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www.cahps.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.monahrq.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.innovations.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.healthcare411.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.cpsi.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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www.talkingquality.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Skip to main content
An official website of the Department of Health … TeamSTEPPS is a patient safety training program developed by AHRQ and the Department of Defense to improve … Army Medical Department, the U.S. … Army Office of the Surgeon General, the Department of the Army, the Department of Defense, or the U.S … Department of Health & Human Services
The White House
USA.gov
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module10/exmeasure.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … As part of their implementation, they train all the nurses and the employed physician staff on these … Once the training is complete, they decide to launch the implementation of CUS and the Two-Challenge … to assess whether the TeamSTEPPS intervention—CUS and the Two-Challenge Rule—transfers to the unit; … and (2) one or two measures to determine if the use of CUS and the Two-Challenge Rule affects patient
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module10/exmeasure.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … As part of their implementation, they train all the nurses and the employed physician staff on these … Once the training is complete, they decide to launch the implementation of CUS and the Two-Challenge … to assess whether the TeamSTEPPS intervention—CUS and the Two-Challenge Rule—transfers to the unit; … and (2) one or two measures to determine if the use of CUS and the Two-Challenge Rule affects patient
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www.ahrq.gov/ncepcr/tools/healthier-pregnancy/organizations/loafman.html
April 01, 2015 - Family and Community Medicine, Feinberg School of Medicine, Northwestern University
Topic: Alcohol … He is Medical Administrator for the Illinois Department of Alcoholism and Substance Abuse, providing … Loafman is a founding member and Chair of the Board of Certification in Family Medicine–Obstetrics. … He serves on the Health Futures Group at National Defense University in Washington DC in the role of … He led development and served as the first medical director for the PCC Community Wellness Center on
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - Skip to main content
An official website of the Department of Health … and Quality (AHRQ) and the Department of Defense (DoD)-Health Affairs. … as well as the patient safety initiatives of other parts of the Federal Government. … Deputy Assistant Secretary for Clinical and Program Policy
Health Affairs
Department of Defense … Department of Health & Human Services
The White House
USA.gov
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www.ahrq.gov/news/newsroom/case-studies/cquips1001.html
October 01, 2014 - TeamSTEPPS was produced by the Department of Defense in collaboration with AHRQ. … The perioperative Patient Hand-Off Tool Kit includes a summary of the evidence-based research on patient … Given that problems in communication cause the majority of avoidable adverse events, we included the … The Patient Hand-Off Tool Kit is available free of charge to the general public and AORN members on the … Though the organization does not keep specific data on the utilization or implementation of its Patient
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www.ahrq.gov/news/newsroom/case-studies/201609.html
August 01, 2016 - TeamSTEPPS, developed by AHRQ and the Department of Defense, is an evidence-based system designed to … Lohn, R.N., B.S.N., patient safety manager of the United States Army Medical Department Activity at Fort … It was selected as one of the first Army medical facilities in the U.S. … That was the "brief, huddle, and debrief," where medical staff members meet briefly at the start of their … patient’s condition at the end of their shift.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Jordan
Abstract
The United States Department of Defense (DoD) has transformed health care
delivery … Introduction
The United States Department of Defense (DoD) has taken a major step
forward in the delivery … Department of Defense (Health Affairs), for research,
contributions, and assistance in the development … Department of Defense (Health Affairs), Falls Church, VA
(MJC, PSJ, BJH). … Department of Defense (Health Affairs), 5111 Leesburg Pike, Suite 810, Falls Church, VA 22041;
phone
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - Review the “Swiss cheese model” of system failure. … Swiss Cheese Model
Layers of Defense: Swiss Cheese Model1
Layers of defense prevent or mitigate errors … MRSA Prevention | Surgical Services
The Swiss Cheese Model
The Story of Mr. … No statement in this presentation should be construed as an official position of AHRQ or of the U.S. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in the emergency department. … COVID-19: an emerging threat to antibiotic stewardship in the emergency department. … support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus … July 28, 2021
Impact of pharmacist interventions provided in the emergency department … May 13, 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - Slide 4
Layers of Defense: Swiss Cheese Model
SAY:
Thankfully, many failures do not reach the patient … and cause harm because there are layers of defense in place, including policies, procedures, and/or … Layers of defense prevent or mitigate errors. … In the Swiss cheese model, a slice represents a layer of defense, and the holes represent weaknesses … Department of Health and Human Services.
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www.ahrq.gov/news/newsroom/case-studies/201529.html
October 01, 2015 - Positive results prompted the hospital to expand TeamSTEPPS to the rest of the facility. … TeamSTEPPS, developed by AHRQ and the Department of Defense, is an evidence-based system to improve communication … "We found that the TeamSTEPPS communication technique of stating 'I am concerned regarding the well-being … It emphasizes the importance of improving patient safety." … Robert Pisano, M.B.A., a TeamSTEPPS trainer who was part of the development of the training initiative
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-3-ef.pdf
January 01, 2015 - The evidence-informed Veterans Administration/Department of Defense Clinical Practice Guideline for … The range of the performance rate is 0.00
(0.00 - 0.00). … of the measure. … of care) and improved outcomes for the child and the public. … Department of Veterans Affairs, Department of Defense;
2009.
7U.S.
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www.ahrq.gov/news/newsroom/case-studies/201536.html
January 01, 2016 - Search All Impact Case Studies
January 2016
The performance of the University of Texas Southwestern … TeamSTEPPS, developed in collaboration by AHRQ and the Department of Defense, is an evidence-based patient … The films served as baseline illustrations of performance prior to actual training. … When participants use various techniques in realistic simulations, they appreciate the power of TeamSTEPPS … The charts below show how UTSW training participants' opinions shifted regarding the benefits of implementing