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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
November 18, 2015 - Proper team structure can promote teamwork by including a clear
leader, involving the patient, and ensuring … members:
• Include anyone involved in the process of patient care who
can take action, including the leader … Every Core Team has
a leader who is readily identified by all members of the team.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Are you a hospital leader who recognizes the opportunities to improve informed
consent and wants to … Are you a hospital leader who makes decisions about training health care
professionals? … For the purposes
of this section of the guide, we will assume that you are a unit leader who either
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www.cpsi.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - facilitates teamwork by identifying the individuals among which information must be communicated, a leader … information about the environment or the patient is identified for communication and decisionmaking by the leader … Team members must respect and support the authority of the team leader while clearly asserting suggestions … This overcomes our natural tendency to believe the team leader must always know what he or she is doing
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www.cpsi.ahrq.gov/es/nursing-home/resources/search.html?page=6
January 01, 2022 - Skip to main content
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - involved in medication reconciliation (e.g., physician, nurse, or pharmacist), a quality improvement leader
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
April 21, 2014 - Implementation Guide Appendix K – Quality Improvement Study Framework
2
Improvement Team
Project Leader
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www.cpsi.ahrq.gov/hai/tools/mvp/technical-bundles-early-mobility.html
March 01, 2017 - Mobility
These slide sets can be viewed by individual users or presented to a group by a facilitator or leader
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www.cpsi.ahrq.gov/hai/tools/mvp/vae.html
December 01, 2017 - Measures
These slide sets can be viewed by individual users or presented to a group by a facilitator or leader
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www.cpsi.ahrq.gov/hai/tools/mvp/how-to-use.html
January 01, 2017 - Educational slide sets can be viewed by individual users or presented to a group by a facilitator or leader
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www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
April 01, 2020 - hospitals that made substantial improvements reveal a pattern: (1) a trigger such as a crisis or new leader
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
April 01, 2015 - Having a committed
midlevel manager, in
addition to a visionary
leader, is essential for
successful
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Have a nurse manager or other staff leader observe shift report and provide feedback to individual nurses … They also obtained patient feedback by adding questions about bedside shift report to their daily leader
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www.cpsi.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Skip to main content
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www.cpsi.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummorg.html
October 01, 2014 - His long-term goal is to become a leader in the area of patient safety and the optimal application of
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www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide.html
November 01, 2018 - Skip to main content
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
June 01, 2017 - 10: Observation and Integration
Use observation of standard work as the raw data for next-level leader
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www.cpsi.ahrq.gov/hai/cusp/toolkit/index.html
July 01, 2018 - The core CUSP Toolkit is composed of instructional material that a unit leader (facilitator) can use