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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
March 29, 2022 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members:
Key Pe…
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members:
Key Pe…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/mosops-data-specs-rev.pdf
December 12, 2018 - AHRQ Medical Office Survey on Patient Safety Culture Data File Specifications
AHRQ Medical Office Survey on Patient Safety Culture
With Medical Office Value and Efficiency Supplemental Items Data File Specifications
MOR-VE - 1118
AHRQ Medical Office Survey on Patient Safety Culture
With Medical Office Value a…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/taekman-report.pdf
January 01, 2010 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
January 01, 2011 - TeamSTEPPS 2.0 Module 1: Introduction
Module 1: Introduction
Online Master Trainer Course
Welcome to the
Welcome to the TeamSTEPPS Master Trainer course.
As you will soon realize, this introduction module sets the stage for the entire course.
Please select the forward arrow in the lower right corner to begi…
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Strategy 2: Communicating to Improve Quality (Implementation Handbook)
Guide to Patient and Family Engagement
Communicating to
Improve Quality
Implementation Handbook
Strategy 2: Communicating to Improve Quality (Implementation Ha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
November 06, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time
-
-
Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training: Overview of
On-Time
T…
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www.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
January 01, 2024 - Medication Error Reporting Systems: Challenges, Lessons, Future Direction
A Report to the Agency for Healthcare
Research and Quality
Project Title:
Medication Error Reporting Systems:
Challenges, Lessons, Future Direction
March 15-16, 2007
(Inclusive dates of Project: August 26, 2006-June 30, 2007)
AHRQ Gran…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS)
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator: David M. Studdert, LLB, ScD
Team Members:
Harvard School of Public Health:
Allison Nagy, BA
Ann Louise Puo…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit
Hospital AI
Tea
Lea
SPPC‐
M
m
ds
II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implement…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit
Hospital AIM
Team
Leads
SPPC‐II
Implementing the
SPPC‐II Teamwork Toolkit
Module 7 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss
tactics and planning for the SPPC‐II Teamwork Toolkit implementation…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia
SAY:
Welcome to this …
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room
Patient Identification Errors in the Operating Room 11-1
11. Patient Identification Errors in the Operating
Room
Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H.
Introduction
In the first Making Health Care Safer …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative
153
Shared Learning and the Drive to Improve
Patient Safety: Lessons Learned from the
Pittsburgh Regional Healthcare Initiative
Carl A. Sirio, Donna J. Keyser, Heidi Norman,
Robert J. We…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety Climate Survey:
Tool Development and Lessons Learned
Lynne M. Connelly, Judy L. Powers
Abstract
Objective: A key tenet of patient safety programs is the elimination of the
“culture of blame.” The On-line P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices
409
A Model-based Approach to Prioritizing
Medical Safety Practices
Richard S. Marken
Abstract
This report shows how a model of skilled human performance can be used to
evaluate safety practices aimed at reducing medical error when randomized tr…