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www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - Reporting Systems
Historical Foundations: In the 1950s, Flanagan developed the critical incident
technique … This technique, a precursor to incident reports,
proved to be a valuable tool in identifying flight … The critical incident technique. Psychol Bull 1954;51:327-58.
16. Barach P, Small SD.
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide1.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
1. Background and Introduction
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Using This Guide
1. Backgroun…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Section 3: Are You Ready To Improve?
July 2015
Contents
3.A. Cultivating and Supporting QI Leaders
3.B. Organizing for Quality Improvement
3.C. Training Staff in QI Concepts and Techniques
3.D. Paying Attention to Customer Service
3.E. Recognizing and Rewarding Success
References
Download Se…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - causation, identify contributing factors, and implement conditions to prevent recurrence. 25 A common technique
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www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
January 01, 2025 - triggers and measurement system and providing feedback on rate of UPEs;
#2 was teaching RTs proper taping technique … and
measurement system and providing feedback on rate of UPEs; #2 was teaching RTs proper taping
technique
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - arrange to speak with a cross-section of the practice about the AE theme using a structured interview
technique … the BI-OTT2
The experience our group has gained as part of this large-scale implementation of this technique … method (BI-OTT3 for more recent work from our group) has involved stepwise
improvement of a challenging technique … on the work described here and primarily focuses on
developing and testing the more mature BI-OTT technique … Applying
this technique has provided both a greater understanding of the magnitude of the harm associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of the Comprehensive Unit…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
October 01, 2014 - Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility
Search All Impact Case Studies
April 2010
In 2008, staff from Clarinda Regional Health Center, a 25-bed critical access hospital in Clarinda, Iowa, participated in training on Team Strategies and Tools to Enhance Performance and Patient Safety (T…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
October 01, 2014 - Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS®
Search All Impact Case Studies
December 2010
The University of Nebraska Medical Center (UNMC) customized the coaching strategies used in the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum fo…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
March 01, 2020 - Strategy 6G: Training To Advance Physicians' Communication Skills
Contents
6.G.1. The Problem
6.G.2. The Intervention
6.G.3. Example
References
Download Strategy 6G:
Training To Advance Physicians' Communication Skills
(PDF, 1 MB)
6.G.1. The Problem
People rarely compl…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - pages require 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
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - physician inadvertently contaminates their glove and calls out to the physician the break in sterile technique
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2)
Contents
On Page 1 of 2:
5.A. Analyze CAHPS Survey Results
5.B. Analyze Other Sources of Information for Related Information
Page 2 of 2:
5.C. Evaluate the Process of Care Delivery
5.D. Gather Input From Stakeh…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
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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-Fitzgerald_108.pdf
January 01, 2007 - Video
recording trauma resuscitations: An effective teaching
technique. … Video-
based training increases sterile technique compliance
during central venous catheter insertion
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www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
January 01, 2024 - In preparation for eventual productization of this technique, we performed a series of structured
interviews
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartbrochure.pdf
January 27, 2017 - � This short video explains
the warm handoff
technique.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartfull.pdf
January 27, 2017 - � This short video explains the warm
handoff technique.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - The laparoscopic surgical technique resulted in decreased surgical site infections, decreased postoperative