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  1. pcmh.ahrq.gov/news/index.html
    SHARE: News AHRQ Press Releases The latest news from AHRQ AHRQ News Now Weekly newsletter on Agency researc…
  2. pcmh.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 …
  3. Safemed Facguide (doc file)

    pcmh.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…
  4. pcmh.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
  5. pcmh.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
  6. pcmh.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…
  7. pcmh.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
  8. pcmh.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
  9. pcmh.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 …
  10. pcmh.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
  11. pcmh.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
  12. pcmh.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…
  13. pcmh.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
  14. pcmh.ahrq.gov/sites/default/files/wysiwyg/data/infographics/breast-cancer-radiotherapy.pdf
    February 21, 2023 - Infographic - New AHRQ Report Compares Early Stage Breast Cancer Radiotherapy Approaches This Is a Sample Two Line Infographic Arial BK - 24 PT Source: The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 p…
  15. pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-OH-profile.pdf
    September 01, 2021 - EvidenceNOW: Ohio Cooperative EvidenceNOW: Building State Capacity is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to improve heart health and help reduce…
  16. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-feb2016.pptx
    January 01, 2016 - How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of Teamwork How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of Teamwork February 10, 2016 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Yellow Brick Road of Teamwork Slide ‹#› 1 Rules of Enga…
  17. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task O…
  18. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…
  20. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators Final Topic Refinement Document Home Mechanical Ventilators ID: PULT0717 Agency for Healthcare Research and Quality Technology Assessment Program Mayo Clinic Evidence-based Practice Center 16 October 2017 Preliminary Key Questions (KQs) …

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