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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative
AHRQ Health Information Technology Ambulatory Safety and Quality | MCPi
AHRQ Health Information Technology
Ambulatory Safety and Quality
Findings and Lessons From
the Improving Manage…
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www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - Informants emphasized the need for strategies to enhance the providers' skills and competencies at coaching … Informant recommendations included undergraduate and graduate medical education reform to include skills
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - It’s an education program that teaches communication skills for teams. … SLIDE 31
SAY:
We have covered many examples of effective communication skills and tools that can be
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - codes to include:
o Ask referring providers to review the list to gain provider buy-in
o Use the skills … Use the skills of the CR champion to help eliminate potential friction around external referrals.
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Resources Used and Skills Needed
Staffing : For every 70-100 person panel of program participants … Resources Used and Skills Needed
Staffing : For every 70-100 person panel of program participants
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - records for other deviations, assessing processes through direct observation of staff, or assessing skills … testing of samples, or external proficiency testing of samples; and (6) assessment of problem-solving skills
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Resources Used and Skills Needed
Leadership buy-in and support for ambulatory patient safety
Buy-in … Resources Used and Skills Needed
Leadership buy-in and support for ambulatory patient safety
Buy-in
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-education-protocol.pdf
January 01, 2018 - sessions of varying length.
2
The educational content of AS-ME can span a wide variety of skills … educational background
o Training process
o Certification
o Guidance in privacy rules, communication skills
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - education, especially for critical but infrequent clinical scenarios as well as frequently used technical skills … . 18 An effectively designed simulation program specifically focused on nontechnical skills such as
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - So it's really very specific to hand skills or a sudden movement. … up to speed really, really quickly, procedurally, cognitively, and you know all of these
other side skills
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - Resources Used and Skills Needed
The consortium recommends starting the initiative by establishing … Selecting local champions Engaging in baseline data collection and benchmarking
Resources Used and Skills
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - ; (v)
if the former, how confident am I that my neurological exam skills would have identified important … diagnostic
delays
Ineffective triage/referral to physicians with correct
expertise
Faulty knowledge or skills
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - It takes a lot of time, it takes money, it takes data analysis skills, but it pays off because you are … , said was
that you can teach people what the right thing is, you can make sure that they have the skills
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - Sample “Plan-Do-Study-Act” Form
Use this form to help you plan your introduction of daily huddles. It includes sections to help you plan and manage all the tasks necessary to introduce huddles. You can also use it to gauge the success of your initial attempt at introducing a huddle.
Purpose: Deve…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Engaging Unit Personnel in MRSA Prevention
ICU & Non-ICU
Purpose
Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program (CUSP) work. However, to be successful, CUSP team members and leaders must actively raise awareness, motivate, engage…
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www.ahrq.gov/nursing-home/resources/search.html?page=4
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/es/nursing-home/resources/search.html?page=4
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet:
Engaging Staff in MRSA Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Surgical service–based teams are the cornerstone for CUSP work in the perioperative environment. However, to be successful, CUS…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - Conflict Resolution (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on October 12, 2010.
Contents
Slide 1. Conflict Resolution
Slide 2. What is Conflict?
Slide 3. Views of Conflict
Slide 4. Sources of Conflict
Slide 5. Types of Conflict
Slide 6. Goal of Co…