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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - ASK:
· How did the pilot CUSP team make a case for their project targeting adverse drug events?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - physician to observe overt and
many times more subtle clues, such as changes in vital signs, sensorium, or events … physician by presenting
a case and receiving feedback.42 The study reported a significant reduction in adverse … events and near-
misses,42 suggesting that distributed cognition played a role by having the physician … Effect of systematic physician cross-checking on reducing adverse events in the emergency
department
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and … receive professional interpretation services.3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot study.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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pbrn.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
April 01, 2017 - safety, leadership, interpersonal interactions, attitudes toward stress, and knowledge of how to report adverse … events ( Sexton, et al., 2006 ). … The 50-item T-TPQ was tested and refined during three critical events: cognitive interviews, small group
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pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events
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pbrn.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Ask:
How did the pilot CUSP team make a case for their project targeting adverse drug events?
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pbrn.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse … drug events and injuries from falls, helped prevent an estimated 8,000 deaths and save $2.9 billion
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - understanding that even small failures in safety protocols or processes can lead to catastrophic or adverse … events if action is not taken to solve the problem.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Discuss the associated tasks and thought
processes taking place during those events.
4
Domain 3: … SBAR),27-30 to structure communication with physicians and other diagnostic team
members and reduce adverse … events. … in their day-to-day operations.
7
e
Any safety events or “good catches” identified from these … Measure Dx: A Resource To Identify, Analyze, and Learn
From Diagnostic Safety Events. July 2022.
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pbrn.ahrq.gov/sites/default/files/docs/page/PPRNet.pdf
May 01, 2015 - practices with practice staff, clinicians, and patients to understand their
perspectives on reducing adverse … drug events.”
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more
severe and … professional interpretation services.
3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot
study.
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
September 01, 2012 - Patient safety events that affect limited-English-proficient (LEP) patients tend to be more
severe … professional interpretation services.
3
Hospitals have been held liable for LEP patient safety events … Language proficiency and adverse events in U.S. hospitals: a pilot
study.
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant
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pbrn.ahrq.gov/sites/default/files/docs/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_0.pdf
June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design
AHRQ PBRN … View the
Webinar recording on AHRQ’s PBRN Events
page here:
https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods-
primary-care-research-stepped-wedge-design. … information systems can reduce medical
errors and might pose a viable option for the
prevention of adverse … drug events.
-
pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_1.pdf
June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design
AHRQ PBRN … View the
Webinar recording on AHRQ’s PBRN Events
page here:
https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods-
primary-care-research-stepped-wedge-design. … information systems can reduce medical
errors and might pose a viable option for the
prevention of adverse … drug events.
-
pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument.pdf
June 01, 2015 - http://pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design
AHRQ PBRN … View the
Webinar recording on AHRQ’s PBRN Events
page here:
https://pbrn.ahrq.gov/events/dissemination … http://pbrn.ahrq.gov/events/advanced-methods-
primary-care-research-stepped-wedge-design. … information systems can reduce medical
errors and might pose a viable option for the
prevention of adverse … drug events.