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www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
January 01, 2024 - Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery
Title Page
Final Progress Report
Determining a Learning Curve for Complex Laparoscopic
Gastrointestinal Surgery
Principal Investigator: Dennis L. Fowler, MD, MPH
Co-Investigator: R. Todd Ogden, PhD
Co-Investigato…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - In CUSP, a defect is defined as “any clinical or operational event or situation that you do not want
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - fully (or perhaps at all), design features in these areas would be obsolete by the time a system is operational
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www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - Final Progress Report: Composite Measures of Surgical Performance
Title Page
Project Title: Composite Measures of Surgical Performance
Principal Investigator: Justin B. Dimick, MD, MPH
Team Members: John Birkmeyer, MD (Mentor)
Organization: The Regents of the University of Michigan
Inclusive Dates of the Project…
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www.ahrq.gov/research/shuttered/acfselection/summary.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
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Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background
Chapter 3. Methods
Chapter 4. Results …
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A. Literature Review
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
April 01, 2019 - The
first is I think when you are thinking about key elements there are operational issues that you … So operational issues are something to attend to, and I think we often attend to those. … And so that's an operational
issue. … And there's an operational component.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Implementing the Surgical Safety Checklist
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Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-b…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection
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Table of Contents
Improving the Measurement of Surgical Site Infection R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Independent verification and redundancy
Independent review
Redundant measurement
Operational checks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings
Auditing Your Briefings and
Debriefings Process
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
SAY:
Let’s continue our discussion around briefings and debriefings. T…
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www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
November 07, 2023 - The independent third
party shall review and analyze the SA&A package, and report on technical,
operational
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www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix E. Study Parameters
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-P…
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - The significance of flow disruptions lies in their ability to identify mismatches between operational … Operational and financial constraints
meant that the Olympics games were reconfigured to be delivered … disruptions were used as the primary evaluative measure that have been useful to identify
mismatches between operational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - efforts and will help spread your project to others
Once recruited, champions will help secure buy-in or operational … team, champions will help:
Support your efforts and spread your project to others
Secure buy-in and operational … What are clinical or operational problems that have or could have jeopardized patient safety? … facility or organization.
53
Learn From Defects Summary
Defects or failures are clinical or operational
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
January 01, 2023 - Safety - Safer Together
22a Promote and sustain a culture of continuous
learning, improvement and operational
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
March 01, 2022 - of curricula focused on improving teamwork has substantial potential to benefit quality, safety, and operational
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-7.html
February 01, 2021 - An operational framework to study diagnostic errors in emergency departments: findings from a consensus
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A, Pt. 2
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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www.ahrq.gov/practiceimprovement/systemredesignsafetynet/systemredesign-slides.html
December 01, 2017 - System Redesign for Value in Safety-Net Hospitals and Systems: Challenges and Implications
Slide Presentation
Text version of slide presentation.
Slide 1
System Redesign for Value in Safety-Net Hospitals and Systems: Challenges and Implications
Boston University School of Public Health
prepared for
…