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Showing results for "failures".
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptxJune 16, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes
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pbrn.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.htmlJanuary 01, 2014 - SHARE: Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation (Slide Presentation) This slide presentation was presented at a webinar on July 15, 2013. P…
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Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdfAugust 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. -
pbrn.ahrq.gov/news/blog/ahrqviews/heart-month-tools.htmlFebruary 01, 2023 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation…
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pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.htmlJuly 01, 2022 - Effects Analysis Based on In-Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
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pbrn.ahrq.gov/news/newsroom/case-studies/cp30506.htmlOctober 01, 2014 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ Resources Help Maine Telehealth Network Improve Car…
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pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.htmlDecember 01, 2012 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …
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pbrn.ahrq.gov/hai/pfp/hacrate2011-12.htmlJanuary 01, 2018 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Updated Information on the Annual Ho…
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.htmlOctober 01, 2014 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docxMay 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…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdfJune 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 …
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.htmlMarch 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
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pbrn.ahrq.gov/news/newsletters/e-newsletter/index.htmlApril 30, 2024 - SHARE: Filter the Results News Newsroom Blog Newsletter AHRQ News Now Events AHRQ News Now Sign up: AHRQ News Now email updates AHRQ News Now is a weekly newsletter that highlights agency research and program…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdfJanuary 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…
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pbrn.ahrq.gov/news/newsroom/ahrq-stats.htmlNovember 01, 2023 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ Stats New data nuggets from AHRQ News Now …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptxFebruary 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…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptxJune 16, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes
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pbrn.ahrq.gov/research/findings/factsheets/translating/action4/index.htmlFebruary 01, 2021 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors and Patient Safety Minor…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptxJanuary 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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pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.htmlSeptember 01, 2022 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets National Healthcare Quality & Disparities Rep…
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