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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Oxytocin
Safe Medication Administration—Oxytocin
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery
Page 1 of 17
Engineering Safe Practices Affinity Group
Strategies to Better Engineer Safety into
Healthcare Delivery
March 6, 2025
Table of Contents
Problem Statement ...............................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan
Page 1 of 15
Healthcare Safety Competencies Affinity Group
Environmental Scan, Resources, and Strategies version 4.7.2025
Table of Contents
Background ...............................................................................................…
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www.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
October 01, 2007 - assessment is divided into three parts:
• Part I: A Pharmacy Assessment Tour
to be completed by objective, trained … Training Auditors
To promote consistent assessment
techniques, auditors should be trained
together in … We have been trained to recognize non-verbal
cues that may indicate a person is not understanding
what
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - refresher and on-the-job training they need, and
do not feel pressured to do tasks they are not
trained … 92% 97% 100%
% Disagree/Strongly Disagree
Staff feel pressured to do tasks they haven’t been trained
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results-appendix.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics
2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test Results
Appendix—Results by Respondent Characteristics
Prepar…
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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-Jack_28.pdf
February 21, 2008 - standard discharge
(control group) and an experimental group that receives the components of the RED by a trained
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/hierarchical-task-analysis
January 01, 2023 - Hierarchical Task Analysis
Acronym
HTA
Examples
Chung P, Zhang J, Johnson T, et al. An extended hierarchical task analysis for error prediction in medical devices. AMIA Annu Symp Proc 2003:165.
Description
A hierarchical task analysis (HTA) describes an activity in terms of its spe…
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psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
April 01, 2024 - Government Resource
The PROTECT Initiative: Advancing Children's Medication Safety.
Citation Text:
The PROTECT Initiative: Advancing Children's Medication Safety. US Centers for Disease Control and Prevention.
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Save to your library
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…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/groupware-task-analysis
January 01, 2023 - Groupware Task Analysis
Acronym
GTA
Description
Groupware task analysis (GTA) is used to study teams in order to analyze their tasks and activities. The information collected is then used when designing or analyzing comparable team systems. The method focuses on two task models. Task model 1:…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/needs-assessment
January 01, 2023 - Needs Assessment
Examples
Walker J, Bieber E, Richards F, et al. Appendix 2: physician reporting and digital storage system needs assessment - endoscopy suite. In: Walker J, Bieber E, Richards F, editors. Implementing an electronic health record system. London: Springer; 2005. p. 183-91.
Des…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - Decision Tree
Also Known As
Decision Process Flowchart
Logic Diagram
Description
Decision trees are tools that can be utilized to navigate several courses of action to arrive on one choice. Their structure allows one to evaluate multiple options and explore what the potential outcomes ar…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
January 01, 2023 - Process Decision Program Chart
Acronym
PDPC
Description
The process decision program chart (PDPC) provides a systematic means of finding errors with a plan while it is being created. Once potential issues are found, preventive measures are developed, allowing the problems to either be avoided …
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www.ahrq.gov/prevention/resources/vision/visfig2.html
October 01, 2002 - Figure 2: Framework for Stroke Rehabilitation
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Text Description
The "stage" column in the framework shows that physiological changes resulting from an underlying disease or injury may lead to impairment, which in turn may result in disa…
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effectivehealthcare.ahrq.gov/sites/default/files/jensen_eccs2012.pdf
January 01, 2012 - Jensen_ECCS2012
Slide 1: The Tortoise and the Hare: When Media
and
Practice Collide
Jakob D. Jensen, Ph.D.
Assistant Professor of Health Communication
University
of Utah,
Salt Lake
City,
UT
Slide 2: Two Significant Issues
…
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psnet.ahrq.gov/node/837194/psn-pdf
January 01, 2023 - National improvements in resident physician-reported
patient safety after limiting first-year resident physicians'
extended duration work shifts: a pooled analysis of
prospective cohort studies.
May 25, 2022
Weaver MD, Landrigan CP, Sullivan JP, et al. National improvements in resident physician-reported patient
…
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psnet.ahrq.gov/issue/patient-safety-9
August 19, 2015 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Martin RF, Sanchez JA, eds. Surg Clin North Am. 2012;92(1):1-177.
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…
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psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - The new recommendations on duty hours from the
ACGME Task Force.
November 15, 2011
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force.
N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
…
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psnet.ahrq.gov/node/39714/psn-pdf
April 14, 2011 - US public opinion regarding proposed limits on resident
physician work hours.
April 14, 2011
Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician
work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33.
https://psnet.ahrq.gov/issue/us-public-opinion-regarding-pr…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/practicing-slow-pelvic-exercises.pdf
June 02, 2025 - Practicing “Slow” Pelvic Muscle Squeezes to Stop Incontinence (Bladder Leaks)
- 1 -
Practicing “Slow” Pelvic Muscle Squeezes to
Stop Incontinence (Bladder Leaks)
Practicing “Slow” Pelvic Muscle Squeezes to Stop Incontinence (Bladder Leaks) (5 minutes)
00:12
Now let's start your pelvic floor muscle exerc…