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  1. pcmh.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
    July 01, 2018 - People die unnecessarily every day in our hospitals It is likely that each of you can provide an example … ICU post arrest 163 33 No. of days in hospital after arrest 1363 159 Inpatient deaths … hospital: preliminary study. … (Photo of patient and health care professional in a hospital room.) … treatment S afety: Critical lab values/reports, socio-economic factors, allergies, and alerts (falls
  2. pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.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/notes6.html  
  3. pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Child_Med_Eng_HP51_2155a.pdf
    October 01, 2020 - Do not include care your child got when he or she stayed overnight in a hospital. … In the last 6 months, did you make any in- person, phone, or video appointments for a check-up or routine … In the last 6 months, how many times did your child have an in-person, phone, or video visit with his … In the last 6 months, how often did your child’s personal doctor explain things in a way that was easy … Do not include dental visits or care your child got when he or she stayed overnight in a hospital.
  4. pcmh.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
    December 01, 2012 - The hospital unit has numerous customers, and each has its unique needs and care delivery requirements … Local governments Local governments take an active interest in the quality of care their local hospital … Regulating agencies and insurance companies mandate that hospitals provide evidence-based clinical practices … Frameworks that are Useful for Nurse Managers Say: Hospitals, as businesses, employ frameworks … an integral role in unit-based activities at their hospital.
  5. pcmh.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - Participants in the living laboratory have care from doctors and hospitals in eastern Massachusetts, … Adverse reactions as a cause of hospital admission in the aged. Drugs Aging. 1992;2(4):356-367. … Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital … Clinical computing in a teaching hospital. N Engl J Med. 1985;312(12):756-764. PMID: 3838364 51. … CDC http://www.cdc.gov/ncipc/factsheets/fallcost.htm; CDCReport: A Toolkit to Prevent Senior Falls https
  6. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - This tracking of key indicators is critical to improving prevention practices in this hospital. … NDNQI is used by many hospitals, but there are various options to measure pressure injuries. … this hospital? … The hospital launched a Pressure Injury Prevention Program using the AHRQ Toolkit in April 2015. … injury prevention in this hospital.
  7. pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
    October 01, 2020 - The family sued the hospital, resulting in a $71 million settlement. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 3 hospitals among frontline staff and leaders in interpreter services, nursing, and patient safety. … A clinical example would be an information call-out such as, "BP is falling, 80/48 down from 90/60." … in your hospital, which can help you to sustain change in your hospital.
  8. pcmh.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery Toolkit … On average, the ventilator charge alone in most hospitals is approximately $400 per day. … discharge, and higher hospital mortality risk. … ventilation, ICU and hospital length of stay, and mortality. … Twelve ICUs affiliated with seven hospitals sought to decrease VAEs by decreasing sedation levels and
  9. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - continue to be collected and these measures will be added back to the report if their performance falls … Settings of care covered include ambulatory care, health centers, emergency departments, hospitals, … The AAPC falls into one of three categories: • Improving = Average annual percentage change >1% per … residents with a urinary tract infection MDS 2021 Long-stay nursing home patients experiencing one or more falls … residents with a urinary tract infection MDS 2021 Long-stay nursing home patients experiencing one or more falls
  10. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
    January 01, 2022 - Hospitals? … (Item B3) 78% 21.16% 0% 50% 67% 80% 100% 100% 100% Hospitals? … here: If your medical office’s score is 65%, your score falls here: If your medical office’s score … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your … • Database medical offices owned by a hospital or health system had the highest average percentage
  11. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - It thus potentially prevents diagnostic errors by preventing patients from “falling through the cracks … the hospitals and health systems in which PFACs are embedded. … foundational education about diagnostic errors and tangible ideas and suggestions for PFACs and their hospital … Research & Educational Trust (HRET) Hospital Improvement Innovation Network (HIIN) team and the Society … Improving Diagnosis in Health Care 4.
  12. pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/child-english-cg-3-1-2353a.pdf
    December 01, 2020 - named in Question 1 as “this provider.” … with that person in the last 6 months. 2. … Do not include care your child got when he or she stayed overnight in a hospital. … In the last 6 months, how often did this provider explain things in a way that was easy for your child … In the last 6 months, how often did this provider explain things about your child’s health in a way
  13. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 - When you administer the survey at multiple hospitals, you should identify each hospital as a separate … In small hospitals, the logistics of administering paper surveys may be manageable. … Hospital Identifiers If you are surveying multiple hospitals, you will need to use hospital-level identifiers … Even if you administer the survey in a system with multiple hospitals, the size of the individual hospital … Many hospitals using the survey have expressed interest in comparing their results to other hospitals
  14. pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
    December 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals How To Use the Toolkit Modules Information … Slide 40 Successful Hospitals Examples Using validated resources: AHA/IHI collaboratives … Top Mentality: CEO to Environmental services to patients and families Slide 41 Successful Hospitals … Slide 45 Maury Regional Medical Center Columbia, TN Largest hospital between Nashville, TN and … It’s one of 28 hospitals in the U.S.. and the first in Tennessee.
  15. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
    January 01, 2020 - 2,756 15% 14-19 75 5% 1,388 8% 20 or more 68 5% 1,663 9% Ownership Number Percent Number Percent HospitalHospitals? … Hospitals? … 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
  16. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
    November 19, 2008 - their hospital, it may be useful to replace one of the presentation‟s case examples with the example … The family sued the hospital, resulting in a $71 million settlement. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 3 hospitals among frontline staff and leaders in interpreter services, nursing, and patient safety … A clinical example would be an information call-out such as, “BP is falling, 80/48 down from 90/60.
  17. pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
    June 01, 2011 - Hospitals need to let primary care teams know when their patients are in the hospital or have visited … communities have little to no role in care delivered in hospitals. … clinics or larger practices, or in inpatient hospital settings. … Routine communication from hospitals to PCCs or from insurers to PCCs about a hospital admission and … the responsibility of care coordination falls primarily on the PCMH and not the patient, the patient
  18. pcmh.ahrq.gov/sites/default/files/attachments/Coordinating%20Care%20in%20the%20Medical%20Neighborhood.pdf
    June 01, 2011 - Hospitals need to let primary care teams know when their patients are in the hospital or have visited … communities have little to no role in care delivered in hospitals. … clinics or larger practices, or in inpatient hospital settings. … Routine communication from hospitals to PCCs or from insurers to PCCs about a hospital admission and … the responsibility of care coordination falls primarily on the PCMH and not the patient, the patient
  19. Layout 1 (pdf file)

    pcmh.ahrq.gov/sites/default/files/attachments/roles-of-pcmhs-and-acos-in-coordinating-patient-care-white-paper.pdf
    December 01, 2010 - This is especially critical when care moves between distinct settings, such as during a hospital discharge … Examples include transitions from the inpatient (hospital) or skilled nursing facility setting to the … This work includes and extends beyond creating hospital discharge care coordination programs to creating … programs for other settings including hospitals. … A Re- engineered hospital discharge program to reduce rehospitalizations.
  20. pcmh.ahrq.gov/page/roles-patient-centered-medical-homes-and-accountable-care-organizations-coordinating-patient
    December 01, 2010 - This is especially critical when care moves between distinct settings, such as during a hospital discharge … Examples include transitions from the inpatient (hospital) or skilled nursing facility setting to the … This work includes and extends beyond creating hospital discharge care coordination programs to creating … programs for other settings including hospitals. … A Reengineered hospital discharge program to reduce rehospitalizations.

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