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101. Executive Briefing
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - Center2 After implementation of SBAR to improve communication among clinical caregivers: Reduced rate of adverse … drug events (from 30 to 18 per 1,000 patient days) Improved medication reconciliation at patient admission

102. Strategy 4: IDEA Discharge Planning (Tool 4)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - within a month of discharge, of which ¾ could be prevented Common complications post-discharge are adverse … drug events, hospital-acquired infections, and procedural complications Many complications can be attributed … these events could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, healthcare-associated infections, and procedural complications.

103. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - After implementation of SBAR to improve communication among clinical caregivers: Reduced rate of adverse … drug events (from 30 to 18 per 1,000 patient days).

104. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse … drug events.

105. TeamSTEPPS Specialty Scenarios: ICU (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
     March 19, 2014 - TeamSTEPPS Specialty Scenarios: ICU TeamSTEPPS 2.0 Specialty Scenarios - 59 Specialty Scenarios ICU Specialty Scenarios - 60 TeamSTEPPS 2.0 Specialty Scenarios ICU Scenario 48 Appropriate for: ICU Setting: Hospital A 44-year-old female is admitted to the Medical ICU in acute respirator…

106. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
     November 19, 2008 - Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide Enhancing Safety for Patients With Limited English Proficiency TM TeamSTEPPS | Limited English Proficiency LEP 06.1 | Introduction INSTRUCTOR NOTE: This module may be customized based on t…

107. Biosketches | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - SHARE: More topics in this section News Newsroom Blog Newsletter Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems National Advisory Council Meetings AHRQ Research Confere…

108. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
     January 01, 2013 - TeamSTEPPS Decreased malpractice claims Decreased insurance premiums Decreased litigation Reduced rate of adverse … drug events (from 30 to 18 per 1,000 patient days) Reductions in staff turnover rates Increased teamwork

109. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/scenarios/icu.html
     March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

110. TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
     January 01, 2014 - TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery December 17, 2014 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› 1 Acknowledgements Project Sponsors Jim Battles, PhD (AHRQ) Heidi King, MS (DoD) Pro…

111. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…

112. Patient Safety Awareness Week 2019 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
     July 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…

113. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural … Patients prescribed high-risk medications or complex medication regimens may be at higher risk of adverse … drug events.4,6,8 Inadequate preparation for discharge.

114. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2013 - Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis, adverse … drug event, or other symptoms may include: Providing patient education.

115. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - Common complications post-discharge include adverse drug events, hospital-acquired infections, and procedural … Patients prescribed high-risk medications or complex medication regimens may be at higher risk of adverse … drug events.4,6,8 • Inadequate preparation for discharge.

116. Nonadherence With Guidelines Associated With Cardiac Surgery Infection | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/873.html
     July 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Nonadherence With Guidelines Associated With Cardiac Surgery Infection Issue Number 873 AHRQ News Now is a weekl…

117. Appendix 3: Data Abstraction (xls file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
     June 24, 2022 - Appendix 3: Data Abstraction TableOfContent Table of content Abstraction of criteria from existing sources Sheet number [Click to go to specific sheet] Pearson et. al 2018, white paper 1 Duke Margolis 2017, white paper 2 International Society for Pharmacoepidemiology (ISPE) position paper 3 Berger et al…

118. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     May 22, 2013 - within a month of discharge, of which ¾ could be prevented • Common complications post-discharge are adverse … drug events, hospital-acquired infections, and procedural complications • Many complications can

119. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - SHARE: Filter the Results Search All PS Grantee Reports Search Grantee Reports by Keyword Search   Select Publication Date 2023 (2) 2022 (5) 2021 (8) 2020 (10) 2019 (13) 2018 (11) 2017 (7) 2016 …

120. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - 2022 National Healthcare Quality and Disparities Report Data Sources 2022 National Healthcare Quality and Disparities Report Data Sources U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov AHRQ Publication No. 22(23)-00…