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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
    January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Appendix A—Overall Results by Community Phar…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
    June 01, 2015 - As we learned, some of their experiences have been positive, but the systems also occasionally struggle … Staff learned that improvement work does not need to be perfect; small changes can make a big difference … Green Belts returning to the organization did not have the skills to deploy what they had learned and … planning it (P), doing it and, trying it out (D), studying the results (S), and acting on what is learned
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - In addition, we learned that the simulation triggered participants’ reflections of past failure mode … What we have learned from aviation and its applications to medicine.
  4. www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
    September 01, 2015 - is a case study that will give you the opportunity to assess a patient, apply the principles you’ve learned … for Reducing CAUTI in Hospitals Transcript 51 Case Study Now, let’s apply what you’ve learned
  5. www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
    January 01, 2025 - Generation of evidence and translation into practice: lessons learned and future directions. … Generation of evidence and translation into practice: lessons learned and future directions.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
    September 01, 2015 - is a case study that will give you the opportunity to assess a patient, apply the principles you’ve learned … for Reducing CAUTI in Hospitals Transcript 51 Case Study Now, let’s apply what you’ve learned
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - Phase II products will consist of implementation strategies (based on lessons learned) and the two interventions … Phase II will add a package of implementation strategies based on our lessons learned and the evaluation
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
    January 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
    December 01, 2017 - Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI Slide Presentation Slide 1 Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI Barbara Meyer Lucas, MD, MHSA Project Consultant Michigan Health & Hospital Association Keystone Center fo…
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - TeamSTEPPS for Improving Diagnosis Facilitator's Guide TeamSTEPPS® for Diagnosis Improvement Facilitator’s Guide This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 TeamSTEPPS for Diagnosis Improvement Course …
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Culture of Safety Improvement Project UNC Medical Center 29 U N C H …
  13. www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Rachel A. Umoren, MBBCh, MS Mega…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
    June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5) Insert hospital logo here Become a Patient and Family Advisor: Information Session [Hospital Name | Presenter name and title | Date of presentation] Strategy 1: Patient & Family Advisor Information Session (Tool 5) Guide to Patient & Family Engag…
  15. 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…
  16. www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
    January 01, 2024 - He also reported on the lessons learned from the implementation of a nationwide system, including intended
  17. www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
    January 01, 2025 - This presentation focused on the lessons learned about the need for consensus and alignment in data … Numerous lessons have been learned in the startup efforts under this new law.
  18. www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
    February 01, 2024 - Are coaching characteristics innate or can they be learned?
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
    June 02, 2025 - Implementing developmental screening and referrals: lessons learned from a national project.
  20. www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
    January 01, 2024 - Overall, 81% of physicians reported having personal strategies for self- management, most which were learned

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