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www.ahrq.gov/news/newsroom/case-studies/cp31307.html
May 01, 2013 - Department of Veterans Affairs (VA) has launched a virtual model of medical education to deliver health … Sanjeev Arora, MD, Vice Chairman of the Department of Medicine at the University of New Mexico Medical … School, was the driving force behind the creation of Project ECHO. … in Washington, DC, broadened the scope of the original SCAN-ECHO project to include a wide variety of … The curriculum for chronic pain management is a joint effort between the VA and the Department of Defense
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
June 05, 2016 - Many of the recommended actions apply to hospitals. … Department of Defense Medical System: A
Guide for Action
Will Nicholas, Donna O. … The
guide includes
• An overview of the stages of the process of achieving evidence-based practice … of the
implementation strategies. … participated in the Army Medical Department (AMEDD)/RAND Guideline
Implementation Project, which are
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g1_pdi_availablecomprehensiveqiguides.pdf
June 05, 2016 - Many of the recommended actions apply to hospitals. … Department of Defense Medical System: A
Guide for Action
Will Nicholas, Donna O. … The
guide includes:
• An overview of the stages of the process of achieving evidence-based practice … of the
implementation strategies. … participated in the Army Medical Department (AMEDD)/RAND Guideline
Implementation Project, which are
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - the culture of the team, the perioperative area, department, and organization. … supervision)
Work Environment (e.g., lack of space; noisy environment)
Department Factors (e.g., staffing … 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, advanced technology, and … Department of Health and Human Services.
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www.ahrq.gov/teamstepps/evidence-base/teams-health-care.html
July 01, 2015 - Washington, DC: Center for Quality Improvement and Patient Safety and AHRQ and The Department of Defense … The Mount Sinai Journal of Medicine, New York 76(4), 318-329. Select to access the abstract . … The Journal of the International Association of Medical Science Educators 23(3S), 524-531. … The anatomy of health care team training and the state of practice: A critical review. … Academy Medicine: Journal of the Association of American Medical Colleges 85(11), 1746-60.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Radiation therapists are the last line of defense to catch any errors during the treatment planning stage … and director of the Healthcare Engineering Department at the University of North Carolina (UNC) School … radiation or the tumor site not receiving the full effect of radiation. … Because of the key role radiation therapists play in the detection of errors and in the delivery of the … He also is an adjunct assistant professor in the Department of Biomedical Engineering at UNC and North
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www.ahrq.gov/news/newsroom/case-studies/202004.html
July 01, 2020 - The number of central line-associated bloodstream infections in intensive care units (ICUs) decreased … "The CUSP initiative gave each ICU 'ownership' of its infection rates. … CUSP helped us change that way of thinking by tremendously improving the culture of safety. … Developed jointly by AHRQ and the Department of Defense, TeamSTEPPS is an evidence-based system that … "The AHRQ surveys allow us to gain a perception of our caregivers in relation to a culture of safety
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www.ahrq.gov/news/newsroom/case-studies/cquips0801.html
December 01, 2007 - The toolkit was developed by AHRQ and the Department of Defense. … a culture of patient-centered care through the use of teamwork and enhanced communication. … The nurses are often the voice of the patient,÷ says Sue Hohenhaus. She adds, ? … the goals and objectives of the team. … for the health care needs of the community in the eastern part of Singapore.
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www.ahrq.gov/news/newsroom/case-studies/cquips1102.html
October 01, 2014 - Department of Defense aimed at optimizing patient outcomes and promoting a culture of team-driven care … To reinforce the use of the tools and strategies, Vellinga joins surgical teams in the units and coaches … "TeamSTEPPS has a lot of tools, and we try to customize the approach based on the providers' needs. … change the culture of safety." … Eisenman agrees that the results of the improved communications TeamSTEPPS creates are far-reaching.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-lipid-algorithm.pdf
December 14, 2015 - Department of Veterans Affairs
Lipid Algorithm
Men aged >35 y, women aged
> 45 y, and all patients … with
ASCVD
Does the patient have CHF
(EF <0.35 and NYHA class >1)
and ESRD, and has the patient … 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/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … Situation monitoring is the process of actively scanning and assessing elements of the "situation" to … of functions that help the team:
Actively scan critical elements of the surrounding environment or … The wisdom of collectives in organizations: an update of the teamwork competencies. … The potential for improved teamwork to reduce medical errors in the emergency department.
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www.ahrq.gov/teamstepps/instructor/fundamentals/module6/ebmutualsupport.html
March 01, 2014 - Evidence-Base: Mutual Support
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 … Error reduction and performance improvement in the emergency department through formal teamwork training … : evaluation results of the MedTeams project. … Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality
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www.ahrq.gov/teamstepps/instructor/fundamentals/module2/ebteamstruct.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … A team with the proper teamwork structure can anticipate the needs of other team members; dynamically … Specifically, the health care team often consists of six components: the core team; contingency teams … The emergence of the MTS in organizations has been in response to a need to accomplish multifaceted tasks … Each of the teams within the MTS must work together in order to improve patient safety and optimize patient
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085additionalreferences.pdf
August 14, 2012 - Department of
Veterans Affairs, Department of Defense; 2009.
27. … of Midwives (CAM), the
College of Family Physicians of Canada (CFPC), and the Society of Rural Physicians … Department of
Veterans Affairs Department of Defense. 2009
71. … Washington (DC): Department of Veteran Affairs; 2002 Oct
112. … Department
of Veterans Affairs Department of Defense. 2009
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084additional.pdf
August 14, 2012 - Department of
Veterans Affairs, Department of Defense; 2009.
27. … of Midwives (CAM), the
College of Family Physicians of Canada (CFPC), and the Society of Rural Physicians … Department of
Veterans Affairs Department of Defense. 2009
71. … Washington (DC): Department of Veteran Affairs; 2002 Oct
112. … Department
of Veterans Affairs Department of Defense. 2009
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085addresource.pdf
August 14, 2012 - Department of
Veterans Affairs, Department of Defense; 2009.
27. … of Midwives (CAM), the
College of Family Physicians of Canada (CFPC), and the Society of Rural Physicians … Department of
Veterans Affairs Department of Defense. 2009
71. … Washington (DC): Department of Veteran Affairs; 2002 Oct
112. … Department
of Veterans Affairs Department of Defense. 2009
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082additional.pdf
August 14, 2012 - Department of
Veterans Affairs, Department of Defense; 2009.
27. … of Midwives (CAM), the
College of Family Physicians of Canada (CFPC), and the Society of Rural Physicians … Department of
Veterans Affairs Department of Defense. 2009
71. … Washington (DC): Department of Veteran Affairs; 2002 Oct
112. … Department
of Veterans Affairs Department of Defense. 2009
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-privacy-factSheet.pdf
October 01, 2021 - appropriate point of contact
in your organization to:
Confirm that all participants in the improvement … No. 22-0003
October 2021
www.ahrq.gov
Protecting Patient Information
The privacy and security of … The nature and extent of such
protections can be very different. … The
circumstances under which they apply, the
kinds of information they protect, and the legal
situations … Veterans Health Administration,
the Department of Defense, Indian health
programs, and urban Indian
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www.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
April 01, 2017 - Department of Defense, Tricare Management Activity
Subcontract agreement # SK-443-07-AIR-HCTCP
Prime … , 1999 ), the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) have … The National Defense Authorization Act of 2001 requires the DoD to deliver such training for staff at … Some items (e.g., respondent position, department) were the same but provided different response options … In addition, some respondents provided multiple responses for the position and department in which they
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www.ahrq.gov/patient-safety/reports/engage/appd.html
March 01, 2017 - the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified
Results … Discussion of Findings
Implications for the Guide
Next Steps
References
Appendix A. … of Defense
DHHS Partnership for Patients Campaign
diagKNOWsis
Empowered Patient Coalition
Every … Hollywood, Florida
Prince George’s County Health Department
U.S. … Department of Veterans Affairs
University of Colorado Medical Center, Denver
University of Washington