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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
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January …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - TeamSTEPPS Pocket Guide
Pocket Guide
Team Strategies & Tools
to Enhance Performance
and Patient Safety
Table of Contents
TeamSTEPPS® ................................................. 1
Framework and Competencies ........................1
Key Skills .........................................................…
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - U.S. Department of Veterans Affairs Medical Center,
Houston, TX, and Baylor College of Medicine Revised
Safer Diagnosis (Safer Dx) Instrument
January 26, 2022
https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-
college-medicine
Summary
The Revised Safer Dx Instr…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - Module 6: Sustainability: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 6: Sustainability
Say:
The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well.
Slide 2: Objectives
Say:
In this module we wi…
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www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care
AHRQ Grant Final Progress Report
Title:
Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care
Principal Investigator:
Virginia A. Moyer, MD, MPH
Team Members:
Papile, Lucille A., MD, Co-Investigator
Guillory, Char…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - Medical Office Survey on Patient Safety Culture: Background and Information for Translators
Agency for Healthcare Research and Quality (AHRQ)
Medical Office Survey on Patient Safety
Culture
Background and Information for Translators
January 2010
Purpose and Use of This Document
In this …
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - Emergent Triage Miss
Citation Text:
Travers D. Emergent Triage Miss. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Establishing a Program of In Situ Simulations
Say:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Establishing a Program of In Situ Simulations
SAY:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simulation and discusses the use of in situ sim…
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound
and Patient Safety
July 1, 2018
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
Case Objectives
Unders…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
July 01, 2018 - Guide to Patient and Family Engagement
Executive Summary
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft Key In…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/preparing_questionnaire_cg30.pdf
September 01, 2015 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
Document No. 2032
Updated 9/1/2015
CAHPS® Clinician & Group Survey and Instructions
Preparing a Questionnaire Using the
CAHPS® Clinician & Group Survey
Introduction .…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-d.xlsx
January 01, 2023 - ROB 2
Study name Applicable outcome Randomization process Deviations from intended interventions Missing outcome data Measurement of the outcome Selection of the reported result Overall Comments
ACTS-GC OS Low Low Low Low Low Low Low in all domains
ACTS-GC Grade 3 to 5 AEs Low Low Low Low Low Low Low in all domains
…
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?
Citation Text:
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Annual Perspective
Annual Perspective: Psychological Safety of Healthcare Staff
March 31, 2022
View more articles from the same authors.
Citation Text:
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. P…
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.
Citation Text:
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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www.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming th…