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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety
1
Prologue
Systems Thinking and Patient Safety
Paul M. Schyve
Patient safety is a prominent theme in health care delivery today. This should
come as no surprise, given that “first, do no harm” has been the ethical watchword
throughout the history of medi…
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www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information
The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
April 29, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS)
Using the AHRQ Medical Office Survey on Patient
Safety Culture
Webinar Transcript
April 29, 2011
A conference call conducted on April 29, 2011, provided users with an overview of the
development and use of the Medical Office Survey on Patien…
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health
August 6, 2015
Download accessible version of slides (PDF, 1.1 MB)
The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1]
Operator: Ladies and gentlemen, than…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - Vascular Access Device (VAD) Policy, Adult
Version 3.0
Policy Number IFC035
Effective Date 03/01/2008
The Johns Hopkins Hospital
Interdisciplinary Clinical Practice Manual
Infection Control
Approval Date N/A
Page 1of 16Subject
Vascular Access Device (VAD) Policy, Adult
Supercedes 08/01/2007
Keywords: Vascula…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health
The Prevalence of Mental Health
Conditions Was on the Rise Before
the COVID-19 Pandemic and the
Pandemic Had a Negative Effect on
Mental Health
1
Mental health issues…
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
June 01, 2010 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information
Best Practices in Public Reporting No. 2: Maximizing
Consumer Understanding of Public Compar…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes
Slide 1: Improving Communication and Teamwork in the Surgical Environment Module
Say:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communicat…
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www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021
Overview
Scan Overview:
AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - The Mobile Mock Operating Room: Bringing Team Training to the Point of Care
The Mobile Mock Operating Room: Bringing Team
Training to the Point of Care
John T. Paige, MD; Valeriy Kozmenko, MD; Tong Yang, MD, MS;
Ramnarayan Paragi Gururaja, MD; Isidore Cohn, Jr., MD; Charles Hilton, MD;
Sheila Chauvin, MEd, PhD …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - Evidence may include rigorous systematic reviews of research
literature and high-quality research studies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6)
Insert hospital logo here
Communicating to
Improve Quality
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 2: Communicating to Improve Quality Training (Tool 6)
Guide to Patient & Family Engagement
As people enter the …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
March 01, 2017 - Module 5: Resident and Family Engagement: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 5: Resident and Family Engagement
Say:
The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix B. Decisionmaking and Readiness for Implementation
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationa…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix B. Decisionmaking and Readiness for Implementation
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationa…
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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/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
1
Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer
Principal Investigator: Rita Secola, RN, PhD, CPON
Organization: University of California Los Angeles, NIHAward@research.ucla.e…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - PowerPoint Presentation
Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation
Presenter: Timothy B. McDonald, MD, JD
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - Coaching
Hospital AIM
Team
Leads
SPPC‐II
Coaching
Module 6 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 6 of the SPPC‐II Teamwork Toolkit. In this module, we’ll learn
some tactics for coaching your frontline providers on using the teamwork tools.
1
Hospital AIM
Team
Leads
SPPC‐II
Coaching
…