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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Instructor’s Note: If you wish, you may also ask participants to briefly describe a lesson they have learned … Lessons learned from key fall prevention initiatives show that support is needed from the top-level administration
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pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - improve performance on selected indicators
Presents pre/post data showing impact
Shares lessons learned … Slide 74
Lessons Learned by Harborview
Leadership Support
Physician champions
Patient Centered
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - Sites can also decide how often and how
much information learned from debriefings
or formal analysis
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - SHARE:
More topics in this section
Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery Centers …
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pcmh.ahrq.gov/evidencenow/tools/keydrivers/about.html
November 01, 2018 - SHARE:
More topics in this section
EvidenceNOW
EvidenceNOW Model
Practice Facilitation
EvidenceNOW Projects
Tools for Change
Key Driver Diagram
Full Description of Key Drivers
More about the Diagram
Search for Tool…
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pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Hospital Labor and Delivery Units
Perinatal Safety Toolkit
About the Toolkit
How To Use the Too…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - cdctrain/course/1081802/ (requires free account setup and login)
This guide provides ideas and lessons learned
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
1
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Healthcare
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
September 04, 2012 - SAY:
The “Understand the Science of Safety” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will provide a h…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Data Sources and Related Strategies for Measurement of Diagnostic Safety
Data Source
What Can Be
Learned
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - healthcare organizations, they have tackled
these complex issues and present the lessons they have learned
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/methods-to-deploy.html
March 01, 2017 - SHARE:
More topics in this section
Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery Centers …
-
pcmh.ahrq.gov/hai/cusp/modules/understand/index.html
July 01, 2018 - SHARE:
More topics in this section
Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
About the CUSP Method
Project Summary
How to Use CUSP
Content Calls
Modules
Learn About CUSP
Assemble …
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pcmh.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
July 01, 2013 - Slide 28 Point-of-Care Testing as an Influenza Surveillance Tool: Methodology and Lessons Learned from
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pcmh.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - SHARE:
More topics in this section
Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
About the CUSP Method
Project Summary
How to Use CUSP
Content Calls
Modules
Learn About CUSP
Assemble …
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Organizational leadership is key.
31
Module 1
What we have learned from patients and families after … Organizational learning and sustainment—The organization takes what they have learned from the event
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - how to create prevention plans, train and deploy staff, evaluate
progress, and incorporate lessons learned
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - Scenario 1
TeamSTEPPS Learning Benchmarks
INSTRUCTIONS: These questions focus on medical teamwork and communication and their effect on
quality and safety in patient care. For each of the following questions, please circle the letter next to the
one best answer.
1. A nurse is called to the phone to recei…
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pcmh.ahrq.gov/talkingquality/translate/web/pathways/measures.html
October 01, 2015 - SHARE:
More topics in this section
Talking Quality
Plan Your Reporting Project
Select Measures To Report
Translate Data Into Information
Why Presentation Matters
Showing Differences in Performance
Describing Quality Measures
…
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pcmh.ahrq.gov/teamstepps/lep/index.html
July 01, 2017 - SHARE:
More topics in this section
TeamSTEPPS®
About TeamSTEPPS®
Curriculum Materials
TeamSTEPPS® 2.0
TeamSTEPPS® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients with Limited English …