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221. Appendix: The MATCH Work Plan | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
     July 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … in your facility.

222. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … 2009, the CANDOR toolkit was tested and applied in 14 hospitals across three U.S. health systems. … Why Invest in Implementing the CANDOR Process in My Organization? … Despite the best efforts of hospitals, doctors, nurses and other health care professionals, about 1 in … The key learnings for hospitals implementing the CANDOR process in their institutions include how to:

223. Module 1 Slides (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
     June 12, 2017 - TEAMSTEPPS 05 2 Introduction Mod 1 LTC 2.0 Page 10 Video Discussion • What breakdowns in … teamwork did you observe in the two stories? … TEAMSTEPPS 05 2 Introduction Barriers to Team Performance • Inconsistency in team membership … HSOPS scores on Feedback and Communication About Error, Frequency of Events Reported, Hospital Handoffs … Teamwork Across Units ■ Incremental changes evident through reduction of nosocomial infections, falls

224. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-1.html
     July 01, 2022 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … reflected in the new design process.     … The workflow on the medicine service may be quite different than it is in surgery.

225. Appendix, Assembling a Medication Reconciliation Team | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-2.html
     July 01, 2022 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide

226. Appendix, Building the Foundation for Your Medication Reconciliation Process Design | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6.html
     July 01, 2022 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … and responsibilities for medication reconciliation— determine which discipline(s) should be involved in

227. Subcommittee of the National Advisory Council for the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/cpi/about/nac/naa-snac.html
     February 01, 2024 - SHARE: More topics in … and Human Services (HHS) Secretary Xavier Becerra hosted the HHS Convening to Advance Patient Safety in … In March 2023, members of the National Advisory Council discussed and voted on creating a subcommittee … Overview The 16-member subcommittee met four times in fall 2023 to discuss the following topics: … SVP and Chief Physician Executive American Hospital Association   Terry Fairbanks, M.D., M.S.

228. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPITAL … Vomiting: Number of times in past 24 hours: _______ Y N ? … Diarrhea: Number of times in past 24 hours: _______ Y N ? … Other vomiting or diarrhea in the community Y N ? … Obvious blood in urine Y N ? Change in urine appearance or odor Y N ?

229. Coaching in the Hospital | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
     December 01, 2013 - Hospital Resources NICU Toolkit Coaching in the Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Followup Telephone Survey Coaching in the Hospital As a Health Coach, your job is to … to another area in the hospital, or discharge. … the Hospital.

230. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Hospital Resources Preventing Pressure Ulcers in Hospitals 1. … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals 1. … Medicare estimated in 2007 that each pressure ulcer added $43,180 in costs to a hospital stay. … It is the second most common claim after wrongful death and greater than falls or emotional distress.

231. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
     January 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … year could easily be achieved through targeted investments to improve diagnostic safety and reduce hospital-acquired … billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have … burden, and identify and eliminate the provision of low-value care—a source of waste that University Hospitals

232. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - technology (IT) tools to prevent patient falls and related injuries during an acute hospitalization. … by 25 percent in acute care hospitals. … Today, the toolkit is used in more than 100 hospitals across the United States and internationally. … Interventions for Patient Safety) Program: a collaboration to end the persistent problem of patient falls … Identifying and classifying diagnostic errors in acute care across hospitals: Early lessons from the

233. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/index.html
     April 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … materials that are clearly noted in the document.

234. Comparative Health System Performance Initiative: Identifying and Understanding High-Performing Systems | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/chsp/summary.html
     September 01, 2017 - About 70 percent of U.S. non-Federal general acute care hospitals are in health systems. … Hospitals in health systems account for roughly 88 percent of U.S. hospital beds and 92 percent of U.S … . hospital discharges. … About half include fewer than 3 hospitals and 250 physicians. … A small number of systems, meanwhile, are characterized by many more hospitals and physicians.

235. Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign (Text Description) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
     July 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Hospital Resources MATCH Toolkit Figure 3: Medication Reconciliation Upon … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide

236. TeamSTEPPS 2.0 Learning Benchmarks (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
     April 24, 2017 - Reassure the new team that she had plenty of experience with falls like this one and not to worry, and … The medical director is evaluating a resident who likely will need an urgent transfer to the hospital … Considering the hospital ED physician to be part of the treatment team and sharing information. b. … Requesting the hospital to call if the resident hasn’t yet been seen within a certain timeframe. 10. … Hierarchy Speak up Be heard 8 9 10 11 A B B A SBAR Nursing home – hospital

237. Appendix, Medication Reconciliation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
     July 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 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

238. Introduction | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/intro.html
     July 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … or is seen in an outpatient setting.

239. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/funding/training-grants/pcor/index.html
     July 01, 2015 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … In fiscal year 2011, the U.S. … AHRQ-supported activities will maintain the infrastructure to support research now and in the future

240. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
     March 11, 2021 - healthcare, as outlined in the 2015 NASEM report.” … in the diagnostic process … over 50 medical offices in fall 2020. … Anticoagulation Stewardship (MIDAS) Program: This mentoring program is designed to assist clinics and hospitals … a Secretary-driven effort with its basis in Cares Act language.