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  1. 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
  2. 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
  3. 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 …
  4. 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…
  5. 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 …
  6. 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
  7. 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
  8. 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…
  9. 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,…
  10. 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…
  11. 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
  12. 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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