and feedback.
  8. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
    December 01, 2017 - The surgical setting involves functionally diverse teams, where people do different tasks based on specialized … Coaching involves role modeling and feedback.
  9. www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - between qualitative process analysis techniques and quantitative decision-support models. 1-3 PRA involves … ST-PRA expands the basic PRA model by accounting for human performance. 3-4 Most work involves the interactions
  10. 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 - The cognitive pathway elucidates upon these data and shows that patient contact involves assessing … Communication involves consulting with other health care providers; providing patient education; and
  11. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
    July 01, 2018 - Guide to Patient and Family Engagement Summary and Discussion Previous Page 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 K…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/patientandfamilyengagement_slides.pptx
    September 03, 2014 - PowerPoint Presentation Patient Engagement in Hemodialysis Facilities 1 Objectives Understand what patient and family engagement is in the context of end-stage renal disease (ESRD) Learn how to recognize and overcome obstacles to engaging patients and their families Equip your facility to engage patients in each …
  13. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
    July 01, 2018 - Guide to Patient and Family Engagement Executive Summary Previous Page 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 In…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pr…
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  16. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…
  17. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
    January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …
  19. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
    January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …
  20. www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
    December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…

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