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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/enhancing-care-heart-failure-patients.pdf
February 13, 2023 - TAKEheart Affinity Group:
Enhancing Care for Heart Failure
Patients in Cardiac Rehabilitation
H i c h a m S k a l i , M D , M S c
S t e v e n K e t e y i a n , P h D
D a n i e l F o r m a n , M D
M i c h e l l e Yo u n g , M S N , A N P - B C
N o v e m b e r 2 , 2 0 2 1
Welcome and Background for Tod…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A
2018 National Healthcare Quality and Disparities Report | A.4-1
APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES
A.4. Disparities: Income
Measures included in Figure 101: Number and percentage of quality measures for which income…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - ■ Granuloma formation is the most frequent complication. … Troubleshooting
Complication Causes How to avoid/prevent/cure
Displaced tube ■ Inadequate seal ■ … Complication Causes How to avoid/prevent/cure
Tube occlusion ■ Build-up of residue
from feed or
medication … Complication Causes How to avoid/prevent/cure
Regurgitation, nausea or ■ Gastroparesis/ ■ Adjust infusion
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - The patient’s ICU and overall length of stay are significantly lengthened as a result of this complication
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - PowerPoint Presentation
SPPC-II
Toolkit
Obstetric Hemorrhage Scenarios
Safety Program for Perinatal Care II Teamwork Toolkit
AHRQ Pub. No. 23-0046
July 2023
Frontline
SPPC-II
SCRIPT
In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
January 01, 2017 - Presentation: Program Overview
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-29-EF
January 2017
Science of Safety ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Ob…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/insertion-checklist.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix G.
Indwelling Urinary Catheter Insertion Checklist
Instructions for Use
Purpose
Use of a standardized indwelling urinary catheter (IUC) insertion checklist can ensure th…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
April 01, 2015 - A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania
A Multipayer Patient-Centered Medical Home Initiative in
Pennsylvania
Principal Investigator: Robert A. Gabbay, MD, PhD
Institution: Pennsylvania State University Hershey Medical Center
AHRQ Grant Number: R18 HS019150
Overview…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-b.docx
April 24, 2015 - URINARY CATHETERIZATION – Sample Policy
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix B. Urinary Catheterization – Sample Policy
Purpose
The purpose of urinary catheterization is to facilitate urinary drainage when medically necessary. Urinary catheters should be evaluated every day for need and remo…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-3-ef.pdf
January 01, 2015 - Measure: Post-Partum Followup and Care Coordination
Measure: Post-Partum Followup
and Care Coordination
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients receiving the
following at a post-partum
visit:
– Breastfeeding evaluation
and…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Shoulder Dystocia In Situ Simulation
Sample Scenario for Shoulder Dystocia In Situ Simulation
Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
2
L&D Unit Safety Tools
The Labor and Delivery…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)
Cesarean Delivery for Nulliparous (NTSV) Women
(Appropriate Use)
Section 1. Basic Measure Information
1.A. Measure Name
Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)
1.B. Measure Number
0082
1.C. Measure Description
Please…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Executive Summary
2019
NATIONAL
HEALTHCARE
QUALITY &
DISPARITIES
REPORT
Executive Summary
2019
This document is in the public domain and may be used and reprinted without
permission. Citation of the source is appreciated. Suggested citation: 2019 Nati…
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
May 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Introduction to the Quality Indicators Best Practices Tool
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.4
Introduction to the Quality Indicators Best Practices Tool
What is the purpose of this tool? The purpose of this tool is to provide:
• Detailed descr…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)
Measure: Cesarean Delivery for Nulliparous
(NTSV) Women (Appropriate Use)
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients who had a cesarean
delivery.
All null…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety
Organizational Behavior Management in Health Care:
Applications for Large-Scale Improvements
in Patient Safety
Thomas R. Cunningham, MS, and E. Scott Geller, PhD
Abstract
Medical errors continue t…