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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - The landmark Harvard Medical study found that 1.5 percent of hospitalized obstetrics patients experienced … Debriefing was facilitated by two experienced debriefers (one obstetrician and one clinical nurse specialist … Using in situ simulation, the process diagram was not flow-charted from memory; it was experienced and
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Prevention Overview of On-Time The Agency for Health Care Research and Quality (AHRQ) has developed tools to assist nursing homes that have electronic medical record systems (EMRs) to prevent adverse events. The tools are intended to improve clinical decision m…
  3. www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/cu-denver-grantee-profile.pdf
    January 01, 2023 - Novel Statewide Response to Post-COVID Care Delivery Geographic Service Area Colorado A CO-MTN Community Engagement and Patient Advisory Panel was established with 10 members who have lived experience with Long COVID or are caregivers. This panel meets quarterly to share insights on patient experiences and care acce…
  4. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
    May 01, 2023 - Tool: Task Assistance What Task Assistance Is Task assistance includes both asking for assistance when needed and offering assistance to team members when the opportunity arises. Task assistance is guided by situation monitoring, because situation monitoring allows team members to effectively identify when th…
  5. www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim1.html
    July 01, 2013 - Eliminating CAUTI: Interim Data Report Executive Summary Previous Page Next Page Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions Healthcare-a…
  6. www.ahrq.gov/es/nursing-home/resources/search.html?page=11
    January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
  7. www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Major Study Finds Significant National Patient Safety Improvement Press Release Date: July 12, 2022 A study published in JAMA: The Journal of the American Medical Association ( JAMA ) and funded and carried out by Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates…
  8. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
    March 01, 2017 - If leadership is not supportive or if the facility has experienced several failures in performance improvement … In addition, plan for continuous staff training and consider having experienced staff mentor newer staff
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
    December 01, 2015 - Within only 6 months of implementing changes to care processes, the hospital experienced a 50 percent
  10. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appa.pdf
    January 01, 2019 - coordination functions, and various payment models used in providing care to a population as they are experienced
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Section 1. Basic Measure Information 1.A. Measure Name Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache 1.B. Measure Num…
  12. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
    February 23, 2012 - process that should not be interfered with unless medically necessary; however, survey participants experienced … Mothers who experienced a cesarean were far more likely than mothers with vaginal births (55% to 27%
  13. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
    February 23, 2012 - process that should not be interfered with unless medically necessary; however, survey participants experienced … Mothers who experienced a cesarean were far more likely than mothers with vaginal births (55% to 27%
  14. www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
    February 23, 2012 - process that should not be interfered with unless medically necessary; however, survey participants experienced … Mothers who experienced a cesarean were far more likely than mothers with vaginal births (55% to 27%
  15. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
    February 23, 2012 - process that should not be interfered with unless medically necessary; however, survey participants experienced … Mothers who experienced a cesarean were far more likely than mothers with vaginal births (55% to 27%
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
    February 23, 2012 - process that should not be interfered with unless medically necessary; however, survey participants experienced … Mothers who experienced a cesarean were far more likely than mothers with vaginal births (55% to 27%
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
    January 01, 2014 - overview of the quality of health care received by the general U.S. population and disparities in care experienced … ■ People in poor households generally experienced less access and poorer quality.
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
    July 01, 2018 -  Vendors typically also have experienced staff to perform all the necessary activities and the facilities … A professional and experienced firm may be able to provide your hospital with better quality results
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
    March 19, 2012 - Nor was the use of experienced nurses in the manual management of incubator temperatures. … computer program on temperature control of infants less than 29 weeks gestation with that achieved by experienced
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
    November 02, 2017 - Children Who Experience a Hospitalization In 2009, 6.4 million children between 0 and 17 years of age experienced … For example, hospitals that publicly reported Adult HCAHPS scores in March 2008 experienced modest,

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