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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - teams ask three simple questions about the issue of patient safety on their unit:
What clinical or operational … Defects are clinical or operational events that you do not want to happen again.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-6.html
June 01, 2021 - Operational Measurement of Diagnostic Safety: State of the Science.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.html
March 01, 2019 - Top of Page
Slide 10
Web Page Updates
Estimated operational date: end of June
Three clusters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - The operational details of
such recommendations will need to be specified based on pilot testing and … Operational approach—Staffing
System should have staff to help consumers report, act as advocates, … Operational approach. … Operational approach
Staff needed to serve as patient advocates, aid in reporting, triage reports, … Operational approach.
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - The operational details of
such recommendations will need to be specified based on pilot testing and … Operational approach—Staffing
System should have staff to help consumers report, act as advocates, … Operational approach. … Operational approach
Staff needed to serve as patient advocates, aid in reporting, triage reports, … Operational approach.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - What clinical or operational problems have or could have endangered patient safety?
2. … Defects are clinical or operational events that you do not want to happen again.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/fagnan-reflections-perceptions-mosops.pdf
June 02, 2025 - “Medication error questions too non-specific and brief to
be helpful with informing operational improvement
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
October 01, 2015 - Working):
Step 1-c: Know Where You Are (Current State)
Section A: Facility and Operational
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www.ahrq.gov/patient-safety/reports/engage/gaps.html
March 01, 2017 - primary care practices to identify, review, and disclose medical errors. 262 , 263 Organizational and operational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - List of Tools
Data Analysis
Readmission Review
Hospital Inventory
Community Inventory
Portfolio Design
Operational
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-primary-care-workforce.html
May 01, 2024 - University; Domestic Higher Education Develops and validates a prediction model that uses existing operational
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
March 01, 2013 - Specific services, resources, interventions, or other actions are discussed in specific behavioral/operational … Scoring
Yes if the team clearly specifies (i.e., in behavioral/operational terms) how the plan of … Scoring
Yes if the team clearly specifies (i.e., in behavioral/operational terms) the goals, objectives
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - problem—decisionmakers often lack access to timely, reliable data and analytics with which to make informed policy and operational … Moving from the conceptual to the operational is not trivial.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/cost-or-procedures.pdf
June 02, 2025 - Infographic - Frequency and Cost of Operating Room Procedures
This Is a Sample Two Line
Infographic Arial BK - 24 PT
Source: The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point
Arial. The source should be in 8.5/10 point Arial. The source shou…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - Participants
held operational roles in their organizations, had expertise in
healthcare quality and … Potential for Use in Operational Settings and
Appropriate User Qualifications
We solicited feedback … comprehensible, they also expressed concerns about the need for
sensitivity to time and workload constraints in operational
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www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - Focus groups revealed the importance of a midlevel operational leader to help create and sustain practice … practices used a mixed methods design that included analyses of data collected from archival documents, operational … Using a combination of observation, chart audit, and collection of data from operational reports, correlations … engaged leadership skills during the inspiration phase and adaptive leadership skills (i.e., specific operational … In addition to presenting these findings, the authors shared an operational blueprint and policy recommendations
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - Focus groups revealed the importance of a midlevel operational leader to help create and sustain practice … practices used a mixed methods design that included analyses of data collected from archival documents, operational … Using a combination of observation, chart audit, and collection of data from operational reports, correlations … engaged leadership skills during the inspiration phase and adaptive leadership skills (i.e., specific operational … In addition to presenting these findings, the authors shared an operational blueprint and policy recommendations
-
www.ahrq.gov/cahps/news-and-events/research-meetings/index.html
August 01, 2025 - Elicitation and Reporting The purpose of this research meeting was to identify the key methodological, operational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - What clinical or operational problems
have or could have endangered patient
safety?
2. … • Defects are clinical or operational
events that you do not want to happen
again.
-
www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
January 01, 2024 - Queuing models are promising; continued development of the
electronic data sources is needed to support operational … support for
nursing personnel in responding to patient needs, it is not very useful for supporting operational … gained from this project, we recommend continued development of the electronic data
sources to support operational … AT&T's call processing s imulator (CAPS) operational design for
inbound call centers.