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Total Results: 353 records

Showing results for "failures".

101. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
     September 01, 2014 - Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate This document describes the methods AHRQ used to estimate the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program. The estimate includes a wide variety of adverse events, including the…

102. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - 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 …

103. Preventing Pressure Injuries in Hospitals
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes

104. What's New on the AHRQ Web Site | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/whatsnew.html
     April 01, 2024 - 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 …

105. Mourning the Loss of Deputy Director David Meyers, M.D. | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/871.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 …

106. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - A systematic review of failures in handoff communication during intrahospital transfers.

107. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - This case revealed numerous system failures that contributed to the initial misdiagnosis and needless … Communication failures: an insidious contributor to medi- cal mishaps.

108. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…

109. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 29, 2016 - AHRQ Quality Indicators Prioritization Worksheet Example AHRQ Quality Indicators Toolkit Tool C.2 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalties and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Level Support …

110. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
     March 01, 2020 - 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 …

111. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/882.html
     September 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 …

112. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
     January 01, 2012 - TeamSTEPPS Limited English Proficiency Module: Evidence Summary Evidence Summary: Why focus on safety for patients with limited English proficiency? Patient safety events that affect limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors compared to Engl…

113. AHRQ Stats | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/ahrq-stats.html
     November 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 …

114. TeamSTEPPS 2.0 Module 5: Situation Monitoring
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
     February 06, 2006 - TeamSTEPPS 2.0 Module 5: Situation Monitoring Module 5: Situation Monitoring Online Master Trainer Course Welcome to the Welcome to module five of the TeamSTEPPS 2.0 online master trainer course, Situation Monitoring. This is Dr. Brigetta Craft, and I will be guiding you through this module. Situation monito…

115. Preventing Falls in Hospitals
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
     June 16, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes

116. TeamSTEPPS® in Primary Care and Outpatient Settings
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-nov2014.pptx
     January 01, 2014 - Teamwork is Important to Primary Care The majority of medical errors are the result of health system failures

117. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.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

118. Slide 1
     monahrq.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…

119. Why Evaluate a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/talkingquality/assess/why-evaluate.html
     May 01, 2019 - 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 …

120. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
     January 01, 2014 - 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 …