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201. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … The QI Toolkit also may serve as a general guide to applying improvement methods in a hospital setting … Guidance that can be used to improve pediatric quality in hospitals using the PDIs or other quality measures … Case studies of two hospitals that have successfully used the QI Toolkit. … to identify current QI rates in your hospital PDF [528.36 KB] B.2.

202. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - Concise—It is written before discharge and filled when the patient is ready to leave the hospital. … Example 2: An 89-year-old female presents to the hospital and has a history of chest pain. … Here is an example of the use of a check-back: One member of the team calls out, "BP is falling, 80 … Another team member verifies and validates receipt of the information by saying, "Got it; BP is falling … S    Safety Concerns— Critical lab values/reports, socio-economic factors, allergies, alerts (falls,

203. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Designing and Delivering Whole-Person Transitional Care Hospital Labor and Delivery … The CANDOR process helps hospitals improve their immediate response to harm and realize short- and long-term

204. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module1/slintro.html
     June 01, 2019 - In summary: Set the stage, decide what to do, make it happen and make it stick. … in the two stories? … Engage in a regular discipline of feedback. … Communication About Error, Frequency of Events Reported, Hospital Handoffs and Transitions, and Teamwork … Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other

205. SDOH Environmental Scan - Updated April 29, 2021 (xls file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
     April 29, 2021 - for Health Policy and Clinical Practice Dartmouth Atlas Data https://atlasdata.dartmouth.edu N Y Y Hospital … referral region level, hospital service area level 1992 to 2016* Y Y N N N N Y *Years available depend … /data.cms.gov/Medicare-Inpatient/Inpatient-Prospective-Payment-System-IPPS-Provider/97k6-zzx3 N N N Hospital … facilities/provider locations by address, ZIP Code, city, State, provider ID, and hospital referral … NHAMCS samples visits to hospitals (outpatient departments, emergency departments, and ambulatory surgery

206. New Interactive Data Map Shows Extent of Leading Mental Disorders in the United States | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/866.html
     May 01, 2023 - 2016 to 43.6 million in 2020. … More information is available in HCUP Statistical Brief #288: Geographic Variation in Inpatient Stays … featured this week include: Implementing an electronic root cause analysis reporting system to decrease hospital-acquired … New psychotropic medication use among Medicare beneficiaries with dementia after hospital discharge. … The safety of performing surgery at ambulatory surgery centers versus hospital outpatient departments

207. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … personnel file, as noted in the results of the AHRQ Hospital Survey on Patient Safety Culture comparative

208. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Hospital-employed physicians who spend most of their work hours in the hospital (emergency department … However, to enable comparisons across hospitals within a larger health system, all hospitals within a … employees from 21 hospitals across the United States. … Return to Contents More Information About the Items In this document, the items in the Hospital … Shift changes are problematic for patients in this hospital.

209. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - of patient safety, studies have shown that this bridge is critical, particularly in hospital settings … As Table 1 illustrates, the 10 hospitals in the collaborative are diverse in terms of their location. … Summary of hospitals participating in the Speaking Together collaborative Bellevue Hospital Center … In all but one hospital, Spanish is the most common language spoken by LEP patients. … of language services in hospitals.

210. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - In 2013, AHRQ published a second edition of Making Health Care Safer . … patient safety practices in selected harm areas. … Practices  MHS I (2001) MHS II (2013) MHS III (2020) Interventions To Improve Care Transitions at Hospital … Support Summary of Evidence (Not reviewed) (Not reviewed) Pneumococcal Vaccination Prior to Hospital … Units for Hospitalized Patients Summary of Evidence (Not reviewed) (Not reviewed) Prevention of Falls

211. Chsp-Compendium-2019Update
     pbrn.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2019update.csv
     February 13, 2023 - 9103359 82 24 3 1 1 1 103 4147 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000107 Benefis Healthcare System Great Falls … Hospital Glens Falls NY 1 0 0 INS00491515 111 40 22 1 1 1 363 11852 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000406 … 0 INS00642888 66 13 8 2 1 1 184 9747 0 0 0 0 0 0 1 0 0 0 0 0 0 HSI00000958 Sanford Health Sioux Falls … 84 11 10 3 1752 82510 134.03 0 0 1 0 1 0 0 0 1 1 1 0 HSI00000994 Sky Lakes Medical Center Klamath Falls … 1 477 16634 72.76 0 0 0 0 1 0 0 0 0 1 0 0 HSI00001143 United Regional Health Care System Wichita Falls

212. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
     November 06, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting … Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare … healthcare, as outlined in the 2015 NASEM report.” … VHA published in JAMA Open. … www.hsrd.research.va.gov/covid19.cfm https://www.journalofhospitalmedicine.com/jhospmed/article/222266/hospital-medicine

213. Subcommittee of the National Advisory Council on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/nac/pcortf-snac.html
     November 01, 2022 - SHARE: More topics in this section About … of the following as items for discussion: AHRQ’s development of a connected portfolio of projects in … objectives, metrics, and strategies to achieve and measure the success of AHRQ’s PCORTF investments in … Innovations in training and in how best to ensure diversity, equity, and inclusion and the success of … Population Health Officer Office of Ambulatory Care and Population Health New York City Health + Hospitals

214. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals How To Use the Toolkit Modules Information … a hospital bed with a catheter tube here. … management support for patient safety Teamwork across hospital units Hospital handoffs and transitions … management support for patient safety Teamwork across hospital units (i.e. … Slide 30 Hospital Information ž611 bed – Major teaching hospital Unit 450 – 16 bed ICU: Neuro

215. Centers of Excellence and Coordinating Center | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/chsp/about-chsp/centers/index.html
     July 01, 2019 - SHARE: More topics in this section Comparative … Excellence The Dartmouth College Center of Excellence is studying the use of evidence-based innovations in … and Systems, which included responses from more than 3,300 healthcare leaders in practices, hospitals … Activities in this area will include regular workgroup meetings with researchers from the Centers of … the release of final findings in fall 2020.

216. Module 7: Resolution | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Designing and Delivering Whole-Person Transitional Care Hospital Labor and Delivery … https://www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html  

217. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/861.html
     April 01, 2023 - AHRQ in the Professional Literature . … Access the abstract in JAMA Network Open . … AHRQ’s resource, Burnout in Primary Care—Assessing and Addressing It in Your Practice (PDF, 1.6 MB) … Greater patient sharing between hospitals is associated with better outcomes for transferred emergency … You will need to use your email address to log in.

218. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Designing and Delivering Whole-Person Transitional Care Hospital Labor and Delivery … https://www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html  

219. EvidenceNOW: Oklahoma Cooperative | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
     March 01, 2021 - Resource Center for Academic Detailing Oklahoma Foundation for Medical Quality Brigham and Women's Hospital … 5.9 percent 11 or more clinicians Ownership † 36.1 percent clinician owned * 25.2 percent hospital … In addition to training in how to use their EHR, clinicians and staff need training on how to maximize … Healthy Hearts for Oklahoma: Oklahoma Cooperative for AHRQ's EvidenceNOW Grant [Oklahoma Hospital Association's … Tribal practices have a significant presence in the southern part of the State; Tulsa has more hospital

220. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals How To Use the Toolkit Modules Information … With immobility comes venous thrombo-embolism and falls. … Michigan Hospital Association has led work in about 18, 20 Michigan hospitals, hospital EDs, and Ascension … hospitals who started with a higher baseline. … I think, in a lot of institutions, anecdotally in the hospitals that I’ve worked at, the ED is kind of