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www.talkingquality.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - education; process change allowing institution-based reporting for adverse outcomes deemed to be system failures
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www.talkingquality.ahrq.gov/data/apcd/backgroundrpt/data.html
April 01, 2017 - This situation can occur due to carve-outs, multiple coverage for one individual, duplicate claims, or failures
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www.talkingquality.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - The Second Victim: Health Care Workers 7
Say:
Adverse events are often system failures.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Table 5.A.1. Evidence Table
…
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-hypertension.pdf
January 01, 2020 - AHRQ Data Spotlight: Hypertension Control in Health Resources and Services Administration Health Centers
1
AHRQ Data Spotlight:
Hypertension Control in
Health Resources and
Services Administration
Health Centers
Hypertension in the United States
Hypertension, defined as abnormally high blood pressure, affects 1…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-template-appendix1.pdf
February 02, 2021 - University of Iowa Stead Family Children’s Hospital: Written Family Discharge Instructions Template Example
Tobacco and Nicotine Education
Note Information about this visit will be available to members of your care team.
Patient/caregiver and understanding verbalized. Copy Provided.
Homecare Instructions
After F…
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www.talkingquality.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
July 01, 2018 - Skip to main content
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www.talkingquality.ahrq.gov/es/nursing-home/resources/search.html?page=8
January 01, 2022 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - Closing the loop on test
results to reduce communication failures: a rapid review of evidence,
practice
-
www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care
Creating a
Learning Health Care System:
The Role of Practice Facilitators in Primary Care
Speakers: Bob McNellis, Lyndee Knox, Ann Lefebvre, Stephanie Kirchner
Moderator: Gabrielle Weber
August 2, 2017
Welcome an…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm-ig.pptx
January 01, 2008 - COMMUNICATION
for
OFFICE-BASED CARE
Communication
®
TeamSTEPPS | Primary Care Medical Office-Based Care Teams
Communication
Slide
INTRODUCTION
SAY:
Communication is the first of the four main components of TeamSTEPPS. It is “the process by which information is clearly and accurately exchanged bet…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Posto…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 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.4v
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Postoperative s…
-
www.talkingquality.ahrq.gov/questions/resources/research.html
November 01, 2020 - Skip to main content
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - Post-fall huddles are useful techniques for understanding reasons for failures in the system.
-
www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - health care, such as cesarean births among low-risk women, nonmedically indicated inductions, induction failures