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421. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…

422. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
     June 21, 2021 - multidisciplinary staff, identify data trends that require system- wide improve ments, and ensure that any medical errors … The challenges of providing feedback to referring physicians after discovering their medical errors

423. 2017Qdr-Patsafchartbook (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - • For more information, go to the Patient Safety Primer: Medication Errors and Adverse Drug Events … at https://psnet.ahrq.gov/primers/primer/23/medication-errors … https://psnet.ahrq.gov/primers/primer/23/medication-errors Patient Safety National Healthcare Quality … Preventing medication errors. Quality Chasm Series. … http://www.nap.edu/catalog/11623/preventing-medication-errors-quality-chasm-series http://www.nahc.org

424. AHRQ Challenge on Designing the Optimal Future State of CDS Connect | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/challenges/cds-connect/index.html
     February 01, 2024 - the use of evidence-based practices, improve patient and provider experience, and reduce diagnostic errors

425. Introduction Instructor Guide (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
     June 22, 2017 - anticipate next steps, “watch each other’s back,” and take appropriate corrective action to prevent errors … Most important, shared mental models help teams avoid errors that put residents at risk. … shared mental model, which will enable team members to anticipate, prevent, and correct potential errors

426. Appendix 2: CED Compiled Public Comment Themes (xls file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
     October 12, 2022 - intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors … intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors

427. Quality Improvement Strategies | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
     July 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

428. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
     July 01, 2023 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

429. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

430. Blood Thinner Pills: Your Guide to Using Them Safely | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
     March 01, 2023 - Many medication errors are found by patients.

431. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/policymakers/chipra/cpcf-form15.html
     December 01, 2013 - assessed in the same population (e.g., the measure has high inter-rater reliability, no calculation errors

432. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
     December 01, 2015 - Emergency procedures (rapid identification of and recovery from errors and process failures).

433. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

434. PRIMARY CARE OFFICE-BASED TEAMS Leading Teams
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
     January 20, 2006 - performed these behaviors reported significantly greater sharedness in mental models, committed fewer errors

435. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Working with Patient and Family Advisors
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/advisors.pptx
     May 01, 2017 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

436. Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/studies/index.html?page=485
     January 01, 2024 - Low-Income (171) Maternal Care (182) Medicaid (359) Medical Devices (71) Medical Errors

437. Collecting Performance Data Using Chart Audits and Electronic Data Extraction (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
     September 01, 2015 - helpful when getting started as it will allow you to drill down into the data and identify potential errors … and underlying causes for these errors. … Identifying errors in data such as mis-mapping and multiple locations for the same variable will take … And you will also need to help with much of the heavy lifting in identifying sources of errors in the … helping the practice staff fix it permanently – for example, engaging the IT vendor to correct mapping errors

438. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
     December 11, 2015 - /Newcomers/Refresher o Turnover o Emergency procedures (rapid identification of and recovery from errors

439. Mod5-Disclosure-Checklist (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…

440. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
     March 01, 2019 - Calculation Please assess the likelihood that missing or ambiguous information will lead to calculation errors … Missing or ambiguous information in the following areas could lead to missing cases or calculation errors … Inhaler competence in asthma: Common errors, barriers to use, and recommended solutions.