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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-Prologue_Keyes_Vol3.pdf
June 02, 2025 - Prologue: The Shift toward Performance and Tools
Prologue
The Shift toward Performance and Tools
Margaret A. Keyes, M.A.
The articles in this volume provide a number of perspectives on performance and tools used to
improve the safe delivery of health care. They include a wide variety of approaches that
…
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - evolution in which everyone in the
organization feels invested so that some people do large-scale things … while others do small,
almost immeasurable things that—when they add up—move the organization forward … From an organizational perspective, the focus on the patient team makes it easier to identify
where things
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www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
January 01, 2024 - They read
the Koran, and help and things will go away. … Things like garlic, lemon because the stomachache
will go away in a while. … There's a way they do it …they talk and when they
talk you ask them things…like psychics, yeah. … Education is very important for person to know different things. … Some people are afraid of things they
don't understand. They don't like cancer.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS™) Program
Caren Ginsberg, PhD
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s Core Competencies
AHRQ is a rese…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/mccannon/mccannon.ppt
February 17, 2011 - They attempt remarkable things (provocation and optimism)
They talk about justice
They have a shared
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - Our frontline staff pointed out several things that increased value and efficiencies, some not directly … Safety culture underpins notions of why certain things are done a certain way in clinical work areas. … Things have gone completely wrong on a number of fronts. … Review the list of things that might have caused your project to fail, and as the project continues, … sensitize yourself to the things that you anticipated.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - E--Let me explain how I see things.
N--Let’s put the patient first and agree on a plan.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
December 01, 2021 - office or clinic visit in the last 12 months whose health providers listened carefully,
explained things … for the four CAHPS questions asking about
health providers: (1) listening carefully, (2) explaining things … visit in the last
12 months whose health providers sometimes or never listened carefully,
explained things … or clinic visit in the last
12 months whose health providers always listened carefully, explained things … had a doctor's office or clinic visit in the last 12 months whose
health providers always explained things
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - Specific Things To Consider
Problem
Identified
Person Assigned
To Followup
Action Taken
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/partner-care.docx
May 01, 2017 - timely and complete information about your care
· Ask about and listen to your concerns
· Explain things
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-patient-flyer-final508.pdf
June 02, 2025 - Be ready
Write down the most
important things you
want to talk about
during your visit.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh_items_cg-cahps-child-survey_2358-2a.docx
June 02, 2025 - In the last 6 months, did you and someone from this provider’s office talk about things you can do to
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-worksheet.pdf
June 02, 2025 - Where did things
start to go “less well”?
2.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
July 21, 2025 - medical home
PCMH05
Someone from provider's office asked if there were things
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/plymouth.html
March 01, 2021 - “One of the best things [Julie] did was come in and ask us what we were already doing.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Things to consider can be found in the ICU assessment, such as the number of other quality improvement
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-pcmh-items-cg-survey30-child.html
August 01, 2021 - In the last 6 months, did you and someone from this provider’s office talk about things you can do to
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast2-brady.pdf
June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Overview (Brady)
5
Overview of AHRQ’s Surveys on
Patient Safety Culture™
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admira…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-ginsberg.pdf
September 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of the US Departme…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-sops101-webcast-2023-ginsberg.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Ginsberg
AHRQ’s Surveys on Patient Safety
Culture™ (SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of the US Department of H…