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  1. www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 01, 2017 - Slide 77 CAUTI Alert Tool to alert staff of a CAUTI Lists date & time of event Cites NHSN criteria … for event labeled as a CAUTI Raises awareness of incident for use for further prevention Image:
  2. 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
  3. 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
  4. 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…
  5. 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 …
  6. 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
  7. 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…
  8. 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…
  9. 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
  10. 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
  11. 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 …
  12. 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…
  13. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  14. 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
  15. 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
  16. 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…
  17. 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,…
  18. 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…
  19. 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
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module7.pptx
    March 07, 2019 - These 3 events happen at the beginning, middle, and end of each event, shift, or even day.

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