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1081. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
      pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
      March 01, 2017 - However, putting a human face on each harm event or near miss can engage staff in a powerful way that … Finally, develop volunteer networks to provide project support in the event there is a resource shortage

1082. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
      pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
      July 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Perinatal Safety Toolkit About the Toolkit How To Use the Too…

1083. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
      May 01, 2017 - Sentinel Event Alert: Issue #30 Preventing Infant Death and Injury During Delivery. 2004. http://www.jointcommission.org

1084. Appendix 3: Data Abstraction (xls file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
      June 24, 2022 - Questions to consider: NAM2019 If a person in the anticipated study population experienced this event … NAM2019 Could real-world providers in these settings accurately recognize or evaluate this event or … NAM2019 Could potential study participants accurate report this event or health state? … Could available sensing technologies accurately detect this event or health state? … How might the recording system (e.g., sensor, mobile app) influence or distort the recording of this event

1085. How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
      January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement 1 Issue Brief How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement This brief shares the experiences of two provider groups using the 12-Month version of the CAHPS Clinician & …

1086. Selected Best Practices and Suggestions for Improvement (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-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.4g Selected Best Practices and Suggestions for Improvement PSI 10: Postoperative Physiologic and Metabolic Derangement Why Focus on Postoperative Phys…

1087. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
      November 17, 2020 - Transforming Care for People Living with Multiple Chronic Conditions Transforming Care for People Living with Multiple Chronic Conditions Arlene Bierman, M.D., M.S. Director, Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality November 17, 2020 Why MCC? • Common, Costly • H…

1088. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
      January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary …

1089. Safemed Facguide (doc file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Safe Medication Administration Safe Medication Administration SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of implementing safeguards for their administ…

1090. TeamSTEPPS 2.0 Module 10: Measurement
      pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
      January 01, 2004 - These include for example, the Joint Commission ORYX Quality Measures, patient safety event databases

1091. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - Consider inserting here the deidentified story of a patient who suffered the adverse event captured by … References Slide 48 Sample Best Practices Pressure ulcers represent an important patient adverse event

1092. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
      October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF October 2017 1 Learning Objectives AHRQ Safety Program for Perinatal Care 2 Rapid Response Perinatal Safety 2 Rapid Respons…

1093. Fall Prevention Toolkit (doc file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
      March 01, 2013 - defines a fall as “an unplanned descent to the floor without injury”4 and WHO defines a fall as “an event … falls prevention) simultaneously and found an overall positive effect on the development of any adverse event … Designing adverse event prevention programs using quality management methods: the case of falls in hospital

1094. Monitoring Progress for Sustainable Improvement (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
      June 05, 2016 - also can be used for monitoring, such as the occurrence of serious adverse events (e.g., a sentinel event

1095. EvidenceNOW Building State Capacity Profile: Alabama Cooperative (pdf file)
      pbrn.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 …

1096. Enhancing Code Blue Team Effectiveness
      pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-may2016.pptx
      January 01, 2016 - Enhancing Code Blue Team Effectiveness Enhancing Code Blue Team Effectiveness Leveraging TeamSTEPPS May 11, 2016 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Code Blue Team Effectiveness Slide ‹#› 1 Rules of Engagement Audio for the webinar can be accessed in two ways: Through the phone (*Please mute …

1097. Diagnostic Safety Resource List (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Calls and Hazardous Conditions https://psnet.ahrq.gov/resources/resource/32494 This new sentinel event

1098. Situation Monitoring (Instructor Guide) (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
      February 12, 2014 - Is there something—such as a life event or situation at work—that is detracting from my ability to focus … A mental model is a mental picture or sketch of the relevant facts and relationships defining an event

1099. Aspirin Use in Primary Care (pdf file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
      April 01, 2016 - Aspirin Use in Primary Care Aspirin Use in Primary Care Aspirin when appropriate Blood pressure control Cholesterol management Smoking cessation Healthy Hearts for Oklahoma (H20) The Oklahoma Cooperative for AHRQ's This docum ent was produced by the National Resource Center fo r Academic Detailing (NaRCAD), sup…

1100. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - Slide 5 Practice Insight SAY: CMS considers a Stage 3 or greater HAPI a “never event” and will not … Using the CMS national average cost of $43,000 for a pressure injury “never event,” the team and a member