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Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html

February 01, 2017 - day a patient is on a ventilator, he or she accumulates a risk for developing a ventilator-associated event … a combination of these criteria define the different tiers we see within the ventilator-associated event
Tool 3O: Postfall Assessment for Root Cause Analysis | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html

January 01, 2013 - ___ Don't know ___ Catastrophic event (e.g., stroke, arrhythmia NOT orthostatic hypotension) ___
Patient Safety Awareness Week 2024 | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/news-events/psaw-2024/index.html

March 01, 2024 - SHARE: More topics in this section 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 Patie…
Making Healthcare Safer IV | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html

April 01, 2024 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets National Healthcare Quality & Disparities Rep…
Agency for Healthcare Research and Quality

pcmh.ahrq.gov/research/publications/search.html

January 01, 2024 - SHARE: Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 187 Publications displayed …
Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html

February 01, 2024 - SHARE: More topics in this section 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 Patie…
Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsroom/case-studies/ktcquips89.html

October 01, 2014 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Massachusetts Hospital Improves Medication Reconciliatio…
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/hospital/match/index.html

April 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html

July 01, 2023 - Sentinel Event Alert: Issue #30 Preventing Infant Death and Injury During Delivery. 2004.
Is Your Organization Ready for TeamSTEPPS™? (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf

August 01, 2005 - 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
Is Your Organization Ready for TeamSTEPPS™? (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf

August 01, 2005 - 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
For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html

September 01, 2023 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patien…
Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsletters/e-newsletter/875.html

August 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access Issue Number 875 AHRQ News No…
The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/instructor/essentials/implguide3.html

November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
Now Available: Updated TeamSTEPPS 3.0 Pocket Guide App | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/teamstepps-app.html

April 01, 2024 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Now Available: Updated TeamSTEPPS 3.0 Pocket Guide App …
TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf

January 01, 2012 - TeamSTEPPS Limited English Proficiency Module: Evidence Summary Evidence Summary: Why focus on safety for patients with limited English proficiency? Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors compared to Engl…
Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html

August 01, 2017 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars Previous TeamSTEPPS Webinars: 2013 …
TeamSTEPPS in the NICU and the Role of Leaders in the Process

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-jan2016.pptx

January 01, 2016 - TeamSTEPPS in the NICU and the Role of Leaders in the Process TeamSTEPPS in the NICU and the Role of Leaders in the Process January 13, 2016 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Slide ‹#› TeamSTEPPS in the NICU 1 Rules of Engagement Audio for the webinar can be accessed in two ways: Through …
Apr. 9-11: Medical Expenditure Panel Survey | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/meps-workshop.html

February 01, 2024 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Apr. 9-11: Medical Expenditure Panel Survey Dat…
Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsletters/e-newsletter/900.html

February 01, 2024 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores Issue Number 900 AHRQ News Now is a …