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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - (e.g., organized so needed materials are in the order required and an aseptic technique can be maintained … in all units/departments performing patient care such as:
☐ Injections are prepared using an aseptic technique
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-resource-guide.pdf
November 17, 2022 - Situation-Background-Assessment-Recommendation
The SBAR (Situation-Background-Assessment-Recommendation) technique
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
July 01, 2024 - AHRQ Publishing and Communications Guidelines
Location Release Form for Video Shoots
Instructions
This Location Release Form must be completed by the location’s administrative authority (herein called “Administrator”) to verify permission to conduct video recording at a particular location. It does not apply to recordi…
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www.ahrq.gov/hai/tools/enhanced-recovery/implementing/presentations.html
June 01, 2023 - Presentations on the ISCR Evidence
Use the presentations and facilitator guides in this section to gain buy-in from stakeholders. The presentations explain pathway components, techniques to implement them, evidence-based recommendations, and in some cases caveats for specific patient populations.
Oral Antib…
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - failures.56 Sociotechnical probabilistic risk assessment (ST-PRA) is a prospective risk
assessment technique … to technique, each factors in error type and
performance shaping factors (PSF), such as those in Table … Results of nuclear power plant application of a new
technique for human error analysis. … Technique for human error rate prediction (THERP). … THERP: Technique for Human Reliability Analysis. Pittsburgh, PA: University of Pittsburgh; 2002.
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www.ahrq.gov/patient-safety/resources/learning-lab/preventing-clinical-deterioration-long-desc.html
January 01, 2025 - Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients
Principal Investigator: Matthew Weinger, M.D., Vanderbilt University Medical Center, Nashville, TN Co-PI: Daniel France, M.P.H., Ph.D., Vanderbilt University School of Engineering, Nashville, TN AHRQ Grant No…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Separate from this, however, is the deliberate fracture of the clavicle as a technique to relieve the
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - requires free account setup and login)
The SBAR (Situation-Background-Assessment-Recommendation) technique … Guidelines for Communicating With Physicians Using the SBAR Process” explains how
to carry out the SBAR technique … conjunction with other SBAR training materials to assess frontline staff competency
in using the SBAR technique … This toolkit contains nine tools,
including information on the SBAR technique, Action Hierarchy (a component
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
January 01, 2024 - Methods: The tool content was developed through a Delphi process and Nominal Group Technique, including … proactive SRA tool was
achieved through a series of steps in a Delphi process and modified Nominal Group Technique … As described in Hsu and Sanford’s 2007 paper, The
Delphi technique: Mak ing sense of consensus, the … technique is widely used and accepted and aims to reach a
consensus of expert opinion on specific real-world … The brainstorming session was conducted using a modified nominal group technique.
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - professionals, patient
home visit observations, and focus group discussions using the nominal group technique … regression (with p value of 0.1 as forward selection criterion,
with no exit criterion) as our modeling technique … We
conducted a total of 10 focus group sessions using the nominal group technique (NGT) approach (eight … medication management process during transitions of care from hospital to
home, using a nominal group technique … With a focus group technique, we identified the collective
perspective of multidisciplinary healthcare
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/intro.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhanc…
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www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - Ambulatory Care
AHRQ is committed to improving the safety and quality of ambulatory care in the United States. Ambulatory care is care provided by health care professionals in outpatient settings. These settings include medical offices and clinics, ambulatory surgery centers, hospital outpatient departments, an…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
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www.ahrq.gov/teamstepps-program/resources/additional/situation.html
July 01, 2023 - TeamSTEPPS Video: Situation Monitoring in Office-Based Care
YouTube embedded video: https://www.youtube-nocookie.com/embed/IDoGQFZ6frw
TeamSTEPPS: Situation Monitoring in Office-Based Care (2:26)
Responding to patients' changing situation in a timely manner can help them get the medical care they need—w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - setting, and weekly intervention feedback, led to dramatic
increases in the use of this injury-reduction technique … One technique
already being used in the training of symptom identification is a behavioral checklist … Using feedback, goal
setting, and task clarification to increase the use of the
“hands free” technique
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - We extracted 16 cases with this technique: 8 were transcribed by observer
FK, and the other 8 were transcribed … robots, similarities exist
with regard to methods of adoption and integration into the OR, and surgical technique
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www.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS
YouTube embedded video: https://www.youtube-nocookie.com/embed/4XEmZzvejz0
Labor and Delivery: Successful Outcome Using TeamSTEPPS (5:03)
Effective communication can prepare health care team members to respond quickly t…
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www.ahrq.gov/hai/tools/perinatal-care/modules/posthemorrhage-video.html
May 01, 2017 - Video: Postpartum Hemorrhage—Toolkit for Improving Perinatal Safety
AHRQ Safety Program for Perinatal Care
This video, which is related to the Agency for Healthcare Research and Quality's Toolkit for Improving Perinatal Safety, presents a hypothetical case of postpartum hemorrhage in a fictional labor and de…