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monahrq.ahrq.gov/es/programs/index.html?page=3
March 31, 2024 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures
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monahrq.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - hierarchical, such as healthcare, the military, and commercial aviation, have all experienced tragic failures
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monahrq.ahrq.gov/tools/index.html?page=3
September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures
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monahrq.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and
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monahrq.ahrq.gov/es/tools/index.html?page=3
September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures
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monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - If you make it hard for members or patients to complain, you will continue to miss important service failures … Use this team to develop planned protocols for service recovery for your most common service failures
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - Discuss some of the lessons learned through both successes and failures.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators
Final Topic Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality
Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017
Preliminary Key Questions (KQs) …
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monahrq.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Skip to main content
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monahrq.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - Excellence
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures
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monahrq.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - transferred from one setting to another or one clinical team to another are at increased risk for a host of failures
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - • Structured, multidisciplinary review is required to identify system processes that may result
in failures
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4g
Selected Best Practices and Suggestions for Improvement
PSI 10: Postoperative Physiologic and Metabolic Derangement
Why Focus on Postoperative Phys…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
March 19, 2014 - Instructor Comments
The failures in this case include no handoff from the Neurosurgery to ICU team
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monahrq.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
August 01, 2017 - talked about UW’s approach to implementing the TeamSTEPPS tools and strategies, UW’s successes and failures
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monahrq.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - Skip to main content
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monahrq.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
March 01, 2023 - In my opening remarks, I stressed that failures in patient safety are not equally distributed and shared
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monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Skip to main content
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monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Patient Safety and COVID-19 Page | 3
• Patient failures to obtain proper COVID-19 test prior to arrival … critical processes
related to current and future PHEs and implement policies and procedures to reduce failures
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monahrq.ahrq.gov/diagnostic-safety/research/grants-2022.html
March 01, 2024 - 2022
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures