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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
March 07, 2019 - ‹#›
Now that you have watched the videos, what were the successes you observed, and what were the failures
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
September 01, 2015 - review and observation as tools to conduct “fall-out” assessments, where a forensic
analysis of system “failures … track patients who failed to receive their lab results within the
specified time period and identify failures … The practice can use these data to
correct and improve the process and reduce failures in the future
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_comm_evbase.pdf
August 20, 2013 - Communication failures in patient sign-out and suggestions for
improvement: a critical incident analysis
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www.cpsi.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators
Evidence-based Practice Center Systematic Review Protocol
Project Title: Home Mechanical Ventilators
Project ID: PULT0717
Initial publication date: February 2, 2018
I. Background and Objectives for the Systematic Review
C…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Skip to main content
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ger.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Gastroesophageal Reflux
Gastroesophageal Reflux
Characteristics
■ Common problem in premature infants.
– Lower esophageal sphincter hypotonia.
– Transient relaxation of the esophageal sphincter.
– Less frequent esophageal peristaltic activity.
– Delayed gastric em…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - C1 Prioritization Worksheet
Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Prioritization Worksheet
Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange
Own Rate and National Comparat…
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www.cpsi.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - 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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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - It highlights the importance of building a movement to prioritize health, repairing systemic failures
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - a process
to identify where and how it might fail and to assess
the relative impact of different failures … It presents the thoughts, successes, and
failures of hospital leaders who have used concepts
of high … Creating an organizational culture and set of work
processes that reduce system failures and effectively … respond when failures do occur is the goal of high
reliability thinking.
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www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - Administration Errors
14
419
---- Dispensing Errors
11
448
---- Monitoring Errors and Failures
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Documentation and Coding for Patient Safety Indicators
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.4 i
Documentation and Coding for the AHRQ Quality Indicators
Note: This tool was updated based on test software provided by AHRQ as of March 2016 (alpha
version…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
Characteristics
■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on
chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation).
■ Symptoms: …
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913
Final Topic Refinement Document
Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913
Date: 05/29/2014
Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913
EPC: Pacific Northwest EPC
AHRQ Task O…