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www.ahrq.gov/news/newsroom/case-studies/201523.html
August 01, 2015 - Kuemmel, M.S., clinical associate professor and chair of Stony Brook’s Department of Physician Assistant … TeamSTEPPS, an evidence-based patient safety system developed by AHRQ and the Department of Defense, … the importance of good communication, Mr. … AHRQ funds the development of EHC research summaries that compare the effectiveness of different treatment … One example is Overview of Emergency Department Visits in the United States, 2011 , which provides statistics
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pcmh.ahrq.gov/diagnostic-safety/workgroup/index.html
March 01, 2024 - This report was a continuation of two previously published reports from the Institute of Medicine: To … These reports bring attention to the specific problem of diagnostic errors and their effect on the quality … to address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic … Department of Health and Human Services, as well as representatives from the Department of Defense and … the Department of Veterans Affairs.
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pbrn.ahrq.gov/diagnostic-safety/workgroup/index.html
March 01, 2024 - This report was a continuation of two previously published reports from the Institute of Medicine: To … These reports bring attention to the specific problem of diagnostic errors and their effect on the quality … to address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic … Department of Health and Human Services, as well as representatives from the Department of Defense and … the Department of Veterans Affairs.
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www.ahrq.gov/patient-safety/reports/advances/adacknow.html
July 01, 2022 - and outside of the Agency for Healthcare Research and Quality. … Just as numerous were a large collection of peer reviewers given the task of ensuring the quality and … appropriateness of the submitted manuscripts. … A list of the peer reviewers is in each volume. … We would like to thank our Department of Defense partners for their support and involvement throughout
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www.ahrq.gov/cpi/about/organization/nac/nac-amd1993.html
April 01, 2014 - representing the interests of consumers of health care. … ; the Director, National Institutes of Health; the Director, Centers for Disease Control and Prevention … ; the Assistant Secretary of Defense (Health Affairs); and the Chief Medical Officer of the Department … A quorum of the Council shall consist of a majority of the voting members or their representatives. … Members shall be appointed for a term of 3 years, except that of the 17 members first appointed, 6 shall
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/sei-lee-md-mas
January 01, 2024 - Member
Sei Lee, M.D., M.A.S., is a professor of medicine in the Division of Geriatrics at the … University of California, San Francisco, and the Senior Scholar for the San Francisco Veterans Affairs … Internal Medicine, and the VA/Department of Defense Clinical Practice Guidelines Workgroup. … He is the 2017 recipient of the Yoshikawa Award for Outstanding Scientific Achievement in Clinical Investigation … Lee received a B.A. in chemistry from the University of Chicago and an M.D. from the University of Illinois
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module8/exculture.html
March 01, 2014 - Culture Exercise Sheet
TeamSTEPPS is a teamwork system developed jointly by the Department of Defense … Instructions:
As you answer the questions below, consider the state of your current organization and … What are the existing norms within your facility/department/unit that may interfere with change?
… Involve employees in the success of the company by giving rewards (e.g., safety tee-shirts, carabineer … What will the benefits of such a culture be?
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module8/exculture.html
March 01, 2014 - Culture Exercise Sheet
TeamSTEPPS is a teamwork system developed jointly by the Department of Defense … Instructions:
As you answer the questions below, consider the state of your current organization and … What are the existing norms within your facility/department/unit that may interfere with change?
… Involve employees in the success of the company by giving rewards (e.g., safety tee-shirts, carabineer … What will the benefits of such a culture be?
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section8.html
October 01, 2015 - tools to make care safer by improving the foundation of how physicians, nurses, and other clinical team … It builds the capacity to address safety issues by combining clinical best practices and the science … of safety. … TeamSTEPPS
The Department of Defense and AHRQ developed TeamSTEPPS as a means to improve efficiency … Example of TeamSTEPPS Pocket Guide
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www.ahrq.gov/teamstepps/instructor/reference/modelchange1txt.html
March 01, 2014 - Model for Change (Text Description)
The logo of the Department of Defense is on the page. … On the leadership level are a) lead the way; establish the sense of urgency; create a vision or gain—plan … Column A of Transformational Change Factors flows down to pre-training measurement, which includes knowledge … There is a bidirectional flow from Column B of Transformational Change Factors to post-training measurement … Pre-training measurement flows through level 2 evaluation to the Intervention section of the chart.
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pbrn.ahrq.gov/teamstepps/rrs/index.html
March 01, 2019 - This evidence-based module will provide insight into the core concepts of teamwork as they are applied … to the rapid response system. … The Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) have developed … Teamwork has been found to be one of the key initiatives within patient safety that can transform the … of quality healthcare and for the prevention and mitigation of medical errors and of patient injury
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pcmh.ahrq.gov/teamstepps/rrs/index.html
March 01, 2019 - This evidence-based module will provide insight into the core concepts of teamwork as they are applied … to the rapid response system. … The Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) have developed … Teamwork has been found to be one of the key initiatives within patient safety that can transform the … of quality healthcare and for the prevention and mitigation of medical errors and of patient injury
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psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency
February 28, 2024 - and emergency department staff in the deteriorating patient. … identification of the receiving clinical staff. … 2019 Department of Defense Patient Safety Culture Survey. … from the emergency department to the intensive care unit. … April 19, 2011
Clinical handover of patients arriving by ambulance to the emergency department
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www.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
November 01, 2024 - The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of … PSOs and the development of Common Formats for uniform reporting of patient safety events. … Participating Agencies and Institutions The Department of Health and Human Services (HHS) Office for … Department of Defense (Health Affairs). … Department of Veterans Affairs (Veterans Health Administration).
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psnet.ahrq.gov/issue/national-costs-medical-liability-system
May 20, 2015 - National costs of the medical liability system. … One key premise of cost control measures is reducing the practice of defensive medicine . … by the poor quality of the evidence available to generate it. … National costs of the medical liability system. … August 10, 2022
Nearly all thirty most frequently used emergency department drugs experienced
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module12/igpracticeteach.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … As described in the Course Management Guide, there are a number of possible strategies for providing … At the end of each module, we will briefly discuss feedback with the instructors before moving on to … Follow the same format for the remaining modules.
… Instructor Note: At the end of the activity, you may want to ask if the participants have any questions
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module12/igpracticeteach.html
March 01, 2014 - Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional … As described in the Course Management Guide, there are a number of possible strategies for providing … At the end of each module, we will briefly discuss feedback with the instructors before moving on to … Follow the same format for the remaining modules.
… Instructor Note: At the end of the activity, you may want to ask if the participants have any questions
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Hartford, CT: Connecticut Department of Public Health; October 2016. … Hartford, CT: Connecticut Department of Public Health; October 2016. … This annual publication provides data on adverse events reported to the Connecticut Department of Public … Hartford, CT: Connecticut Department of Public Health; October 2016. … March 25, 2009
Department of Defense Health Care Quality.
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www.ahrq.gov/news/newsroom/case-studies/201514.html
June 01, 2015 - Studies
June 2015
Adoption of AHRQ's TeamSTEPPS® patient safety training program at the 233 … Maria Hale, M.B.A., the hospital's vice president of patient and family advocacy, said the hospital has … major focus of the HCAHPS survey. … The program, developed by AHRQ and the Department of Defense, trains health care professionals to communicate … This is not a test of the patient, but an evaluation of how well we listen to the patient and family,
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pcmh.ahrq.gov/cpi/about/otherwebsites/psoppc.ahrq.gov/index.html
September 01, 2018 - (PSOPPC) was created by AHRQ to support the implementation of the Patient Safety and Quality Improvement … The PSOPPC also offers technical assistance on the use of AHRQ’s Common Formats. … Services
The PSOPPC offers a broad range of technical assistance services, such as—
Educating PSOs … Department of Defense (Health Affairs). … Department of Veterans Affairs (Veterans Health Administration).