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digital.ahrq.gov/sites/default/files/docs/publication/r03hs020304-vest-final-report-2015.pdf
January 01, 2015 - How Do You Define Regional? The Geography of Health Information Exchange - Final Report
How do you define regional? The geography of health information exchange.
Principal investigator:
Joshua R Vest, PhD, MPH
Organization:
Weill Cornell Medical College
New York, NY
Project dates:
09/01/2013 - 12/31/…
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - certified professional in patient safety is a powerful tool for individuals interested in becoming a leader
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work
Systems-Based Practice: Improving the Safety
and Quality of Patient Care by Recognizing
and Improving the Systems in Which We Work
Julie K. Johnson, MSPH, PhD; Stephen H. Miller, M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - Senior Leader Checklist
This tool helps leaders and staff plan, implement, and evaluate patient and family
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9)
Patient and Family Advisor
Orientation Manual
Strategy 1: Working with Patients & Families as Advisors (Tool 9)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 9)
Guide to Patient and Family Engagem…
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - Richard Kronick : AHRQ has been a leader in the patient safety movement since its inception. … RK : One of AHRQ's priorities is patient safety, and we are a leader in developing tools and resources … It has been challenging to take the success in institutions where there is a charismatic leader and real … had initially been developed, often with AHRQ's support, at a single institution and with a visible leader
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www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - Final Progress Report: SAFER: Standardizing Admissions for Elderly residents
SAFER: Standardizing Admissions for Elderly Residents
FINAL REPORT
Principal Investigator: Andrew Coburn, PhD
Team Members: Judith Tupper, Carolyn Gray, Karen Pearson
Organization: Muskie School of Public Service, University of South…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - Frontline leader standard work must be well integrated with frontline clinical
standard work.
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Nurse Leader. 2020;18(2):147-
150. doi:10.1016/j.mnl.2019.12.006
7. Boston-Fleischhauer C.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.pdf
January 01, 2022 - Centeredness and Efficiency (3 items) (Cronbach’s alpha = .75)
• Supervisor, Manager, or Clinical Leader
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-Spanish-12-15-22.docx
December 01, 2022 - Policies, Procedures, and Training (2 items) (Cronbach’s alpha = 0.67)
· Supervisor, Manager, or Clinical Leader
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
February 01, 2017 - 2
Lack of leadership:
Designate an overall leader who is involved and committed to quality improvement
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - The Commentary by Audrey Lyndon, PhD, RN, and Stephanie Lim, MD Anesthesia as a field has been a leader
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psnet.ahrq.gov/node/44604/psn-pdf
August 02, 2016 - Influencing the Quality, Risk and Safety Movement in
Healthcare: In Conversation with International Leaders.
August 2, 2016
Sears K, Stockley D, Broderick B, eds. Aldershot, UK: Ashgate Publishing; 2015. ISBN: 9781472449276.
https://psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conver…
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psnet.ahrq.gov/node/42007/psn-pdf
May 23, 2013 - Leaders' and followers' individual experiences during the
early phase of simulation-based team training: an
exploratory study.
May 23, 2013
Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the
early phase of simulation-based team training: an exploratory study. B…
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psnet.ahrq.gov/node/40754/psn-pdf
September 07, 2011 - The partnership with patients: a call to action for leaders.
September 7, 2011
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121.
doi:10.1097/PTS.0b013e31822d6f2a.
https://psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
This commentary discusses …
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psnet.ahrq.gov/node/38252/psn-pdf
November 26, 2008 - Hospital ethical climate and teamwork in acute care: the
moderating role of leaders.
November 26, 2008
Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of
leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d.
https://psnet.ahrq.go…