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www.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility o…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
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 t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Umbilical Cord Prolapse
Labor and Delivery Unit Safety—Umbilical Cord Prolapse
Purpose of the tool: This tool describes the key perinatal safety elements …
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www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - SERVICES
CORE TEAM
CONTINGENCY
TEAMS
PATIENT
MTS
Communication
9
Communication
SBAR
A technique
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve?
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 3: Are You Ready To Improve?
Visit the AHRQ Website for the full Guide.
May 2017 (updated)
https://www.ahrq.gov/cahps/quality-improve…
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www.ahrq.gov/hai/cauti-tools/ena-slides/part1.html
October 01, 2020 - Slide 39
Theme: Education and competencies
"...there are technique issues even with a lot of the
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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/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - Grants to Enable Diagnostic Excellence
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility of Pre…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - 13
Autonomy—Control and choice over work
Task, time, team, technique
Accountability
Mastery—Get better
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Use the “5 Whys” technique.
Why 1—Why did this contributing factor occur?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Try to go deeper as you identify contributing factors
Use the “5 Whys” technique
Why 1—Why did this contributing
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Slide 6: Entry Pathways for Microbes: Urine Collection Opening 2
Sterile technique is important
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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/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/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - Toolkit for Improving Perinatal Safety
AHRQ Safety Program for Perinatal Care
The Agency for Healthcare Research and Quality (AHRQ) developed the Safety Program for Perinatal Care (SPPC) in order to improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adver…
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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/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…