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  1. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…
  2. www.healthcare411.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
    September 01, 2020 - Failure to obtain informed consent can be considered negligence, battery, or malpractice by a court of … Compliance and Workflow Failure to adhere to hospital policy. … Failure to obtain a separate signed consent form for each proceduralist responsible for a different aspect
  3. www.healthcare411.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.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 …
  4. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
    January 18, 2017 - The most frequent area of concern was a hospital’s failure to obtain informed consent in accordance … Failure to provide language assistance is risky for patients and can serve as the basis for lawsuits
  5. www.healthcare411.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
    August 01, 2014 - policy does not create any rights to any particular consultation or a right of action against AHRQ for failure
  6. www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - Failure to implement change is often the result of under-communicating or communicating poorly, leaving
  7. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    August 31, 2017 - ongoing complex medical care and need for management of advanced Parkinson’s disease, dysphagia, and failure
  8. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - who received a transplant within 3 years of date of renal failure.” … 100,000 population, age 18 and over HCUP 2020 Deaths per 1,000 hospital admissions with heart failure … kidney transplant within a year of initiation USRDS 2019 Patients with treated chronic kidney failure … who received a transplant within 3 years of date of renal failure USRDS 2017 Hemodialysis patients … 100,000 population, age 18 and over HCUP 2020 Deaths per 1,000 hospital admissions with heart failure
  9. www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
    September 01, 2020 - communication problems, and more likely to result in serious harm compared to English-speaking patients Failure
  10. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
    March 07, 2019 - Debriefs also maintain effectiveness by not assigning blame or failure to an individual.
  11. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
    August 01, 2005 - originate from a variety of sources, including adverse event and near-miss reports, root cause analyses or failure
  12. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
    January 01, 2008 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk
  13. www.healthcare411.ahrq.gov/sites/default/files/publications/files/implementation-guide-making-informed-consent-informed-choice.pdf
    January 01, 2017 - ♦ Failure to obtain informed consent can be considered negligence, battery, or malpractice by a court … Compliance and Workflow • Failure to adhere to hospital policy. • Consent obtained from patients with … • Failure to obtain a separate signed consent form for each proceduralist responsible for a different
  14. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
    March 01, 2021 - Observational Audits Observational Audits A Pathway to Improving Infection Prevention and Preventing the Spread of COVID-19 Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to understand if your staff fully comply with infection prevention p…
  15. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - care during hospitalization, adults ages 18-89 or obstetric admissions • Postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative hemorrhage or hematoma, postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative hemorrhage or hematoma, postoperative respiratory failure … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period
  16. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - Instructor Comments  This teamwork failure is the result of a series of communication breakdowns. … Instructor Comments  This teamwork failure depicts the absence of a clearly defined leader and lack
  17. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
    January 01, 2020 - 780 799) Symptoms (780-789) 78003 Persistent vegtv state 78072 Functional quadriplegia 7837 Failure … intestine V4575 Acq absence of stomach V4611 Respirator depend status V4612 Resp depend-powr failure
  18. www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - Most were due to failure to use an appropriate interpreter. … These claims highlight several points related to the failure to provide appropriate language services … • Twelve of the claims involved the failure to translate important documents such as informed consent … On multiple occasions there had been a failure to provide an interpreter. … Congestive heart failure hospitalizations and survival in California: patterns according to race/ ethnicity
  19. www.healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide.html
    November 01, 2018 - variety of sources, including adverse event and near-miss reports, reports of root cause analyses or failure
  20. www.healthcare411.ahrq.gov/patient-safety/reports/liability/brock.html
    August 01, 2017 - Medical error was defined as the failure of a planned action to be completed or the use of a wrong plan

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