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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Physicians in MRSA Prevention ICU & Non-ICU Issue1-5 Physicians play crucial roles in quality and safety, as leaders, champions, committee members, and participants in planning and executing change. Each role is vital in the success of any undertaking to…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Celebrating Success and Spreading MRSA Prevention Beyond the Unit ICU & Non-ICU Purpose Recognizing success, large and small, both early on and long term is important to sustainability. Communicating success can help frontline personnel have the courage to speak …
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Psychological Safety 1 Educational Objectives Define psychological safety Explain the impo…
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-academic-detailing-guide.pdf
    July 07, 2015 - Cholesterol Management in Primary Care Healthy Hearts for Oklahoma (H20) The Oklahoma Cooperative for AHRQ's Evidence NOW ADVANCINGI I';�\, HEART HEALTH I.'�\ IN PRIMARY CARE :l Cholesterol Management in Primary Care ([) • • Aspirin when appropriate Blood pressure control Cholesterol manage…
  5. www.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients Search All Impact Case Studies May 2015 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in emergency departments (E.D.) helped inspire Banner Desert Medical Center in Mesa, A…
  6. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/harrison-summit2016-breakout.pdf
    September 28, 2016 - Organizational Factors Affecting Diagnostic Quality Organizational Factors Affecting Diagnostic Quality Michael I. Harrison, Ph. D. Senior Social Scientist AHRQ Center for Delivery, Organization, and Markets AHRQ Research Summit: Improving Diagnosis in Health Care September 28, 2016 Overview • NAM Report: Fra…
  7. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 - EvidenceNOW: A Model for Heart Health and Beyond B S A B LDL C S A B HDL LDL C S A B HDL LDL C S A B LDL C S B S A B HDL LDL C S A BHDL LDL C S A B HDL LDL C S A B HDL LDL C S NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH EvidenceNOW: A Model for Heart Health and…
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
    December 01, 2024 - To avoid this potential outcome, survey sponsors are urged to consider carefully the wording on any
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - Should they be managed as a part of the medical record (discoverable following an unintended outcome
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - physician participants to actively discuss and consider practical approaches to achieve the desired outcome
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
    January 01, 2004 - aspects (perception vs. action); and organizational structures (reporting mechanisms, barriers, and outcome
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Instead of causes, events that involve infusion devices often attribute the outcome to “user error.”
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
    June 01, 2020 - “Closing the loop”: a mixed-methods study about resident learning from outcome feedback after patient
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
    September 01, 2014 - intervention, IDEA Part C Services, and the medical home: collaboration for best practice and best outcome
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - For example, the outcome of medical decisions is often incorrectly phrased in terms of “risks” and “
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - In that scheme, events were classified by affected party, occurrence type, and outcome.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
    January 01, 2004 - to potential users in the supply-side mode is inefficient for the new generation of performance and outcome-driven
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
    April 06, 2008 - is the risk assessment of hazards associated with the event and potential severity of a negative outcome
  19. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
    June 18, 2024 - – change management • If we are going to transform – we can’t forget about • Structure, Process, Outcome
  20. www.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - have been involved in the occurrence, and Document (a) the actions taken to reduce the unfavorable outcome

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