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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-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its … Although we have
made improvements in the safety of the health care system since that time, there is … In February 2005, the Agency for Healthcare Research and Quality (AHRQ) and the
Department of Defense … initiatives of other components of the Federal
Government. … It is important to note that some of the same issues and areas of research interest as
appeared in the
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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-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its … Although we have
made improvements in the safety of the health care system since that time, there is … In February 2005, the Agency for Healthcare Research and Quality (AHRQ) and the
Department of Defense … initiatives of other components of the Federal
Government. … It is important to note that some of the same issues and areas of research interest as
appeared in the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its … Although we have
made improvements in the safety of the health care system since that time, there is … In February 2005, the Agency for Healthcare Research and Quality (AHRQ) and the
Department of Defense … initiatives of other components of the Federal
Government. … It is important to note that some of the same issues and areas of research interest as
appeared in the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its … Although we have
made improvements in the safety of the health care system since that time, there is … In February 2005, the Agency for Healthcare Research and Quality (AHRQ) and the
Department of Defense … initiatives of other components of the Federal
Government. … It is important to note that some of the same issues and areas of research interest as
appeared in the
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www.ahrq.gov/news/newsroom/case-studies/cquips1307.html
September 01, 2013 - Developed by the Department of Defense in collaboration with AHRQ, it establishes interdisciplinary team … Through the TeamSTEPPS National Implementation Project, AHRQ has trained hundreds of TeamSTEPPS master … Mount Nittany's leadership strongly supported the adoption of TeamSTEPPS, and the program's implementation … About 95 percent of the center's employees received training during the first year of implementation, … exceeding the corporate goal of 75 percent, said Susan Foster, MS, BSN, RN-BC, Director of Education
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www.ahrq.gov/sites/default/files/wysiwyg/topics/federal-IWG-dxsafety-feb-2022.pdf
January 01, 2022 - February 28, 2022
Name Department/Agency Title
Jeff Brady, M.D., M.P.H. … , M.D., FACS ONC Medical Director, Patient Safety, Office of
the National Coordinator for Health IT … OASH Chief Medical Officer (acting), Office of
the Assistant Secretary for Health
Anita Everett, M.D … of Defense, HRSA =
Health Resources and Services Administration, NIH = National Institutes of Health … , ONC = Office of the
National Coordinator for Health Information Technology, OASH = Office of the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
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www.ahrq.gov/pcor/dissemination-of-pcor/ahrq-role-in-pcor-cycle.html
October 01, 2016 - AHRQ's Role in the Patient-Centered Outcomes Research (PCOR) Cycle
The Promise of Patient-Centered … into clinical practice, according to the Institute of Medicine . … The PCOR Cycle
PCOR is part of a powerful cycle of research and practice continually informing each … The Patient-Centered Outcomes Research Institute (PCORI), National Institutes of Health (NIH) , Department … of Defense (DOD), and the Veteran’s Administration (VA) fund PCOR.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/Federal-IWG-dxsafety.pdf
March 09, 2020 - March 9, 2020
Name Department/
Agency
Title
Jeff Brady, M.D.,
M.P.H. … DoD Chief of the DoD Patient Safety Program
Scott K. Winiecki,
M.D. … OASH Chief Medical Officer (acting), Office of the
Assistant Secretary for Health
Anita Everett, M.D … of Defense, HRSA = Health Resources and
Services Administration, NIH = National Institutes of Health … , ONC = Office of the National Coordinator for Health
Information Technology, OASH = Office of the Assistant
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www.ahrq.gov/teamstepps/instructor/fundamentals/module4/slleadership.html
July 01, 2018 - Leading Teams
Classroom Slides
TeamSTEPPS is a teamwork system developed jointly by the Department … of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration … At the end of the exercise, present and discuss your plans with the group. … Analysis of why the event occurred. … Mitigation of conflict within the team.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/federal-interagency-workgroup-dx-safety-2022dec.pdf
December 12, 2022 - FDA Associate Director of the Office of In Vitro
Diagnostics and Radiological Health, Center for
Devices … NIH Staff Scientist, National Library of Medicine
Name Department/Agency Title
Michael Kurilla, … of Defense, FDA =
Food and Drug Administration, HRSA = Health Resources and Services Administration … , IHS = Indian
Health Service, NIH = National Institutes of Health, ONC = Office of the National Coordinator … Abuse and Mental Health Services Administration, VA = Department of Veterans Affairs.
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www.ahrq.gov/cahps/surveys-guidance/cg/using-data/index.html
December 01, 2023 - Centers for Medicare & Medicaid Services, Veterans Health Administration, and the Department of Defense … in the delivery of primary and specialty care. … AHRQ offers a variety of written materials and recordings to inform and support the process of improving … Advancing the Science and Implementation of Patient Narratives. … The Power of Patient Stories for Improving the Patient Experience .
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www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - TeamSTEPPS® , an evidence-based patient safety training program developed by AHRQ and the Department … of Defense to improve communication and teamwork skills among health care professionals. … As of early 2015, the hospital's CLABSI rate remained at zero. … The CUSP team was composed of eight individuals representing nursing, infection prevention, quality services … A 2012 survey conducted after implementation of the AHRQ resources showed the measure for "Improvement
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - Medicare contracts with QIOs to help providers improve the quality of care. … Department of Defense. … As a result of the TeamSTEPPS training, Alliant/GMCF incorporated the tools into its program design. … During the 9th Scope of Work, five TeamSTEPPS master trainers and the organization's leadership supported … the use of the communications tools.
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www.ahrq.gov/news/newsroom/case-studies/201510.html
May 01, 2015 - Members of the Loyola simulation team subsequently attended TeamSTEPPS training in 2012. … TeamSTEPPS, a patient safety training program developed by AHRQ and the Department of Defense, is an … at Loyola's Center for Simulation Education, and one of the architects of the project. … "Our learners recognize the value of TeamSTEPPS training beyond the simulation lab. … "Rather than getting discouraged over the absence of quality teamwork in the hospital, they can draw
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www.ahrq.gov/news/newsroom/case-studies/201524.html
August 01, 2015 - science of safety, was implemented at the Aurora facilities from 2011 to 2012. … reduction of catheter-associated urinary tract infections. … The tools have focused on four patient goals: improving the culture of safety; medication safety; infection … TeamSTEPPS, an evidence-based system developed by AHRQ and the Department of Defense, has been implemented … "There have been improvements in the AHRQ survey dimensions, 'Overall Perception of Patient Safety’ and
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www.ahrq.gov/health-literacy/professional-training/lepguide/chapter3.html
September 01, 2020 - TeamSTEPPS was developed initially by the Agency for Healthcare Research and Quality and the Department … of Defense. … the Department of Defense, released Team Strategies and Tools to Enhance Performance and Patient Safety … and are at the core of the TeamSTEPPS LEP Module content. … Summary of TeamSTEPPS LEP Module
The purpose of the TeamSTEPPS LEP Module is to train interprofessional
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
November 01, 2014 - hospital as misaligned with the goals of Lean. … Lack of department directors on the initial teams led to difficulty holding people accountable for changes … Leadership
Lack of department directors on the RCI teams at the beginning led to the creation of … Team leaders from outside the department were not able to define changes that were sustainable for the … Resources
Lack of capital resources impeded the implementation of solutions.
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www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - But the availability of up-to-date and evidence-based solutions was often elusive. … In response, TeamSTEPPS, developed in collaboration with the Department of Defense, offered a menu of … Administration and the goals outlined in the recent report released by the President’s Council of Advisors … revealed gains such as faster care for stroke patients, more efficient patient transfers from emergency department … Central to the success of all these initiatives are the clinical teams on the front lines.
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www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - TeamSTEPPS, developed jointly by AHRQ and the Department of Defense, is an evidence-based set of teamwork … As a result of the TeamSTEPPS training and new procedures, the OB staff’s views of the hospital’s safety … At the time of the initiative, she served as the coordinator for clinical quality improvement in the … committee, grand rounds, unit meetings, and administrative and department meetings,” she said. … As a result of the positive experience in the OB units, St.