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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module3/office_comm-ig.html
September 01, 2015 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module9/office_mgmt.html
September 01, 2015 - The penguins leave the water because of a barking seal (catalytic event drives need for change).
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4g
Selected Best Practices and Suggestions for Improvement
PSI 10: Postoperative Physiologic and Metabolic Derangement
Why Focus on Postoperative Phys…
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www.cpsi.ahrq.gov/patient-safety/resources/sheridan-video/index.html
December 01, 2017 - Skip to main content
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www.cpsi.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
…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - Coop_Context_Info_Assessment
COOPERATIVE CONTEXT ASSESSMENT INFORMATION
Round 2: External Support
What is the importance of context?
Cooperatives’ initiatives are taking place in different settings, and each cooperative has a variety of different partners and
stakeholders involved. Understanding these project…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - Module 1: PowerPoint Presentation
Management Practices for Sustainability
Module 1: Overview
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 1: Overview | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
1
Ensuring Safety in Ambula…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - Questions to consider:
NAM2019 If a person in the anticipated study population experienced this event … NAM2019 Could real-world providers in these settings accurately recognize or evaluate this event or … NAM2019 Could potential study participants accurate report this event or health state? … Could available sensing technologies accurately detect this event or health state? … How might the recording system (e.g., sensor, mobile app) influence or distort the recording of this event
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
June 01, 2017 - Visual management can focus on a few simple metrics, at least initially, such as days since last harm event
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www.cpsi.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 …
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for…
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm-ig.pptx
January 01, 2008 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective
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www.cpsi.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…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer?
1
Prologue
Five Years Later—Are We Any Safer?
Brent C. James
The Institute of Medicine (IOM) released To Err Is Human: Building a Safer
Health System,1 its seminal summary of preventable patient injuries suffered
within American hospitals, on November 29,…
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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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