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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - consider situation monitoring to be the TeamSTEPPS component most likely to prevent a patient safety event
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pbrn.ahrq.gov/news/events/conference/index.html
January 01, 2016 - SHARE:
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Newsroom
Blog
Newsletter
Events
AHRQ Research Summit on Diagnostic Safety
AHRQ Research Summit on Learning Health Systems
National Advisory Council Meetings
AHRQ Research Confere…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - adverse events so they can review the medical record to determine if an actual or
potential adverse event … Systems without EHR
capabilities can use other data sources (e.g., selective reviews, event reports) … Consensus building for
development of outpatient adverse drug event triggers. … natural language processing for classification tasks
in the field of incident reporting and adverse event … Integrating natural
language processing expertise with patient safety event review committees to improve
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pbrn.ahrq.gov/patient-safety/about/concepts-of-patient-safety.html
March 01, 2020 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work
Conne…
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - importance to the rapid
response call and failed to provide a critical skill during a rapid
response event
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Close Calls and Hazardous Conditions
https://psnet.ahrq.gov/resources/resource/32494
This sentinel event … Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … identify how human factors and systemic
issues contributed to the event. … disrupting the
normal flow of clinic practice, clinics agree on a standard protocol to follow for each event … www.jointcommission.org/assets/1/18/Do_Not_Use_List_9_14_18.pdf
The Joint Commission issued a Sentinel Event
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pbrn.ahrq.gov/news/newsroom/press-releases/nac-meeting-nov16.html
November 01, 2023 - SHARE:
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AHRQ Social Media
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Impact Case Studies
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National Advisory Council for the Agency for Healthcare …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - To Do a Skin Assessment
Video Clip of Skin Assessment
7
Skin Assessment Frequency
Not a one-time event
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
January 01, 2013 - consider
situation monitoring to be the TeamSTEPPS component most likely to prevent a patient
safety event
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pbrn.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - SHARE:
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AHRQ Views
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AHRQ Views: Blog posts from AHRQ leaders
We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers
…
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pbrn.ahrq.gov/hai/pfp/index.html
July 01, 2020 - SHARE:
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Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
About the CUSP Method
Decolonization – Universal and Targeted
Tools
AHRQ National Scorecard on Hospital-…
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pbrn.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - SHARE:
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Practice Improvement
Advanced Methods in Delivery System Research
Delivery System Research Initiative
Initiatives
System Redesign Responses to Challenges in Safety-Net System
Practice I…
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pbrn.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - SHARE:
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Events
AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System
Issue Number
856
AHRQ News Now is…
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pbrn.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - SHARE:
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New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery
Issue Number
870
AHRQ News Now i…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - than the number of flagged cases (PPV
<1) (e.g., individuals were coded as having a patient safety event … when no event actually
occurred), there is a problem with false positives. … removes cases that arrived at the hospital with a condition that would be coded as
a patient safety event … History of event. … procedure itself and those that are unintended and are therefore considered a
complication or unexpected event
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pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
December 01, 2012 - SHARE:
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TeamSTEPPS®
About TeamSTEPPS®
Curriculum Materials
TeamSTEPPS® 2.0
TeamSTEPPS® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients with Limited English …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - effectiveness it achieves through quality improvement actions, such as
the costs for each adverse event … Healthcare Improvement, this tool allows users to track the change
in rate of any type of adverse event
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pbrn.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
AHRQ-Funded Patient Safety Research Featured in Health Affairs
Medical Liability
…
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pbrn.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
January 01, 2024 - SHARE:
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Patient Safety
Patient Safety Research Summaries
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Reports
AHRQ-Funded Patient Safety Research Featured in Health Affairs
Medical Liability
…