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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Magnesium Sulfate
Safe Medication Administration—Magnesium Sulfate
Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Key Takeaways
Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement.
Leaders make a commitment to patient and family engagement by:
Modeling partnerships with patie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety Program
on Medical Error Reporting
Donald R. Woolever
Abstract
Background: In response to the occurrence of a sentinel event—a medical error
with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
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www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
January 01, 2024 - Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard
TITLE PAGE
Final Progress Report:
A Formal Approach to Detecting and Correcting Simultaneous Masking
in the IEC 60601-1-8 International Medical Alarm Standard
Princip…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript
January 2020 https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2012 CAHPS Clinician & Group
Survey Database
2012 Chartbook: What Patients Say About Their
Health Care Providers
and Clinics
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shaller
Janice…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
2012 CAHPS Clinician & Group
Survey Database
2012 Chartbook: What Patients Say About Their
Health Care Providers
and Clinics
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shaller
Janice…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
November 01, 2023 - Preparing for and Recovering After Colorectal Surgery
Preparing for and Recovering
After Colorectal Surgery
e
Colorectal Surgery Patient Education Guide 1
Preparing for and Recovering
After Colorectal Surgery
Patient Name ___________________________________________________________________
Surgeon Name __…
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www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
July 22, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
thInsert Cover Here
AHRQ Infrastructure for Maintaining Primary Care
Transformation (IMPaCT) Grants
A Synthesis Report
July 2015
AHRQ Infrastructure for Maintaining Primary
…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Advancing the science of measurement of diagnostic errors in healthcare: the
Safer Dx framework.
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Adverse Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Advancing the science of measurement of diagnostic errors in healthcare: the
Safer Dx framework.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - selecting the unit of allocation and analysis
(i.e., patient vs. group or cluster), meaningful outcomes measurement
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - NAA National Webinar October 2024
Workforce Safety and Well-being Webinar Series (Session 1)
Leadership Strategies that Improve
Workforce Safety and Well-being
NATIONAL WEBINAR SERIES
October 8, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA website
• Pleas…
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
April 01, 2019 - HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record
HCA: How a Large Healthcare System Is Looking Beyond
the Electronic Health Record
The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system chief executive officers and oth…
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www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality
AHRQ's digital healthcare initiative is part of the Nation's strategy to put information technology (IT) to work in healthcare. Since 2004, the Agency for Healthcare Research and Quality (AHRQ) has fund…
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www.ahrq.gov/es/sops/bibliography/index.html
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
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