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www.ahrq.gov/patient-safety/resources/advances/index.html
October 01, 2014 - Department of Defense (DoD)-Health Affairs. … Dittus The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data … Department of Defense ( PDF File , 140 KB) Mary Ann Davis, Geoffrey W. … Baker Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense ( … Department of Defense ( PDF File , 216 KB) Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W.
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www.ahrq.gov/news/newsroom/case-studies/cquips0803.html
October 01, 2014 - and Patient Safety (TeamSTEPPS®), a program developed by the Department of Defense in collaboration … with AHRQ, to help establish a culture of patient-centered care through the use of teamwork and enhanced … Included in the outcomes measurement is the Adverse Outcomes Index; a measure of serious and sentinel … The use of case histories from the units where clear team failures have occurred helps to reinforce the … The positive results of the initial training in the pilot sites have encouraged SSM to modify the TeamSTEPPS
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www.ahrq.gov/news/newsroom/case-studies/202301.html
October 01, 2024 - Department of Veterans Affairs' national Hypoglycemic Safety Initiative to help high-risk diabetes patients … Brian Burke, M.D., an internal medicine physician who is chief of diabetes services at the Dayton VA … To reduce the risk of hypoglycemia in these patients, Dr. … Departments of Veterans Affairs and Defense recognized the important role shared decision making plays … Shared decision making is something a lot of clinicians already do throughout the VA.”
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
December 14, 2015 - Department of Veterans Affairs
Lipid Algorithm
Men and women 50-70, and all
patients with ASCVD … Does the patient a recent ulcer,
recent bleed, or have a life
expectancy of <5 y? … Management of dyslipidemia for cardiovascular disease risk reduction: synopsis
of the 2014 U.S. … Department of Veterans Affairs and U.S. Department of Defense clinical practice
guideline. … should have headers
Regularity Passed Tables must contain the same number of columns in each row and
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www.ahrq.gov/prevention/guidelines/guide/appendix-c.html
June 01, 2014 - Preventive Services Task Force
Appendix C: Acknowledgments
Appendix B: Members of the U.S. … The Pacific Northwest EPC is housed in the Department of Medical Informatics & Clinical Epidemiology, … at the Oregon Health and Science University School of Medicine, with partners at the University of Washington … Centers for Disease Control and Prevention (CDC)
Centers for Medicare & Medicaid Services (CMS)
Department … of Defense/Military Health System (DoD/MHS)
U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - The database mimics the information needed for the Department of
Defense (DoD) Patient Safety Registry … the occurrence happen within a department? … The collected data also are provided as feedback to department heads. … Department of Defense. … Department of Defense. DoD Directive 5154.24,
Armed Forces Institute of Pathology (AFIP).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - Safety Program (CUSP) framework and the goals of the CUSP Toolkit
Demonstrate how to apply the CUSP … of the senior executive
Explain the role of the senior executive in addressing technical and adaptive … of Safety
Describe the historical and contemporary context of the Science of Safety
Explain how system … 30
30
References
Agency for Healthcare Research and Quality, Department of Defense. … Agency for Healthcare Research and Quality, Department of Defense. TeamSTEPPS.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
July 01, 2018 - Consumer Med Safety
Consumers Union
Dana Farber Cancer Institute
Dartmouth-Hitchcock Medical Center
Department … of Defense
diagKNOWsis
Emory Health System
Every Patient's Advocate
Every Patient's Advocate
Genesys … Robert Wood Johnson Foundation
Save the Patient
Society of Critical Care Medicine
State hospital … associations
The Care Transitions Program
The Children's Hospital of Philadelphia
The Empowered Patient … Coalition
The Memorial Health System of Hollywood, Florida
UC Berkeley (CA program on access to care
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www.ahrq.gov/news/newsroom/case-studies/201902.html
March 01, 2019 - reduced their severity of depression after the Archer team took the TeamSTEPPS training and began putting … The staff also used the TeamSTEPPS “check-back” method of repeating back the treatment plan to confirm … the success of an effective interpersonal health care team.” … “Based on the positive results of the training at our Jacksonville campus, we are hoping to replicate … TeamSTEPPS was developed by AHRQ in collaboration with the Department of Defense.
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www.ahrq.gov/news/blog/ahrqviews/ahrq-20th-anniversary.html
November 01, 2019 - and quality of the healthcare system. … And when research showed that teamwork and communication were problems, we worked with the Department … of Defense and borrowed and adapted tenets from the aviation industry to apply them to health care and … Under the leadership of its initial director, the late Dr. … My three priorities align with Department of Health and Human Services Secretary Alex Azar's goal of
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www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nih-specific-plan-nqs2014.pdf
January 01, 2020 - The goals of the Patient-Reported Outcomes Measurement Information System were to utilize
state-of-the-art … the responses of the prior items. … a number of collaborations with other Federal Agencies to facilitate the
use of the Patient-Reported … • Department of Defense—In collaboration with Patient-Reported Outcomes
Measurement Information System … Technology Center, the Department of Defense has
been developing an electronic clinical management system
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - Department of Defense to improve communication and teamwork skills among health care professionals. … HHC was one of the first civilian hospital systems to adopt TeamSTEPPS, incorporating the program into … "Almost 27,000 of our 38,000 employees have received the TeamSTEPPS Fundamentals Training,” she added … “The most recent survey results showed that over 70 percent of all respondents felt that we are doing … “The ESI has provided specific timeframes within which to treat patients based on the severity of their
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www.ahrq.gov/news/newsroom/case-studies/index.html?page=39
June 01, 2007 - Studies
AHRQ’s evidence-based tools and resources are used by organizations nationwide to improve the … The Agency’s Impact Case Studies highlight these successes, describing the use and impact of AHRQ-funded … America Implementer: American Samoa Department of Health Date: May 2007
AHRQ's Quality and … Culture Topic(s): Patient Safety Geographic Location: National Country: International Implementer: Department … of Defense Date: May 2007
Texas Hospital Council Uses AHRQ's Quality Indicators to Link Stroke
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www.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
June 01, 2019 - Introduction
Instructor's Guide
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 … The integration of teamwork into health care by the Department of Defense (DoD) and forward-thinking … The National Defense Authorization Act of 2001 mandated that the DoD institute the Patient Safety Program … Say:
2005
The Patient Safety and Quality Improvement Act was signed, requiring the Department of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - unit, department, and organization. … It is also important to note that culture exists at multiple levels, from the unit level to the department … Slide 17
Swiss Cheese Model: Layers of Defense
SAY:
Layers of defense usually prevent the defect … Layers of defense include policies and procedures, skilled troubleshooting, and occasionally lucky catches … Department of Health and Human Services.
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www.ahrq.gov/news/newsroom/case-studies/202101.html
June 01, 2021 - At the same time, Sanne Holbrook Henninger, Ed.D., PDC’s Director of Patient Experience, observed that … She turned to TeamSTEPPS, the evidence-based program developed by AHRQ and the Department of Defense. … Over the course of a year, Dr. Henninger led site-specific TeamSTEPPS training sessions. … The training took a couple of months longer than we might have liked—but we were able to train others … Henninger says an unexpected benefit is the renewed sense of systemwide camaraderie.
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www.ahrq.gov/teamstepps/rrs/rrsspecscen.html
October 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … demonstrate the importance of the RRS? … The evaluation forms were sent via interdepartmental mail to the quality department as indicated on the … of the patient’s condition. … The patient was taken to the Emergency Department.
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www.ahrq.gov/research/publications/search.html?page=2
June 01, 2023 - Safety Issue Brief #12
This brief, the second of two volumes, considers how to most effectively elicit … Safety Issue Brief #12, Volume 1
This brief, the first of two volumes on learning from patient experiences … Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records … diagnostic process and highlights the role of probabilistic understanding at each step.
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www.ahrq.gov/cahps/surveys-guidance/dental/about/Development-of-the-Dental-Plan-Survey.html
April 01, 2020 - Development of the Dental Plan Survey
The American Institutes for Research (AIR) and TRICARE—the … Department of Defense's health plan for military personnel and their dependents—developed this survey … independent of the CAHPS Consortium. … the changes compromised the reliability or validity of the composite or global scores. … The measurement properties of the modified version were supported.
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www.ahrq.gov/news/blog/ahrqviews/applying-teamstepps-covid.html
May 01, 2020 - And the last thing anyone wants to do is add higher risks of patient harm on top of scenarios that are … TeamSTEPPS, developed nearly 15 years ago by AHRQ and the Department of Defense, is a widely recognized … Some key parts of TeamSTEPPS highlight the relevance and applicability of these resources:
The TeamSTEPPS … These archived web-based lesson plans walk users through the basics and intricacies of the team-training … For the uninitiated, I recommend the July 2017 webinar, Introduction to the Fundamentals of TeamSTEPPS