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  1. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
    January 01, 2013 - Teach-back: Interactive Module Slides 1 Teach-back Interactive Module Teach-back 1.1 Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician-Patient Communication 2 Teach-back Interactive Module 1.2 AHRQ Sponsored by the Agency for Heal…
  3. www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determine Surgical Site Infection Rates (continued) Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive S…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting 307 The Impact of a Patient Safety Program on Medical Error Reporting Donald R. Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-mepsmethods.pdf
    December 23, 2020 - 2019 National Healthcare Quality and Disparities Report: Detailed Methods for the Medical Expenditure Panel Survey 2019 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT Detailed Methods for the Medical Expenditure Panel Survey U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare …
  6. www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
    August 01, 2017 - Meeting Minutes, November 2016 National Advisory Council Minutes from the November 2, 2016 meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 22, 2016, Summary Report Director's Update The Learning Health Care Sy…
  7. www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
    May 01, 2016 - Meeting Minutes, November 2015 National Advisory Council Minutes from the November 3, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2015, Summary Report Director's Update Health Information Technol…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
    October 01, 2019 - Measure Topic – family experience with care: No. l. … All else equal, we would expect women who live in more medically dense communities to experience greater
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
    July 01, 2023 - PowerPoint Presentation SPPC-II Toolkit Obstetric Hemorrhage Scenarios Safety Program for Perinatal Care II Teamwork Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit for AIM’s Obstetric Hemorrhage …
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
    May 01, 2024 - For example, older adults need a minimum of 5- to 10-year life expectancy to experience survival benefits … Members of the project team with previous experience synthesizing data from qualitative sources (KS, … research,20 minoritized populations that were historically denied access to equitable healthcare can experience
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - those with a body mass index (BMI) greater than 40 are at increased risk of adverse outcomes and often experience … Postoperative Early Alimentation Early postoperative feeding is recommended for patients unless they experience
  12. www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - per 1,000 discharges does not equate to 12.1% of patients experiencing HACs because some patients experience … Based on prior experience reviewing HAC data, the 121 HACs per 1,000 discharges are probably experienced
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
    June 01, 2019 - Infants with complications or other health conditions, such as BPD and NEC, also experience higher rates … Measure Topic – family experience with care: No. l.
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
    May 13, 2019 - health conditions, such as bronchopulmonary dysplasia (BPD) and necrotizing enterocolitis (NEC), also experience … Measure Topic – family experience with care: No. l.
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
    March 01, 2020 - and older adult populations, who are often hospitalized; move frequently across care settings; and experienceExperience from three countries: Israel, Canada, and the United States.
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - It’s estimated that a typical teaching hospital may experience more than 4,000 handoffs every day.
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
    July 01, 2023 - It’s estimated that a typical teaching hospital may experience more than 4,000 handoffs every day.
  18. www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care Center for Safety In Emergency Care Final Progress Report Principal Investigator Robert L Wears, MD, MS Team Members Christopher Beach, MD Ravi Behara, PhD Patrick Croskerry, MD, PhD Shawna J Perry, MD Marc Shapir…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
    July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation SPPC-II Toolkit Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage Module 1 of 8 AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in …
  20. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidenc…

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