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  1. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
    July 01, 2016 - Rehab Director: We always consider if particular support surfaces are needed for pressure ulcer prevention … The need to do this was stressed during the pressure ulcer prevention and healing education that we had … Pressure ulcers are always on the agenda; sometimes we have QAA projects related more to prevention. … Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance’s Prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention 34
  2. cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (F4R) Things “fall between the cracks” when transferring patients from one unit to another. … (F4R) Things “fall between the cracks” when transferring patients from one unit to another.
  3. cahps.ahrq.gov/evidencenow/tools/keydrivers/description.html
    October 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The demands on primary care practices mean that sometimes non-urgent, non-clinical activities can fall
  4. cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - Measures used in the NHQDR fall into two categories: • Core measures are used in the main NHQDR, or … Community Living, Assistant Secretary for Planning and Evaluation, Centers for Disease Control and Prevention … 10 | 2019 National Healthcare Quality and Disparities Report Centers for Disease Control and Prevention … Federal Sources of Data Agency for Healthcare Research and Quality Centers for Disease Control and Prevention
  5. cahps.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - The responsibilities of caring for someone with dementia often fall to women.
  6. cahps.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
    March 01, 2014 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The fetal heart rate baseline, which had been 140, begins to fall.
  7. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - toolkits, establishing a clinical workgroup, and potentially furthering programs for opiate-addiction prevention
  8. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 -  “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Things “fall between the cracks” when transferring patients from one unit to another ............... … Things "fall between the cracks" when transferring patients from one unit to another.
  9. cahps.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - J Rural Hlth 2004 Fall; 20(4):355-362.
  10. cahps.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…
  11. cahps.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
    October 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention
  12. cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - understand and improve diagnosis.18 Principles of distributed cognition cross disciplinary boundaries and fall
  13. cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
    March 28, 2006 - really paying attention to these pitfalls and making sure that we are strategizing to make sure we don't fall
  14. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - • Other care-related adverse events: patient falls, in-hospital hip fracture or fall http://www.oecd.org
  15. cahps.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Key questions that can help you improve the workflow of your informed consent process fall into three
  16. cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
    February 09, 2006 - TeamSTEPPS 2.0 Module 6: Mutual Support Module 6: Mutual Support Online Master Trainer Course Welcome to the Welcome to module six of the TeamSTEPPS 2.0 Online Master Trainer Course, Mutual Support. This is Dr. Brigetta Craft, and I'll be guiding you through this module. What comes to mind when you hear the…
  17. cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - The demands on primary care practices mean that sometimes non-urgent, non-clinical activities can fall
  18. cahps.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…
  19. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - The fetal heart rate baseline, which had been 140, begins to fall.
  20. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
    January 01, 2008 - TeamSTEPPS: Rapid Response Systems RAPID RESPONSE SYSTEMS TM 1TeamSTEPPS | Rapid Response Systems Slide Rapid Response SystemsINTRODUCTION SAY: In recent years, the Agency for Healthcare Research and Quality and the Department of Defense have striven to optimize the lessons learned regarding multiple ini…

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