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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Module 3: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. Wher…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan44/depression-in-adults-screening
July 03, 2014 - Share to Facebook
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Final Research Plan
Screening for Depression in Adults
July 03, 2014
Recommendations made by the USPSTF are independent of the U.S. government. They should not …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/participating-2024-hcbs-survey-database-slides.pdf
January 01, 2024 - Participating in the 2024 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know
Participating in the 2024 CAHPS® Home and Community-Based
Services (HCBS CAHPS) Survey Database: What You Need to
Know
A Webcast Presented by the AHRQ CAHPS User
Network
Wednesday, July 9, 2025
1:00 – 2:0…
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - Implement Teamwork and Communication
CUSP Toolkit
The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. Basic Components and Process of Communication 2
Slide 4. Four…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Auditing Your Briefings and Debriefings Process
Slide 2: Learning Objectives
Recap the briefings and debriefings process.
Adapt a briefing a…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/adult-med-eng-hp50-2152a.pdf
September 01, 2015 - CAHPS Health Plan Survey Adult Medicaid Survey 5.0
CAHPS® Health Plan Surveys
Version: Adult Medicaid Survey 5.0
Language: English
Notes
• Release of 5.0 version: The CAHPS Health Plan Surveys were updated in the Spring of
2012. The updates are limited to minor changes to the wording of several items and a
…
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Scope
Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible … Incidence
Trauma-related injuries are the leading cause of death in Americans ages 1-44 and are responsible
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psnet.ahrq.gov/node/37188/psn-pdf
September 19, 2007 - Teaming up to prevent 'crashes': some hospitals give
patients the power to get extra help, stat.
September 19, 2007
Wang SS. Washington Post. August 31, 2007.
https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-
stat
This article discusses the advent of rapid res…
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psnet.ahrq.gov/node/39927/psn-pdf
February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1
limits and strategic napping.
February 17, 2011
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J
Med. 2010;363(17):1589-1591.
https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
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psnet.ahrq.gov/node/37714/psn-pdf
July 24, 2013 - Alarm Interventions During Medical Telemetry Monitoring:
A Failure Mode & Effects Analysis.
July 24, 2013
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-
analysis
This failure mode and effects anal…
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psnet.ahrq.gov/node/46039/psn-pdf
April 05, 2017 - Retained lumbar catheter tip.
April 5, 2017
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270.
doi:10.1001/jama.2017.1713.
https://psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
Retained surgical items are considered a sentinel event. Discussing an incident involvi…
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psnet.ahrq.gov/node/48154/psn-pdf
July 31, 2019 - Learn Not Blame.
July 31, 2019
Doctors' Association UK.
https://psnet.ahrq.gov/issue/learn-not-blame
This website provides information about a National Health Service (NHS) campaign to shift response to
errors from blame to an approach that embraces fairness, openness, learning, and patient and health care
profes…
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psnet.ahrq.gov/node/46406/psn-pdf
October 18, 2017 - Mistakes were made (by me).
October 18, 2017
Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10).
doi:10.1001/jamainternmed.2017.3781.
https://psnet.ahrq.gov/issue/mistakes-were-made-me
This commentary reviews three mistakes the author made while caring for patients and the different
responses reg…
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psnet.ahrq.gov/node/60683/psn-pdf
July 15, 2020 - Protecting children from iatrogenic harm during COVID19
pandemic.
July 15, 2020
Camporesi A, Díaz?Rubio F, Carroll CL, et al. Protecting children from iatrogenic harm during COVID19
pandemic. J Paediatr Child Health. 2020;56(7):1010-1012. doi:10.1111/jpc.14989.
https://psnet.ahrq.gov/issue/protecting-children-iatr…
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psnet.ahrq.gov/node/50667/psn-pdf
November 13, 2019 - Proactive prevention of maternal death from maternal
hemorrhage.
November 13, 2019
Quick Safety. October 29, 2019;(51):1-3.
https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/future05-breastcancer-10-5-2010final.pdf
September 01, 2010 - The findings and conclusions in this document are those of the
author(s), who are responsible for its
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
January 01, 2007 - Service, Hospital; Rural Hospitals; Telemedicine (Utilization)
The authors of this report are responsible
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
June 01, 2010 - home care services
Developer: Inter RAI, a 20-country network of researchers and collaborators responsible
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
February 21, 2008 - ED.
11
Appendix 2: Sample Emergency Pharmacist Job Description
The Emergency Pharmacist is responsible
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/understanding-components-of-mat
February 01, 2025 - An official website of the Department of Health & Human Services
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