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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide … most hospitals across the country, many of the recommendations that come from root cause analyses of … Be sure to follow hospital confidentiality guidelines. … Be sure to follow all hospital confidentiality guidelines.
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - a universal bilirubin test, that the Joint Commission would issue a sentinel event alert, alerting hospitals … a large health care system and where AHRQ did studies at other hospitals who did that, as well. . . … hospitals and other health care facilities. … It’s almost the forcing event in a way, in a positive way . . . such that we’re coordinating in ways … For example, NIA and PCORI co-manage the big initiative on falls and NIA has done a number of planned
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pbrn.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Training and implementation have been provided as a whole-hospital approach,
within specific specialty … Twenty-
eight accounts (11 within the medical community) of the implementation of CRM training in
hospitals … Carilion Clinic is planning to examine the relation between TeamSTEPPS
and hospital-acquired infection … Given organizational demands associated with
hospitals, it is crucial to find the appropriate interval … Director, Patient Safety Division, TRICARE
Management Activity, Skyline 5, Suite 810, 5111 Leesburg Pike, Falls
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - six hospitals in the State;
and created a resource Web site (http://www.macrmi.info). … Sioux Falls, SD;
December 2011:16.
Pichert JW, Hoffman WW, Danielson D, et al. … solutions for improving medication
discrepancies in the hospital-to-home transition. … unit in one hospital. … developing projects piloting CARe in six hospitals in
the State; and created a resource Web site (http
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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery Toolkit … Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement … Slide 31: References
American Hospital Association. … Chicago: American Hospital Association, Committee on Research; 2012. … Care Transitions from Hospital to Home: IDEAL Discharge Planning Training .
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
January 01, 2008 - People die unnecessarily every day in our hospitals. … SAY:
Research suggests that after implementing a Rapid Response
System, hospitals experience a decrease … , number of days in the hospital after an arrest, and inpatient
deaths. … hospital: preliminary study. … S Safety Concerns—Critical lab values/reports, socio-economic
factors, allergies, alerts (falls, isolation
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - People die unnecessarily every day in our hospitals. … SAY:
Research suggests that after implementing a Rapid Response System, hospitals experience a decrease … of days in the hospital after an arrest, and inpatient deaths. … hospital: preliminary study. … S Safety Concerns—Critical lab values/reports, socio-economic factors, allergies, alerts (falls, isolation
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - , Winnie Palmer Hospital for Women & Babies,
Carle Foundation Hospital, and WakeMed Health & Hospitals … • Private, not-for-profit health system
in Raleigh, NC
• Three hospitals
Strategies:
Shoulder dystocia … The hospitals have institutionalized the changes by
codifying them in written policies and procedures … The corporate environment empowered hospitals to implement the
Program in the way that worked best in … Winnie Palmer Hospital for Women & Babies
Carle Foundation Hospital
WakeMed Health & Hospitals System
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - , Winnie Palmer Hospital for Women & Babies,
Carle Foundation Hospital, and WakeMed Health & Hospitals … • Private, not-for-profit health system
in Raleigh, NC
• Three hospitals
Strategies:
Shoulder … The hospitals have institutionalized the changes by
codifying them in written policies and procedures … The corporate environment empowered hospitals to implement the
Program in the way that worked best in … Winnie Palmer Hospital for Women & Babies
Carle Foundation Hospital
WakeMed Health & Hospitals System
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pbrn.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - in the hospital survey guaranteed including the system owner in the system survey and a sample
of … The Hospital
Linkage Files link hospitals to health systems and include information on hospitals, including … Users of the hospital linkage file can identify hospitals within and outside of health systems. … Changes in Quality of Care After
Hospital Mergers and Acquisitions. … Safety Net Hospitals
in Health Systems: Variation in ACO Participation and Other Characteristics.
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pbrn.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - There are many new players
and subspecialties involved in providing care in the operating room. … their tasks), environmental hazards (e.g., objects causing collision/bumping or the
risk of slipping/falling … Infection Control and Hospital Epidemiology. 2018 April; 39(4):391-397.
https://doi.org/10.1017/ice.2017.323 … /doi.org/10.1016/j.apergo.2018.03.011
https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology … influence-of-traffic-area-location-and-other-factors-on-operating-room-microbial-load/5B7991606B227B429D88E1744458D6B6
https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - ■ Patient Safety improved, led by a 17% reduction in rates of hospital-acquired conditions
between … ■ Many Effective Treatment measures, including several measures of pneumonia care in
hospitals publicly … Adverse drug events occur in 15% or more of older
patients presenting to offices, hospitals, and extended … With the burden of suicide falling most heavily on adults of working age, the cost
to the economy results … Strategies to prevent catheter-associated urinary tract infections in acute care
hospitals.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule9.pptx
April 10, 2006 - In this module, we'll discuss coaching in general, as well as how to include coaching in your implementation … This, in turn, results in improved team performance and safer patient care. … If the exercise falls before break, introduce the exercise and hand out the ASTD coaching self-assessment … The University of North Carolina Hospital used visuals to identify coaches and people prepared for coaching … At Franklin Memorial, our small community hospital, orientation of all new hires includes the full TeamSTEPPS
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Center
(MWHC), Washington, DC; ¶Michael Garron Hospital–Toronto East Health
Network; #Institute of … of Health -
National Institutes on Aging grant (4R33AG061882), and the Michael Garron
Hospital Foundation … Communication: “In the past 5 years, have you left the
hospital, the emergency department, or your provider … operationalize the NASEM definition and/or cite the re-
port while using previous definitions, the work often falls … Malpractice claims related to
diagnostic errors in the hospital.
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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 … a hospital setting, and
one way to think about a “team” in the context of the ED and diagnosis is to … Applied In-
terdisciplinary Theory in Health Informatics. … Review: how do hospital organizational structure
and processes affect quality of care? … teamwork’: using Goffman’s theory of impression man-
agement to illuminate interprofessional practice on hospital
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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
December 01, 2023 - Moreover,
TRICARE and VA healthcare beneficiaries have access to hospital facilities that are available … only to them, and the treatments provided by these hospitals may be inconsistent with those
provided … For each person, the number of IP and ED claims falling under
each of the diagnosis groups was tabulated … The final weight in SyH-DR
allows for weighted estimates of person-level characteristics and hospital … stay or returned to the hospital multiple times for the same procedure.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - in the LTC facility. … role is in
supporting the changes to improve quality in the LTC facility. … Leadership and staff perceptions of resident harms such as CAUTIs or falls,
AHRQ SAFETY PROGRAM FOR … substitute for care of the resident
• Morbid obesity or immobility
• Attempting to reduce the risk for falls … In-Service Education.
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pbrn.ahrq.gov/sites/default/files/docs/page/Meta-Larc.pdf
February 01, 2016 - There is hope that in the future IRB processes will become more
streamlined in order to support cooperative … the IN-STTEPP study, including during a PBRN Resource Center-sponsored Webinar in February 2015. … The IN-STTEPP study launched
important relationships with patients that WREN hopes to continue in the … 506 Clinics
Location: National Coverage, based in
Oregon
Founded in 2007
OCHIN works to improve … primary care research in the
university hospitals
• Promote collaboration among
clinicians, researchers
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pbrn.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
May 16, 2023 - These elements should be included in the PHS 398 Research Plan Form in the Research Strategy
section … In this scenario, there are no special program or budget considerations beyond those specified in
the … As stated in RFA Section III. … As stated in RFA
Section III. … For example, if a clinic/hospital receives state
https://grants.nih.gov/grants/guide/rfa-files/RFA-HS
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
6. … Framework for Improving Joy in Work
http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx … the teaching of patient safety in universities and schools in the fields of
dentistry, medicine, midwifery … Framework for Improving Joy in Work
7. Hand Hygiene in Healthcare Settings
8.