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341. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - infection following operating room procedures Healthcare-associated Infection Patients with one or more falls

342. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/evidencenow/tools/keydrivers/description.html
     October 01, 2020 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Tools for Change Key Driver Diagram Full Description of Key Drivers Key Driver 1: Seek Evidence Key Driver 2: …

343. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     pbrn.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - their tasks), environmental hazards (e.g., objects causing collision/bumping or the risk of slipping/falling

344. 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
     January 01, 2022 - 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook THE CAHPS DATABASES CAHPS Health Plan Survey Database 2022 Medicaid and Children's Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care CAHPS Health Plan Survey Database …

345. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - operationalize the NASEM definition and/or cite the re- port while using previous definitions, the work often falls

346. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - types of hospital-acquired infections; seven types of adverse events associated with surgery; patient falls … Adverse events associated with the hospital stay and not present on hospital admission (inpatient falls

347. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
     October 01, 2020 - A clinical example would be an information call-out such as, "BP is falling, 80/48 down from 90/60."

348. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
     October 01, 2014 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

349. AHRQ Research and Other Activities Relevant to American Indians and Alaska Natives | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/factsheets/minority/amindbrf/index.html
     July 01, 2018 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors and Patient Safety Minor…

350. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
     March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

351. EvidenceNow Key Drivers and Change Strategies (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
     February 01, 2019 - EvidenceNow Key Drivers and Change Strategies EvidenceNow Key Drivers and Change Strategies Tools & Resources Change Strategy: Develop a process to search for new evidence and other changes related to Key Driver 1 Change Strategy: Develop an inter-professional QI team and other changes related to Key Driver…

352. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria Comprehensive Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers …

353. Resource List - AHRQ Medical Office Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
     April 01, 2023 - . • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 6.

354. SITUATION MONITORING (ppt file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - S Safety Concerns—Critical lab values/reports, socio-economic factors, allergies, alerts (falls, isolation

355. TeamSTEPPS: Rapid Response Systems (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - S Safety Concerns—Critical lab values/reports, socio-economic factors, allergies, alerts (falls, isolation

356. 2017Qdr-Patsafchartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - , adults • Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … Pressure Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls … Pressure Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls

357. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
     January 01, 2023 - 2023 CAHPS Health Plan Survey Database Chartbook The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey Database 2023 Medicaid and Children’s Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care Authors…

358. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

359. TeamSTEPPS 2.0 Module 8: Change Management
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
     March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management Module 8: Change Management Online Master Trainer Course Welcome to the Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…

360. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
     March 18, 2014 - TeamSTEPPS Speciality Scenarios, Labor & Delivery TeamSTEPPS 2.0 Specialty Scenarios - 103 Specialty Scenarios L&D Specialty Scenarios - 104 TeamSTEPPS 2.0 Specialty Scenarios L&D Scenario 85 Appropriate for: L&D Setting: Hospital Sue Jones a 28-year-old G1 P0 at term is undergoing an…