AHRQ Search | Home Page

Measuring Climate Resiliency: A Virtual Roundtable Discussion | Agency for Healthcare Research and Quality

www.cpsi.ahrq.gov/healthsystemsresearch/virtual-roundtable-discussion/index.html

March 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 …

Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf

January 01, 2005 - organizational change, decisionmaking), perceptions and understandings, experience, and descriptions of an event … categorized all potential sources of medical error associated with the hospital discharge processes, using event … basic or causal factors that underlie a variation in performance, such as the occurrence of a sentinel event … deemed a very high priority by the medical center leadership, ensuring that all those involved in an event … factors most Re-engineering Hospital Discharge 391 directly associated with the sentinel event

Primary Care Practice-Based Research Networks | Agency for Healthcare Research and Quality

www.cpsi.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html

October 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event. 4

Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality

www.cpsi.ahrq.gov/patient-safety/reports/liability/sands.html

August 01, 2017 - available 24 hours a day for clinicians to call for assistance with properly communicating an adverse event … their staff about the merits of CARe programs and the steps clinicians need to take after an adverse event

TeamSTEPPS: Rapid Response Systems. Specialty Scenarios (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf

January 11, 2010 - importance to the rapid response call and failed to provide a critical skill during a rapid response event

Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality

www.cpsi.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html

June 01, 2021 - 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 …

Best Practices in Pressure Injury Prevention

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx

November 20, 2014 - To Do a Skin Assessment Video Clip of Skin Assessment 7 Skin Assessment Frequency Not a one-time event

Module 5 Evidence Base (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_sitmon_evbase.pdf

January 01, 2013 - consider situation monitoring to be the TeamSTEPPS component most likely to prevent a patient safety event

TeamSTEPPS 2.0 Evidence Base: Situation Monitoring (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf

January 01, 2013 - consider situation monitoring to be the TeamSTEPPS component most likely to prevent a patient safety event

Making Health Care Safer II, Executive Summary (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf

March 01, 2013 - found high rates of preventable harm in hospitals,4-6 one of which found no improvement in adverse event … general, we addressed two issues: the frequency of the safety problem, and the severity of each average event … The scope must also consider the severity of each event; for instance, most falls do not result in injury

Documentation and Coding for Patient Safety Indicators (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf

March 15, 2016 - than the number of flagged cases (PPV <1) (e.g., individuals were coded as having a patient safety event … when no event actually occurred), there is a problem with false positives. … removes cases that arrived at the hospital with a condition that would be coded as a patient safety event … History of event. … procedure itself and those that are unintended and are therefore considered a complication or unexpected event

What Is Patient Safety Culture? | Agency for Healthcare Research and Quality

www.cpsi.ahrq.gov/sops/about/patient-safety-culture.html

March 01, 2022 - 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 …

Staff Presentation Template PowerPoint- Pediatric Toolkit for Using the AHRQ Quality Indicators (pdf file)

www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pdf

July 01, 2004 - • Consider inserting here the deidentified story of a patient who suffered the adverse event captured