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  1. 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.
  2. 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…
  3. 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…
  4. 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
  5. 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
  6. 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
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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
  12. 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
  13. 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…
  14. Healthteamworks (pdf file)

    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,…
  15. 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
  16. 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
  17. 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…
  18. 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.
  19. 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.
  20. 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

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