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www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
January 01, 2024 - country's deepest database of adverse events and near misses as patient safety analysts share
lessons learned … phenomenon, Joy Robertson, KOLR Springfield, Mo.
• Charles Ornstein's coverage from Storify
• 10 things I learned … What we've learned from the Massachusetts experiment
• Karen Brown, reporter/producer, WFCR Public Radio … Children's Hospital of Philadelphia, some field trip attendees test drove the da Vinci surgical
robot and learned
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
April 01, 2013 - So I’m going back to some of the old fashioned things that I learned a couple of years ago. … And lucky for me that I learned one of the methods for effective conflict resolution, and I was kind … Some of the methods that we’ve learned over time is -- confrontation being an assertive means of conflict … And I would say one of the best things that I’ve learned in all these years about working in a teaching
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - conducted with participating pharmacists and
DON/CNOs to learn more about the major challenges and lessons learned … Lessons learned from the interviews identified ten categories of
essential ingredients for success: … Conclusions: Lesson Learned
Seven CAHs as part of the Mercy Health Network-North Iowa, in partnership … Implementation
CPOE Adoption
Perceptions of Anticipated and Realized Benefits
Conclusions: Lesson Learned
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - KH: What would you say are some your biggest lessons learned from that engagement? … The other thing that's really important, is that what we've learned during the epidemic is that even … FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … The other interesting thing that I've learned recently was from overseeing a student who has been helping
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-implementation-guide.pdf
January 01, 2018 - Module 1 Implementation Guide: Welcome to the TAKEheart Initiative and an Overview of the Benefits of Increasing Cardiac Rehabilitation Participation
Implementation Guide - Module 1
Welcome to the TAKEheart Initiative and an Overview of the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 7: Resolution
Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process.
1
Objectives
Define the CANDOR Resolution component and its importance in the CANDOR process.
List the steps of the resolution pr…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange
April 29, 2023 - Enhancing Patient Matching in Support of Operational Health Information Exchange
Project Final Report ( PDF , 3.12 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/AI-tools-protocol.pdf
August 15, 2023 - Tools to (Semi) Automate Evidence Synthesis
Evidence-based Practice Center Methods Report Protocol
Project Title: Tools to (Semi)Automate Evidence Synthesis
I. Background and Purpose of the Review
Background
Despite the large amount of research into methods to automate or semi-automate labor- and…
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - debriefing interview by a member of the
research team, exploring the realism of the simulation and lessons learned … debriefings
At the end of each simulation, the participants were interviewed to identify overall lessons learned … participated in the
simulations found the experience enjoyable and educational and identified multiple lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior leader will bridge the gap between senior management and frontline providers, and will help to get a system-level perspective on safety challenge…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Science of Safety:
Principles in Practice
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.”
As you consider esta…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report
1. TITLE PAGE
Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST)
Principal Investigator: Michael Avidan, MBBCh
Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…
-
psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation,
Associate Pr…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - Instead of the ice breaker above, you may ask participants to briefly share a hard lesson they have learned … Lessons learned from key pressure injury prevention initiatives show that support is needed from top-level
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/Fbj5RkuC7VEsKFULEsfwUg
January 01, 2016 - The final recommendations
summarize what the Task Force learned about the
potential benefits and harms
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/science-safety.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
The Science of Safety
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonization
Tools & Resourc…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/university-toronto-practice-and-community-based-learning-and-research-network.html
March 08, 2013 - The University of Toronto Practice- and Community-Based Learning And Research Network
Status:
Active
Registered Date:
March 8, 2013
PBRN Acronym:
UPLEARN
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
Cit…