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Total Results: 382 records

Showing results for "failures".

121. Engage Patients and Families for Perinatal Safety (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - Family AHRQ Safety Program for Perinatal Care Engagement 11 SAY: Adverse events are often system failures

122. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 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 …

123. Khare, Rahul | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkhar.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 …

124. Peterson, Pamela | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumpete.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 …

125. Gurses, Ayse | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.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 …

126. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
     October 01, 2011 - Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review Individualized Plans of …

127. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.monahrq.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…

128. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     www.monahrq.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 …

129. Section 5, Table 6 (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
     January 01, 2013 - Section 5, Table 6 1 Table 6: Evidence for Timely Fluid Bolus for Treatment of Children with Severe Sepsis or Septic Shock Type of Evidence Key Findings Level of Evidence (USPSTF Ranking) Citations Clinical guidelines Pediatric considerations in severe sepsis: In children, definitions of sepsis are…

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

131. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 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 …

132. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.monahrq.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.

133. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     www.monahrq.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…

134. B3A Combo Chartsforpresentations (xls file)
     www.monahrq.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 …

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

136. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
     February 01, 2018 - Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department 1 Protocol for Identifying and Treating Children with Sepsis Syndrome in the Emergency Department Section 1. Basic Measure Information 1.A. Measure Name Protocol for Identifying and Treating Children with Sepsis Syn…

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

138. PRIMARY CARE OFFICE-BASED TEAMS Team Structure
     www.monahrq.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:…

139. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
     www.monahrq.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 …

140. Improving-Facnotes (doc file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - Communication failures are a frequent cause of patient harm. … Studies have found that communication failures are the cause of up to 80 percent of operating room adverse