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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - And other places which are quite interesting, the transition from ICU to floor, I feel is a very high
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - I want to say that before
we transition to the main program that we are going to be having a SOPS one-on-one
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Further, the systems engineering framework of the PSLL facilitated the transition
from understanding
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
Overview
According to the Joint Commission, in 2022, failures in communication, teamwork, a…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Implementing a survey for patients to provide
safety experience feedback following a care transition
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Implementing a survey for patients to provide
safety experience feedback following a care transition
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
September 01, 2017 - Transition to biweekly calls with QIS.
Complete implementation readiness checklist.
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www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
June 23, 2023 - While efforts are underway to transition to
value-based payment models, progress is slow.
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www.ahrq.gov/patient-safety/resources/liability/baker.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue…
-
www.ahrq.gov/patient-safety/resources/liability/pichert.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence …
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
3. Results
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - TeamSTEPPS 2.0: Essentials Course (Instructor Guide)
TeamSTEPPS 2.0 ESSENTIALS COURSE
SUBSECTIONS
• TeamSTEPPS Framework and Key
Principles
• Team Structure
• Communication
• Leading Teams
• Situation Monitoring
• Mutual Support
• Team Performance Observation Tool
• Summary
TIME: 2 hours
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
July 11, 2017 - 2.0 Essentials Course (Instructor Guide)
ESSENTIALS COURSE
SUBSECTIONS
• TeamSTEPPS Framework and Key
Principles
• Team Structure
• Communication
• Leading Teams
• Situation Monitoring
• Mutual Support
• Team Performance Observation Tool
• Summary
TIME: 2 hours
MODULE
TIME:
2 hours
M…
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
September 01, 2017 - Fall Prevention Program Implementation Guide
Appendix F. Hospital Practice Insights: Challenges and Solutions
Previous Page
Table of Contents
Fall Prevention Program Implementation Guide
Overview
Get Ready
Fall Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Oppor…
-
www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care
1
Title of Project
Physician Organization and the Efficiency of Surgical Specialty Care
Principal Investigator and Team Members
Dr. David C. Miller
Dr. John D. Birkmeyer
Organization
The Regents of the University of Mi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
3. Results
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC
Care Coordination Quality Measure for
Primary Care (CCQM-PC)
Development and Pilot Test of the CCQM-PC v 1.0;
Guidance for Use of CCQM-PC v 2.0
Overview of the Care Coordination Quality Measure…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…