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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
    April 01, 2025 - This presentation focuses on the importance of MRSA and SSI prevention and involves all four key strategies
  2. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - According to the Institute for Patient- and Family-Centered Care, patient- and family-centered care involves … care, creating a patient-centered environment that encourages open communication by all parties and involves
  3. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 01, 2024 - Implementation Planning If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning. Basis of Im…
  4. www.ahrq.gov/sdm/measures-data-funding/index.html
    February 01, 2025 - Measures, Data, and Funding for Shared Decision Making Research New research on shared decision making (SDM) is needed to further describe the impact of SDM on patient and provider experience and health outcomes. Research is also needed to evaluate the most effective methods for implementing SDM and engaging pa…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
    July 23, 2008 - A change in unit (the place where the patient is being cared for) also involves a change in the managing … Pediatric care involves caring for children of varying ages and stages with varying normal ranges of
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
    January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process 341 The Role of Patient Safety in the Device Purchasing Process Todd R. Johnson, Jiajie Zhang, Vimla L. Patel, Alla Keselman, Xiaozhou Tang, Juliana J. Brixey, Danielle Paige, James P. Turley Abstract To examine how patient safety considerations a…
  7. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - According to the Institute for Patient- and Family-Centered Care, patient-and-family centered care involves
  8. Learndefects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Learn From Defects Tool Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect. Wh…
  9. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
    May 01, 2017 - o A physician or nurse leader if the intervention involves any aspect of clinical care.
  11. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  12. www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
    January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Appendix A. Grants Database Search Terms & Analytic Categories/Definitions Used in Portfolio Analysis 2008-2019 Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) In…
  13. www.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - Creating an environment in which teams can succeed in keeping up with the ever-changing evidence base involves … Successful patient and family engagement also involves checking understanding, eliciting values and preferences
  14. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - Incorrect timing is an INCORRECT ACTION that involves medications or other substances being administered … Incorrect rate is an INCORRECT ACTION that involves medications or other substances being administered … Incorrect timing is an INCORRECT ACTION that involves medications or other substances being administered … Incorrect rate is an INCORRECT ACTION that involves medications or other substances being administered
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
    May 01, 2017 - Psychological safety involves all team members— Proactively inviting everyone’s input by giving permission
  16. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
    July 01, 2023 - Psychological safety involves all team members— Proactively inviting everyone's input by giving permission
  17. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - Creating an environment in which teams can succeed in keeping up with the ever-changing evidence base involves … Successful patient and family engagement also involves checking understanding, eliciting values and
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 2: Engaging Stakeholders in a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Manage…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - This tool involves asking all staff to fill out a survey that asks the following: “Please describe how
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.pdf
    June 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 1) Guide to Patient and Family Engagement Be a Partner in Your Care We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include…

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