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4181. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

4182. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

4183. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare Creating and Maintaining a Culture of Safety Series (Session 3) Measuring and Responding to Safety Culture Across Healthcare NATIONAL WEBINAR SERIES April 15, 2025 Housekeeping Instructi…

4184. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

4185. Labor and Delivery Unit Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
      May 01, 2017 - 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 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

4186. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…

4187. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhac2013-ref.html
      December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms References Previous Page   Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Adverse Drug Events Aspden P, Wolcott J, Bootman JL, et al. P…

4188. Communication Strategies to Promote Resident Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
      September 01, 2016 - Communication Strategies to Promote Resident Safety Communication Strategies To Promote Resident Safety AHRQ Pub. No. 16-0003-13-EF September 2016 AHRQ Safety Program for Long-Term Care: CAUTI 1 Objectives After participating in the session, attendees will be able to— Identify possible barriers to effective com…

4189. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 4: Teamwork and Communication Say: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…

4190. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

4191. Patient and Family Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
      September 01, 2013 - Patient and Family Engagement Facilitator Notes The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …

4192. Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
      July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation Introduction to the SPPC-II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in the Safety Prog…

4193. Sensemakingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
      June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

4194. Best Practices in the Diagnosis and Treatment of Bacteremia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
      November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Bacteremia Acute Care Slide Title and Commentary Slide Number and Slide Best Pr…

4195. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

4196. Meeting Minutes, July 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
      December 01, 2021 - Meeting Minutes, July 2021 Virtual Meeting Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 18, 2021, Meeting Summary Recent AHRQ Accomplishments AHRQ Budget Opportuniti…

4197. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
      October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action References Previous Page   Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the Context of Rurality Three Areas To Immediately Advance…

4198. 2021 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
      December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Introduction and Methods 2021 National Healthcare Quality and Disparities Report Introduction and Methods This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citati…

4199. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for…

4200. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report 1 Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity Section 1. Basic Measure Information 1.A. Measure Name Follow-up Visits for Children Who Are Obese or Overweight wi…