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3241. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
      June 02, 2025 - Prologue: Culture and Redesign for Improved Patient Safety Prologue Culture and Redesign for Improved Patient Safety James B. Battles, PhD The articles in this volume explore issues of culture and the redesign of organizations and clinical practices to improve patient safety. Within this broad theme are f…

3242. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - disseminated to clinicians involved in pediatric emergency transfers at a referring hospital by a member

3243. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - Simulations concluded when a staff member responded to the simulated alarm (simulated-alarm response

3244. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
      December 31, 2022 - champions: https://www.health.nsw.gov.au/wohp/Documents/mc3-clinical-champions-mcneil.pdf 24 Team Member … multidisciplinary CR quality improvement (QI) team, including the ideal composition of the team and why each team member … As mentioned earlier, every member of the team needs to be involved in developing the project goal so … Goals can not be dictated; they need to be developed by the team and consensus reached so every member

3245. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - Each member of another physician/nurse dyad described how participating in the study would change their … • The patient was considered a crucial team member.

3246. Working With and Supporting Practice Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
      September 01, 2015 - practices and understand where your primary point of contact or change champion—the clinician or staff member … you begin to discuss with them the types of support you can offer either directly or through another member … Jumping ranks can undermine your relationship with this key member of the practice and potentially jeopardize … practices and understand where your primary point of contact or change champion—the clinician or staff member

3247. Building State Cooperatives for Healthcare Improvement: Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
      September 26, 2024 - working for the Alliance, Andrew was a Pediatric Critical Care nurse at a large academic hospital and a member … Andrew is a Fellow of the third class of the Health Innovators Fellowship and a member of the Aspen … national quality measures related to acting on identified patient social needs, and its engagement with member … Skapik is also the Chair Elect of HL7 International and a member of the HL7 Europe Board of Directors

3248. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - At the start of the study, the network had five member organizations, ranging from clinics that provided … Unfortunately, one of the member organizations declined to participate, even though co-investigators

3249. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
      January 01, 2024 - Scope With a 95-member medical staff, 25 specialties, and more than 1,200 professional and support

3250. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
      February 01, 2019 - SOPS™ ASC Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Ambulatory Surgery Center SOPS: What You Need to Know January 10, 2019 – Webcast Transcript Speakers: Joann Sorra, Ph.D. Associate Director and SOPS Project Director User Network for the AHRQ S…

3251. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
      February 01, 2019 - SOPS™ ASC Webcast Transcript February 2019 https://www.ahrq.gov/sops/index.html 1 Ambulatory Surgery Center SOPS: What You Need to Know January 10, 2019 – Webcast Transcript Speakers: Joann Sorra, Ph.D. Associate Director and SOPS Project Director User Network for the AHRQ S…

3252. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
      January 01, 2024 - data through the health system’s pharmacy service, which then required processing by an EQUIPPED team member

3253. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
      September 01, 2015 - • Billing workflow • Form completion (clinician role, other team member … If the practice wants to delegate lab review to another team member, the practice would need a RN or

3254. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - A technical staff member at Site 1 said during the interview, “I begged and pleaded with administration … Likewise, the technical staff member interviewed at Site 1 expressed the opinion that the process had

3255. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
      April 14, 2004 - The expedited procedure requires review and approval by the chair or other qualified IRB member only … The ASIPS program has designated a single staff member to work with the IRB staff at the secondary IRB

3256. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - ED staff member strategies Condition Strategy Adaptation “Run of the mill,” usual conditions Adapt

3257. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - These executives are part of the approximately ten-member Hospital Executive Committee, which represents

3258. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Robert Trowbridge, MD Team Members: • Paul L. Epner, MEd, MBA, Executive Vice President, Society to Improve Diagnosis in …

3259. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

3260. Tool 11: Community Resource Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
      June 02, 2025 - Tool 11: Community Resource Guide Tool 11: community resource guide Purpose Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…