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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptx
January 01, 2011 - Slide 1
AHRQ 2011 Annual Conference
Leading Through Innovation & Collaboration September 19, 2011
The Transitional Care Model
Mary D. Naylor, PhD, RN, FAAN
Marian S. Ware Professor in Gerontology
Director, NewCourtland Center for Transitions and Health
University of Pennsylvania School of Nursing
Translating Resear…
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ahrqpubs.ahrq.gov/talkingquality/assess/why-evaluate.html
May 01, 2019 - Skip to main content
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ahrqpubs.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Fact Sheet on Pediatric Quality Indicators
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool A.1c
Fact Sheet on Pediatric Quality Indicators
What Are the Pediatric Quality Indicators (PDIs)?
The Pediatric Quality Indicators (PDIs) are a set of 16 measures (15 st…
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ahrqpubs.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
January 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/cahps/cahps-database/hp-database/participate.html
December 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
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ahrqpubs.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Skip to main content
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule9.pptx
April 10, 2006 - TeamSTEPPS 2.0 Module 9: Coaching Workshop
Module 9: Coaching Workshop
Online Master Trainer Course
Welcome to the
Welcome to the coaching workshop, which is the ninth module of the TeamSTEPPS 2.0 online master trainer course. In this module, we'll discuss coaching in general, as well as how to include coach…
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ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - More than 80% were
considered due to system failures. … Both Dovey’s and Bhasale’s systems accepted only
anonymous errors, so no follow-up analysis of system failures
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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ahrqpubs.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012
Updated Inform…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - compare-PSI-rates-average
The risk-adjusted rate is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather than its *Note: Risk-adjusted rates are not available in the most up-to-date version of the ICD-10 software. Future versions of the QI software will allow …
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of …
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ahrqpubs.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Skip to main content
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ahrqpubs.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016
June 2018
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2016
Summary
New patient safety data for 2014 through 2016 continue to show a do…