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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Early identification of postdischarge Most of the studies did not demonstrate evidence of reduced 30-
complications
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
June 27, 2014 - Indicators as a priority
· We have a shared sense of purpose to decrease mortality and reduce complications
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pcmh.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - SHARE:
More topics in this section
TeamSTEPPS®
About TeamSTEPPS®
Readiness Assessment
Curriculum Materials
TeamSTEPPS® 2.0 Online Master Trainer Course
Research/Evidence Base
TeamSTEPPS® Webinars
TeamSTEP…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Shoulder Dystocia
Labor and Delivery Unit Safety—Shoulder Dystocia
Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4p
Selected Best Practices and Suggestions for Improvement
PDI 02: Pressure Ulcer
Why focus on pressure ulcers in children?
• Although children are typi…
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pcmh.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - SHARE:
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News
Newsroom
Blog
Newsletter
AHRQ News Now
Events
Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety …
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
May 12, 2016 - Indicators as a priority
• We have a shared sense of purpose to decrease mortality and
reduce complications
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - disparities over time:
• Deaths per 1,000 elective-surgery admissions having developed specified complications … White: Deaths per 1,000 elective-surgery admissions having
developed specified complications of care … Potential complications resulting from the
development of CAUTI include cystitis, pyelonephritis, endocarditis … rc
en
t
Teaching Nonteaching
• Importance: Colorectal procedures have high rates of postoperative complications … Nonadherence to evidence-based best practices is associated with an increased risk of these
complications
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pcmh.ahrq.gov/sites/default/files/attachments/Strategies%20to%20Put%20Patients%20at%20the%20Center%20of%20Primary%20Care.pdf
February 01, 2011 - paper to this brief.1
medication use, infection control initiatives, and
Strategy Optionsreporting complications
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pcmh.ahrq.gov/sites/default/files/attachments/strategies-to-put-patients-at-center-of-primary-care-brief.pdf
February 01, 2011 - paper to this brief.1
medication use, infection control initiatives, and
Strategy Optionsreporting complications
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pcmh.ahrq.gov/page/patient-centered-medical-home-strategies-put-patients-center-primary-care
February 01, 2011 - including patients in areas such as: safe medication use, infection control initiatives, and reporting complications
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pcmh.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - core . 2
Improve communication and teamwork, feasible given current workload. 3
Reduce rate of complications
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - novel methods to enhance cognition and communication among care providers to reduce hospital-acquired complications … Successful rescue hinges on early recognition and timely management of serious complications once they … Support early detection of nonpreventable complications and identify all the factors (individual, team … , and technology) that define an ideal rescue system that effectively responds to and manages these complications
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - Taking the “hospital admissions for uncontrolled diabetes without complications per 100,000
population … 100,000 population, age 18 and over
HCUP 2020
Hospital admissions with diabetes with short-term complications … 100,000 population, age 18 and over
HCUP 2020
Hospital admissions with diabetes with short-term complications … per 100,000 population, ages 6-17
HCUP 2020
Hospital admissions with diabetes with long-term complications … per 100,000 population, ages 6-17
HCUP 2020
Hospital admissions with diabetes with long-term complications
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-feb2016.pptx
January 01, 2016 - How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of Teamwork
How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of Teamwork
February 10, 2016
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Yellow Brick Road of Teamwork
Slide ‹#›
1
Rules of Enga…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - Physician Burnout
Physician Burnout
The health care environment—with its packed work
days, demanding pace, time pressures, and emotional
intensity—can put physicians and other clinicians at high
risk for burnout. Burnout is a long-term stress reaction
marked by emotional exhaustion, depersonalization,
and a la…
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pcmh.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
March 01, 2021 - SHARE:
More topics in this section
EvidenceNOW
EvidenceNOW Model
Practice Facilitation
EvidenceNOW Projects
Advancing Heart Health
About Advancing Heart Health
Origin
Cooperatives
Midwest Cooperative
New York Cit…
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pcmh.ahrq.gov/page/coordinating-care-adults-complex-care-needs-patient-centered-medical-home-challenges-and
January 01, 2012 - problems, they are more likely to have chronic, progressive illnesses or experience life-threatening complications … The natural history of chronic illnesses common to complex patients includes increased risk of acute complications … Some patients with complex illness have frequent life-threatening complications; others are in the final
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - to prevent falls, but patients need to transfer and ambulate to maintain their strength and to avoid complications … It would conflict with the principles of patient autonomy and cause all the complications of bed rest … The clinical review aims to determine whether there are injuries or other complications ( Tool 3N, "Postfall … The clinical review focuses on immediate risk of injury or complications.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - hospital patients may have pressure ulcers at any one time.2
• Hospital-acquired pressure ulcer complications