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4761. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
      December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts Slide Presentation Slide 1 Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality , Health Research & Educatio…

4762. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
      December 31, 2015 - CHIPRA 150 Section 6, Antipsychotics Testing Summary Measure Submission Summary Measure Name Metabolic Monitoring for Children and Adolescents on Antipsychotics Measure Number: 0150 NQF ID: NA Collection: NA Set…

4763. Implementation, Adoption, and Scaling Workgroup | CDSiC
      cdsic.ahrq.gov/cdsic/cdsic-stakeholder-community-outreach-center/implementation-adoption-scaling
      January 02, 2025 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

4764. An Update on the CAHPS Patient Narrative Item Sets - Schlesinger (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
      June 02, 2025 - An Update on the CAHPS Patient Narrative Item Sets - Schlesinger PREVIEW OF NEW NARRATIVE ITEM SETS IN DEVELOPMENT Mark Schlesinger, PhD A Growing Family of Narrative Item Sets CG-CAHPS Narrative Item Set Health Plan Narrative Item Set Inpatient Narrative Items: For Child HCAHPS 19 The Health Plan Narr…

4765. Maternal Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/maternal-health.html
      January 01, 2023 - Maternal Health AHRQ is committed to improving maternal health outcomes across the country. Our goal is to provide tools, data, research findings, and evidence-based recommendations to support clinicians, researchers, and health systems in improving maternal care. Areas of Interest H…

4766. The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/long-term-effectiveness-telephone-intervention-problem-solving-tips
      January 01, 2023 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) Project Final Report ( PDF , 225.23 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repre…

4767. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - ), staffing, response to errors, handoffs, leader support of safety practices • 60% reduction in falls

4768. Crosscutting-Horizon-Scan-High-Impact-1412 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - designed to interrupt propofol infusion if the patient’s oxygen saturation level or respiration rate falls … If the onus of improving patient adherence falls on the provider, staffing needs might increase due … The ED’s physical layout may pose a risk of falls for elderly patients, narrow and thin mattresses … informally reported positive findings initially, which indicated revisit rates decreased and fewer falls

4769. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
      January 01, 2020 - %ile Max Item 1 36% 12.26 8% 10% 25% 35% 49% If your medical office’s score is 55%, your score falls … here: 62% If your medical office’s score is 65%, your score falls here: 96% 2020 SOPS Medical … Office Database Report 48 If your medical office’s score is 55 percent positive, it falls above the … If your medical office’s score is 65 percent positive, it falls above the 90th percentile, meaning your

4770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - While this topic falls outside of the scope of this commentary, it remains critical to treat the whole

4771. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - The nurse's failure to confirm the medication's identity prior to administration falls into the category

4772. Introduction and Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
      June 01, 2018 - public health insurance is tracked but not included in the panel because rising rates could reflect falling … rates of uninsurance, which would be desirable, or falling rates of private health insurance, which … continue to be collected and these measures will be added back to the reports if their performance falls

4773. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
      September 08, 2015 - member said, “Until you get your EHR up to speed with what you’re doing clinically, your EHR is falling … “Until you get your EHR up to speed with what you’re doing clinically, your EHR is falling short.

4774. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - abdominal pain for 5 hours after eating a greasy meal. 28-year-old G2P1 at 25 weeks’ gestation slips and falls

4775. HCUP_methods_series_cover.ai (pdf file)
      hcup-us.ahrq.gov/reports/methods/2004_6.pdf
      January 01, 2004 - unintentional injuries, we simplified the 17 different mechanisms into six collapsed categories (i.e., falls … For the HCUP NIS, unintentional injuries were classified in terms of the following causes: • Falls … Within unintentional injuries, the proportion of records by mechanism (e.g., falls, motor vehicle traffic … treated and released from the emergency department, and the HCUP inpatient data, as specified below: • Falls … The unintentional injuries in the hospital-based ambulatory surgery facilities tend to be for falls,

4776. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - PNEMOTHORAX 14 Motor Vehicle 14 Interpersonal Violence (Stab n=7, GSW n=7) 1 Assault 2 Falls … PNEMOTHORAX 16 Motor Vehicle 11 Interpersonal Violence (Stab n=5, GSW n=5) 1 Assault 2 Falls

4777. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
      January 01, 2024 - Although this definition does not contain a time frame, we will include only falls in hemoglobin or

4778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - or huddle with direct frontline team members regarding a specific safety concern, such as patient falls

4779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/84413/psn-pdf
      February 23, 2022 - A Loss of Trust and a Missed Diagnosis February 23, 2022 Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counci…

4780. Learn From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
      December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…