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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root
Cause Analysis
July 1, 2008
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
Perspective
Throughout most of his life, …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case September 2004
Poor Prognosis?
Source and Credits
This presentation is based on the September 2004
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth B. Lamont, M…
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - Relationships Between Physician Professional
Satisfaction and Patient Safety
February 1, 2016
Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/what-not-do
June 01, 2022 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Summary
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management Support Program
…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool4a2.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
4.a-2 Screening Eligibility Assessment (SEA) Form (incl. Spanish)
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention …
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www.ahrq.gov/research/shuttered/acfselection/appendixb.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Appendix B. Advisory Panel Members
Previous Page Next Page
Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background
Chapter 3. Methods
Ch…
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Appendix E
Previous Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchable Catalog
Chapter 3. Qualitative An…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool4b2.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
4.b-2 Invitation to Screen Letter to Patient (Version 2—Request Card) (incl. Spanish)
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - PowerPoint Presentation
Appropriate Collection of Microbiologic Specimens
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Collection of Specimens
1
Objectives
Recognize that collecting a good specimen is important to making treatment decisions.
Detail procedur…
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguideap.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
Appendix: Evaluation Items
Previous Page
Table of Contents
An Organizational Guide to Building Health Services Research Capacity
Introduction
Step 1: Assessing Your Organization's Needs and Capabilities
Step 2: Fostering a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-SPANISH-508.pdf
January 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish
SOPS® Health Information Technology
(IT) Supplemental Item Set for the SOPS
Hospital Survey
Language: Spanish
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Versio…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-Spanish-12-15-22.docx
December 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey - Spanish
SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey
Language: Spanish
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-SPANISH-508.pdf
January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey - Spanish
SOPS® Diagnostic Safety Supplemental
Item Set for the SOPS Medical Office
Survey
Language: Spanish
Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help
medical o…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-xiii.pdf
January 01, 2014 - Attachment 13.2 Chronic Care Follow-Up Measure Results
Attachment 13.1 ADHD Expert Workgroup and Leadership Team Rosters
ADH…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
April 01, 2022 - Urinary Catheter Maintenance
Indwelling Urinary Catheter Maintenance
Maintaining Awareness and Proper Care of Catheters in Place
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Disrupting the Life Cycle of a Catheter Device
Disrupting the Life Cyc…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-comp-kit.html
June 01, 2017 - Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation?
Connections to Other Components
2. Tips
3. Plan-Do-Study-Act Sequence: Observe Checklist Use Regularly
4. Example
Using the Observations
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - Module 1: PowerPoint Presentation
Management Practices for Sustainability
Module 1: Overview
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 1: Overview | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
1
Ensuring Safety in Ambula…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-fac-notes.html
June 01, 2017 - Module 4: Observation and Integration - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 4: Observation and Integration
Say:
“The aim of supervision should be to help people and machines and gadgets to do a better job.” 1 This quote comes from W.E. Deming, one of the fathers of t…
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …