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4661. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Implement Teamwork and Communication for Perinatal Safety Say: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understa…

4662. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Sustainability Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Sustainability | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Learning Objectives Sustainability | ‹#› AHRQ Safety Program for Ambula…

4663. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
      November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? Evaluation Highlight No. 5 Author: Leslie Foster Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstration …

4664. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
      January 01, 2004 - Dissemination plans often fall short in two places.

4665. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
      November 24, 2020 - Even the best communicators and diagnosticians can fall short when they are faced with a huge patient

4666. Research on the Integration of Behavioral Health in Primary Care webinar
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/behavioral-health-primary-care-webinar.pptx
      March 07, 2024 - EPI FAHA - Fall

4667. Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information
      January 01, 2023 - Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design Project Final Report ( PDF , 789.42 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, …

4668. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - male with a history of chronic opioid use, anxiety disorder, and major depression presented after a fall

4669. HCUP Statistical Brief #38: Trends in Hospital Risk-Adjusted Mortality for Select Diagnoses and Procedures, 1994-2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb38.pdf
      October 01, 2007 - HCUP Statistical Brief #38: Trends in Hospital Risk-Adjusted Mortality for Select Diagnoses and Procedures, 1994-2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res October 2007 Betwe adjuste for six six sur decrea Acute (heart reduct 1,000 diagno examin hospita admiss with 19 d…

4670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - We need to be able to use digital to make sure that people don't fall off during the time in between

4671. Ff 2009 Section2 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_section2.pdf
      January 01, 2009 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 22 SECTION 2 INPATIENT HOSPITAL STAYS BY DIAGNOSIS EXHIBIT 2.1 Reasons for Hospital Stays .......................................................................................... 23 EXHIBIT 2.2 Most Frequent Pr…

4672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS August 1, 2009 In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms Editor's note: Steven Spear, DBA, MS, MS, is Senior Lecturer at Massachusetts Institute of Tech…

4673. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx Spotlight Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/…

4674. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - Journal Article Study Catching those who fall

4675. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
      June 01, 2010 - In general, the criteria they articulate fall into three broad categories: importance; scientific soundness

4676. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
      April 01, 2018 - elements in the built environment, such as curtains and carpets, offer increased privacy, noise reduction, fall

4677. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
      December 01, 2017 - could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall

4678. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - For the second task, they were asked to describe what changes need to “fall into place” between now … beyond from the perspective of your own area of expertise; and second, describe what changes need to “fall

4679. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

4680. Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
      June 01, 2020 - less accurate for a particular category; (3) the results include fewer project abstracts that clearly fall … inside or outside a category and more abstracts that appear to fall somewhere in between.