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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
January 01, 2016 - Five hours in the PACU? MetroHealth Uses TeamSTEPPS to Improve Patient Transfer from OR to ICU
Five hours in the PACU? MetroHealth Uses TeamSTEPPS to Improve Patient Transfer from OR to ICU
March 9, 2016
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
OR to ICU Transfer
Slide ‹#›
1
Rules of Engagement
A…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth.pptx
October 01, 2015 - Documented persistent health disparities that accounted for 60,000 excess deaths each year. … The Heckler Report documented persistent health disparities that accounted for 60,000 excess deaths each … These include cancer; cardiovascular disease and stroke; chemical dependency (measured by deaths due … per 1,000 hospital admissions with acute myocardial infarction (AMI), age 18+ Same No Change
Deaths … per 1,000 hospital admissions with congestive heart failure (CHF), age 18+ Better No Change
Deaths
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
December 01, 2023 - As of Fall 2020, nearly one-quarter of the known COVID-19 deaths in the United States have been nursing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - healthcare-associated infections, falls, and obstetric adverse events are responsible for thousands of deaths
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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/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - All significant adverse events (e.g., unexpected
deaths and hospitalizations) were to be reported for … Since all unexpected deaths and quality-
related patient complaints were reviewed, this category was … medication error deaths between 1983 and 1993.
Lancet 1998; 351: 643-644.
5. Gaba DM.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/ambulatory/improve/six-building-blocks.html
March 01, 2022 - Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care
Deaths
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ce.effectivehealthcare.ahrq.gov/priority-populations/observances/bhm/index.html
February 01, 2021 - Disparities Report (NHQDR)
NHQDR Data Spotlights
Blacks Experiencing Fast-Rising Rates of Overdose Deaths
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
April 01, 2020 - healthcare-associated infections (HAIs), falls, and obstetric adverse events are responsible for thousands of deaths
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - The EVENT TYPES with the largest proportion of patient deaths reported among Incidents where
the EXTENT … For no other EVENT TYPE did the proportion of deaths exceed 0.5%.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/lifestyle.html
June 01, 2018 - In the past 50 years, more than 20 million premature deaths have been attributable to smoking and exposure … to secondhand smoke. 3
Smoking causes more than 87% of deaths from lung cancer and more than 79% of … deaths from chronic obstructive pulmonary disease. 3
Adult current smokers with a checkup in the last
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ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
March 01, 2021 - 8.4 million people. 1 Heart disease is the second leading cause of death. 2 Although most of these deaths
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Clostridium difficile Infections (CDIs) and Deaths Reach and Remain at Historic Highs
CDI hospitalizations … Increased 3-fold 2000-2009
250,000 per year
Deaths linked to CDI
14,000 in 2007
$1 billion in medical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - EvidenceNOW Building State Capacity Profile: Alabama Cooperative
Alabama Cooperative
Project Name:
Alabama Cardiovascular
Cooperative
Principal Investigators:
Andrea L. Cherrington, MD, MPH
and Elizabeth Jackson, MD, MPH,
FAHA, University of Alabama at
Birmingham
Cooperative Partners:
Alabama Department …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Patient Safety Databases Chartbook, 2021| 23
The EVENT TYPES with the largest proportion of patient deaths … For no other EVENT TYPE did the proportion of deaths exceed 0.5%.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Act), Section 519, mandates
that all manufacturers of medical devices must report device-related deaths … of this
section also stipulates that “device user facilities” must report medical device
related deaths … selected sites
represent the various types and sizes of facilities that are obligated to make
reports of deaths … in MedSun facilities, it promotes a
blame-free environment in order to encourage the reporting of deaths
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ce.effectivehealthcare.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - The top 10 leading causes of death account for 75 percent of all deaths in the U.S., and cardiovascular … disease, stroke, and cancer together account for more than 50 percent of the Nation's deaths. … behaviors—tobacco use, inactivity, poor nutrition, and excessive alcohol use account for 40 percent of U.S. deaths
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - Section 5: Evidence, Attachment 1: AAP Guideline Evidence
SNAC Submission Form ADHD Measure 2: Behavior Therapy
Section 5: Evidence
Attachment 1: AAP Guideline Evidence
Excerpt from the 2011 AAP ADHD Guideline: Preschool-aged Children
Attention-deficit/hyperactivity disorder (ADHD) is the most common neuro…
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ce.effectivehealthcare.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - Background
In early Fall 2020, nearly one-quarter of all COVID-19 deaths in the United States were
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Skip to main content
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