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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - AHRQ, the first training module of the STEPS program was implemented in March 2007 with all staff surgeons … When the three staff surgeons participated in the training, they were partnered with a junior surgical
  2. www.ahrq.gov/action-alliance/resources/foundational-area.html
    March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/101-or-traffic-one-pager.docx
    April 01, 2025 - Operating Room Traffic Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is Operating Room (OR) Traffic?1-3 · Number of people within OR · Movement of people within and into/out of the OR · Opening the OR door Why Is OR Traffic Important?4-6 · Airborne contaminants can cau…
  4. www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
    April 01, 2018 - Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models Appendix T.
  5. www.ahrq.gov/news/newsroom/case-studies/201537.html
    January 01, 2016 - AHRQ's TeamSTEPPS® Boosts Patient Safety, Efficiency for Texas Military Hospital's Operating Rooms Search All Impact Case Studies January 2016 Patient safety problems decreased dramatically and operating room procedures improved significantly after the 425-bed San Antonio Military Medical Center implemented…
  6. www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
    December 01, 2017 - multiple disciplines represented, such as nurse managers, scrub technicians, anesthesiologists, and surgeons
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
    April 01, 2025 - Team of surgeons
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
    April 01, 2025 - Team of surgeons
  10. www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - The trauma surgery clinical team consisted of four on-staff attending physicians (all surgeons trained … sporadic nature of attending presence on morning rounds and the lack of interaction between attending surgeons … This norm placed maximum importance on residents and attending surgeons all being privy to the same
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
    April 01, 2018 - Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models Appendix T.
  12. www.ahrq.gov/news/blog/ahrqviews/burnout-in-primary-care-guide.html
    April 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders New Guide Offers Strategies To Reduce Clinician Burdens APR 24 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. In recent years, primary care physicians have struggled with burnout brought on …
  13. www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
    December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Designing a Scorecard for Sustainability Slide 2: Learning Objectives After this session, you will be able to– Assess objectively your unit’s curre…
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
    April 01, 2025 - resulted in the development of an interface for use in operating rooms that accurately recognizes surgeons … by observing nine neurosurgeons (34 PACS commands), conducted a gesture elicitation study with the surgeons … Hence, usability studies can be conducted with relatively small numbers of surgeons as u scores can
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
    June 02, 2025 - , they train all the nurses and the employed physician staff on these two tools but struggle to get surgeons … Process: What: Communication of critical information about the patient and surgical procedure Who: Surgeons
  16. www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use Slide Presentation Slide 1 Leveraging Cultural Change to Reduce Urinary Catheter Use Linda Greene, RN,MPS,CIC Manager Infection Prevention Highland Hospital Jennifer Tuttle, RN, MSNEd Adult Critical Care Unit Tucson Medical Center Images:…
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
    April 01, 2025 - In response, the perioperative CUSP team, including a diverse membership of nurses, surgeons, OR techs
  18. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
    May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide Study Elements Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. Avoid suggesting causes in the purpose statement. Cause determination will come later afte…
  19. www.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A Tables from Matar (2010) Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter …
  20. www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
    January 01, 2024 - of established study processes and tools, participant engagement (i.e., neonatologists, pediatric surgeons … To maintain consistency between unit-level and team- level analyses, we excluded pediatric cardiac surgeons … American College of Surgeons National Surgical Quality Improvement Program Pediatric: a beta phase report

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