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Total Results: 414 records

Showing results for "failures".

161. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cpsi.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…

162. Learn-Facilitator-Guide (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …

163. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
     December 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 …

164. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.cpsi.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…

165. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Slide 22: The Second Victim: Health Care Workers Say: Adverse events are often system failures.

166. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/tools/confid-report/system-design.html
     February 01, 2016 - 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 …

167. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis 1 PATIENT SAFETY e Issue Brief 9 Improved Diagnostic Accuracy Through Probability-Based Diagnosis This page intentionally left blank. e Issue Brief 9 Improved Diagnostic Accuracy…

168. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
     May 01, 2017 - sentinel maternal events and 70 percent of sentinel neonatal events.3 In addition to communication failures … units and decrease maternal and neonatal adverse events resulting from poor communication and system failures … improving the unit patient safety culture and obstetric care processes to eliminate patient safety failures … and safety initiatives and should continue to be considered as components of the program, given that failures

169. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
     December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prep…

170. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
     December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prepare to leave the hospital. A Health Coach h…

171. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     www.cpsi.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 …

172. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
     October 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 …

173. B3A Combo Chartsforpresentations (xls file)
     www.cpsi.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 …

174. What Health Care Quality Measures Will You Report? | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/talkingquality/plan/quality-measures.html
     November 01, 2018 - 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 …

175. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - McKenna, Maria Rizzo DePaoli, Brian Jack Using Probabilistic Risk Assessment to Model Medication System Failures

176. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.cpsi.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…

177. PRIMARY CARE OFFICE-BASED TEAMS Team Structure
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module2/2_ts_office_structure-ig.pptx
     January 20, 2006 - PRIMARY CARE OFFICE-BASED TEAMS Team Structure for OFFICE-BASED CARE Team Structure ® TeamSTEPPS | Primary Care Medical Office-Based CareTeams Team Structure Slide INTRODUCTION SAY: This presentation will cover the Team Structure module for the TeamSTEPPS for Office-Based Care course. MODULE TIME:…

178. Tool 4: Community Inventory (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
     September 02, 2016 - Tool 4: Community Inventory Tool 4: Community Inventory TOol Purpose Identify clinical, behavioral, and social service resources in the community that can improve posthospital care to reduce readmissions. The community inventory is complementary to the hospital inventory when developing a whole-person and data-info…

179. TeamSTEPPS: Rapid Response Systems. Specialty Scenarios (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
     January 11, 2010 - TeamSTEPPS: Rapid Response Systems. Specialty Scenarios 47TeamSTEPPS | Rapid Response Systems Slide Rapid Response SystemsSCENARIO 1 The nurse called the RRT to a patient who exhibited a reduced respiratory rate. The team was paged via overhead page. Within several minutes, team members arrived at the patient…

180. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsroom/case-studies/201501.html
     March 01, 2015 - 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 …