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7141. Appendix III (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
      June 01, 2010 - 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 …

7142. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - 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 …

7143. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
      June 01, 2019 - 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 …

7144. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
      March 01, 2019 - 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 …

7145. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
      August 01, 2017 - 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 …

7146. 2. How will you manage change? | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/manage-change.html
      January 01, 2013 - 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 …

7147. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - To make matters worse, in the case of an unexpected and potentially life-threatening event, the cognitive … on fast pattern recognition processes or on slow, cognitively demanding problem analysis. 3 o Event … An expanded event horizon is available, and the subjective time pressure is less than at the lower levels … Data/event integration • Marking events as an explanation for changes in vital signs. … Information, such as event markers and trend data, often is either not available or not easily accessible

7148. Impact of Staff-Led Safety Walk Rounds (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - • Cumbersome event reporting system for physicians (a user-friendly format already existed for nurses … throughout the hospital—is an increase in the number of staff who know how to report a near miss or actual event … rounds, members of Team Safety noticed that few staff members knew how to report a near miss or actual event … Is there anything that could be done to prevent the next adverse event or to address your safety concern

7149. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
      April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide PATIENT SAFETY AMBULATORY SURGERY CENTER SURVEY ON PATIENT SAFETY CULTURE User’s Guide AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. …

7150. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
      April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide PATIENT SAFETY AMBULATORY SURGERY CENTER SURVEY ON PATIENT SAFETY CULTURE User’s Guide AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. …

7151. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice Training Modules | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
      September 01, 2020 - one executive sponsor, having co-leads provides a hedge against implementation interruption in the event … Guide to Informed Consent in the Leaders Module resource section.) 7 For example, a patient safety event

7152. Engaging Stakeholders to Improve the Quality of Children's Health Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
      September 08, 2015 - • Engaging stakeholders is a continual process, not a one-time event.

7153. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
      April 01, 2018 - et al. (2010)] Aims Orthopedic SSI, mostly due to S. aureus , is recognized as a major adverse event

7154. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - pressure during hypertensive urgencies and emergencies, due to fears of precipitating an acute ischemic event

7155. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - The group project is a sentinel event that the team manages from investigation and documentation through

7156. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
      January 01, 2021 - AHRQ Hospital Survey 2.0 User's Guide PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE VERSION 2.0 USER'S GUIDE AHRQ Hospital Survey on Patient Safety Culture Version 2.0: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fisher…

7157. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - among children evaluated for a first, afebrile seizure who return to neurologic baseline after the event

7158. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
      January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II Surveys on Patient Safety Culture® (SOPS®) Ambulatory Surgery Center Survey: 2023 User Database Report Part II: Appendix A - Results by Facility Characteristics Appendix B - Results by Respondent Charact…

7159. Risk-Based Patient Safety Metrics (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
      March 25, 2008 - Reviewer recognizes each documented event during review. Error is attributed correctly. … Observer correctly attributes event as error. … , “improvements” intended to decrease the risk of patient harm might only prevent the same adverse event … then the patient might be discharged without accurate documentation and coding to reflect the harm event … ratios are used in epidemiology and medical literature to represent the likelihood of a disease or event

7160. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
      March 01, 2017 - while having an indwelling urinary catheter in place or removed within the 2 calendar days prior to the event … References: Adapted from Centers for Disease Control and Prevention (CDC), Urinary Tract Infection (UTI) Event