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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Low on the Totem Pole
December 1, 2005
Wachter R. Low on the Totem Pole. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/low-totem-pole
Case Objectives
Understand the concept of authority gradient
List steps that can be taken to increase communication across an authority gradient
Consider the current cultu…
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psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - Playing Well with Others: "Translocational Research" in
Patient Safety
September 1, 2005
Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
Perspective
Translation…
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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 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish
SOPS® Value and Efficiency Supplemental
Item Set for the SOPS Hospital Survey 2.0
Language: Spanish
• Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0
to help hospitals as…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - Troubleshooting Your
Automatic Referral System
Module 7
S h e r r i e K h a d a n g a , M D
a n d L a u r a L u i , M S
PURPOSE
TAKEheart Training and Technical Assistance Co mponents
Training sessions guided by the Million
Hearts®/AACVPR Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - Presentation: Program Overview
The Four Es of Early Mobility
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-50-EF
January 2017
Four Es of Early Mobility ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this session, you will be able t…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/approaches-to-quality-improvement
January 01, 2018 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
April 01, 2010 - Hospital leaders knew, based on comparisons of the
hospital’s performance with that of similar hospitals … For example, as they
prepared for the move to the new facility, hospital and nursing leaders
kept … to
undergo the health advisory board's training, called “Intensive Leadership for Front-Line
Nurse Leaders … Budget cuts in nursing affected staff morale and service
Budget issues were taking leaders’ time away
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs021233-butler-final-report-2016.pdf
January 01, 2016 - Figure 1: MATH Method for HIT Systems
Knowledge & Data Acquisition
Clinic leaders served as points … Modeling and Analysis of Clinical Care for HIT Improvement 11/1/2016
18
supporting health care leaders
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
June 02, 2025 - 1
TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7
Purpose and Overview
This implementation guide is designed to help you think through the steps you can take to
troubleshoot a successful automatic referral (AR) order set for your hospital/health system.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - After the end of grant funding, project leaders continued to
refine the system and began collecting … According to the grantee, “We conclude: (1) the
Project Bundle offers health care leaders a useful prelaunch … of the literature review and claims analysis, a group of physicians, patient
safety officers, and leaders … Input from practice leaders at each of the sites indicated that they had “very good” buy-in to the
project
-
www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - After the end of grant funding, project leaders continued to
refine the system and began collecting … According to the grantee, “We conclude: (1) the
Project Bundle offers health care leaders a useful prelaunch … of the literature review and claims analysis, a group of physicians, patient
safety officers, and leaders … Input from practice leaders at each of the sites indicated that they had “very good” buy-in to the
project
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effectivehealthcare.ahrq.gov/sites/default/files/oct_13_webinar_transript_10-13-11.pdf
October 13, 2011 - And you’re trying to answer
the needs and add additional courses if necessary such as
emerging leaders … usual channels such as this
website, important messages were disseminated by involving
community leaders
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effectivehealthcare.ahrq.gov/products/fatigue-sleepiness/protocol
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effectivehealthcare.ahrq.gov/products/fatigue-sleepiness/rapid-research
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - In practice, we’re talking about the leaders within a clinical practice, as well as those at the point
-
psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Additionally, institutional leaders should consider using electronic triggers ( 10,11 ) and developing
-
psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Sarah Mossburg: It sounds like healthcare leaders should really be thinking about the VIC model as an