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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - Are coaching characteristics innate or can they be learned? … Leverage lessons learned to help plan next goal.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - SAY:
The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights
SAY:
It also builds on the lessons learned from National On the CUSP: Stop
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Say:
The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights
Say:
It also builds on the lessons learned from National On the CUSP
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/methods-to-deploy.html
March 01, 2017 - Methods To Deploy Training
In-Service Education . Use the content as part of monthly in-service training. Consider engaging the staff by assigning a section to each person and having them teach their peers. The educator can be present to clarify points or answer questions.
Self-Guided Learning .
If you …
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psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - The problem with root cause analysis.
April 22, 2017
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-
422. doi:10.1136/bmjqs-2016-005511.
https://psnet.ahrq.gov/issue/problem-root-cause-analysis
Root cause analysis (RCA) is a strategy to investigate incident…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/60840/psn-pdf
August 26, 2020 - Role of artificial intelligence in patient safety outcomes:
systematic literature review.
August 26, 2020
Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review.
JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599.
https://psnet.ahrq.gov/issue/role-artificial…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/838125/psn-pdf
September 22, 2022 - Frontiers in measuring structural racism and its health
effects.
September 22, 2022
Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res.
2022;57(3):443-447. doi:10.1111/1475-6773.13978.
https://psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-healt…
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psnet.ahrq.gov/node/861769/psn-pdf
January 31, 2024 - Psychological safety and hierarchy in operating room
debriefing: reflexive thematic analysis.
January 31, 2024
McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing:
reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016/j.jss.2023.11.054.
https://psn…
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psnet.ahrq.gov/node/47197/psn-pdf
June 20, 2018 - Artificial intelligence will improve medical treatments.
June 20, 2018
The Economist. June 7, 2018.
https://psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
Artificial intelligence (AI) can improve the timeliness and accuracy of decision making in health care. This
magazine article repo…
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psnet.ahrq.gov/node/848382/psn-pdf
May 03, 2023 - Events that inspired change: the importance of sharing
what happened to stop it from happening again.
May 3, 2023
Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from
happening again. Patient Saf. 2023;5(1):62-63. doi:10.33940/001c.74079.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/39351/psn-pdf
March 10, 2010 - Effectiveness of patient safety training in equipping
medical students to recognise safety hazards and
propose robust interventions.
March 10, 2010
Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to
recognise safety hazards and propose robust interventions. …
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psnet.ahrq.gov/node/44647/psn-pdf
November 18, 2015 - An organisation without a memory: a qualitative study of
hospital staff perceptions on reporting and organisational
learning for patient safety.
November 18, 2015
Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting
and organisational learning for patient safety…
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psnet.ahrq.gov/node/846148/psn-pdf
March 15, 2023 - Near-miss events detected using the emergency
department trigger tool.
March 15, 2023
Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department
trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092.
https://psnet.ahrq.gov/issue/near-miss-events-detecte…
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psnet.ahrq.gov/node/48149/psn-pdf
July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety
in Healthcare.
July 31, 2019
Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN:
9781260440928.
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
Achieving zero preventable harms h…
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psnet.ahrq.gov/node/42536/psn-pdf
August 13, 2014 - Levels of reflective thinking and patient safety: an
investigation of the mechanisms that impact on student
learning in a single cohort over a 5 year curriculum.
August 13, 2014
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that
impact on student learning i…
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psnet.ahrq.gov/node/46403/psn-pdf
September 06, 2017 - Supplemental Issue: Quality and Safety Education for
Nurses (QSEN) program.
September 6, 2017
Quality and Safety Education for Nurses.
https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
Patient safety and quality improvement competencies are developed through interprof…
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psnet.ahrq.gov/node/45975/psn-pdf
May 07, 2018 - Two effective initiatives for C-suite leaders to improve
medication safety and the reliability of outcomes.
May 7, 2018
ISMP Medication Safety Alert! Acute care edition. March 23, 2017;22:1-5.
https://psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-
reliability-outcomes…