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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event using an approach that does not … www.safehealthcareforeverywoman.org
· Resource name: Process for Reviewing Severe Maternal Morbidity Event
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pbrn.ahrq.gov/data/ushik.html
July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event
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pbrn.ahrq.gov/events/boot-camp-translation-tool-engage-communities-patient-centered-outcomes
July 28, 2015 - Event Materials:
Presentation Slides ( PDF - 4.73 MB )
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pbrn.ahrq.gov/events/contextual-relevancy-and-research-collaborations-pbrns-foster-partnerships-pragmatic-prompt
March 04, 2015 - Event Materials:
Presentation Slides ( PDF - 3.92 MB )
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Components
A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event. … Led by clinician(s) responsible for patient/resident during the fall event. … Slide 46: Root Cause Analysis
After an injurious fall, collect data to reconstruct the event and
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
August 31, 2023 - Lessons Learned
A huddle helps teams improve performance and enhance safety when preparing for an event
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pbrn.ahrq.gov/events/adaptive-trial-design-and-learning-evaluation-methods-pcor-and-quality-improvement-assessment
August 18, 2015 - Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration-A Guidance Document
Event
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pbrn.ahrq.gov/teamstepps/readiness/informationitems.html
April 01, 2016 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event
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pbrn.ahrq.gov/diagnostic-safety/resources/index.html
April 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS)
Page last
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pbrn.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Staff can use this decision tree when analyzing an
error or adverse event in an organization to help … identify how human factors and systems issues
contributed to the event. … Staff can use this decision tree when
analyzing an error or adverse event in an organization to help … identify how human factors and
systems issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
5.
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event
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pbrn.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - CLABSI Event Report Template
Appendix 8. CLABSI Investigation Nurse Letter
Appendix 9. … Use the Event Report Template and Nurse Letter
If a CLABSI occurs on your unit, your team should … The CLABSI Event Report Template
(Appendix 7) catalogs defects that contribute to a CLABSI. … Central Line-Associated Bloodstream Infection (CLABSI) Event. … device policies
Empower nurses to stop procedures
Use the Central Line Maintenance Audit Form
Use the Event
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
January 01, 2015 - Case: “Whistling a Tune”
The following event was reported to you (an authority
figure) through your … electronic event reporting system. … Behaviors that
Undermine Safety
Culture
Slide 15
What % of the time would someone report the event … to a responsible party or through an established
event reporting system?
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pbrn.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
January 01, 2015 - about issues related to teamwork and communication
Quality improvement committee reviews
Data from event … Progress
2012 – Began collecting data on teamwork and communication using 5 questions included on our event … TeamSTEPPS for Code Blue Teams
Slide ‹#›
Measuring Progress
Limitations
Not a validated questionnaire
Event
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pbrn.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
July 01, 2023 - Closed captioning will be provided during this event.
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pbrn.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
July 01, 2022 - Closed captioning will be provided during this event.
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used … for any perinatal safety event.
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pbrn.ahrq.gov/news/events/index.html
November 01, 2022 - SHARE:
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