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talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
March 01, 2014 - These include, for example, the Joint Commission ORYX quality measures, patient safety event databases
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May 01, 2017 - Skip to main content
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talkingquality.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
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talkingquality.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
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talkingquality.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…
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talkingquality.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
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talkingquality.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…
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talkingquality.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
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talkingquality.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…
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talkingquality.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…
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talkingquality.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
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talkingquality.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…
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talkingquality.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
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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - This event demonstrated the need
for a more coordinated and rapid response to obstetric
patients arriving … percent were due to
lack of teamwork and communication, consistent with
Joint Commission sentinel event … facilitator also instituted a 5-minute
debriefing conversation following every near-miss or
adverse event … address obstetric hemorrhage as required by
the Illinois Department of Public Health, but an adverse
event … • Created a “no blood banner” to clearly identify patients
who will decline blood products in the event
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - This event demonstrated the need
for a more coordinated and rapid response to obstetric
patients arriving … percent were due to
lack of teamwork and communication, consistent with
Joint Commission sentinel event … facilitator also instituted a 5-minute
debriefing conversation following every near-miss or
adverse event … address obstetric hemorrhage as required by
the Illinois Department of Public Health, but an adverse
event … • Created a “no blood banner” to clearly identify patients
who will decline blood products in the event