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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-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
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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…
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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…
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models
Appendix T.
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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…
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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…
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - Team of surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - Team of surgeons
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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
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models
Appendix T.
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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 …
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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…
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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
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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
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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:…
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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
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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…
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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 …
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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