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The Department of Defense (DoD) has been one of the leaders in actions to improve teamwork, which it has pursued with the goal of achieving safer care and reducing adverse events for patients served by its military hospitals. DoD and the Agency for Healthcare Research and Quality (AHRQ) have worked together to develop tools to improve teamwork in delivering care in order to achieve safer outcomes for patients. In 2004, AHRQ modified its Patient Safety Evaluation Center contract with RAND to add an analytic study to identify and test measures that have the potential to capture improvements in t

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