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monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … A clinical example would be an information call-out such as, "BP is falling, 80/48 down from 90/60."
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monahrq.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … managers understand the professional and regulatory guidelines (e.g., Centers for Disease Control and Prevention
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monahrq.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 … Systems (CAHPS®) Database –
CAHPS® Health Plan Survey Database
Centers for Disease Control and Prevention … The AAPC falls into one of three categories:
• Improving = Average annual percentage change >1% per … Office of the Assistant Secretary for Planning and Evaluation
• CDC: Centers for Disease Control and Prevention … Federal Sources of Data
Agency for Healthcare Research and Quality
Centers for Disease Control and Prevention
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - Program for Nursing Homes On-Time Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … Note: These are the same rules described in the On-Time Pressure Ulcer Prevention Functional Specifications … at high or medium nutritional risk, according to the rules set forth in the On-Time Pressure Ulcer Prevention … within 7 days of report date for the following:
Use Calculations defined for On-Time Pressure Ulcer Prevention … If there is a Braden Score stored in the system and the Braden Score date falls within 7 days of the
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
January 01, 2013 - participating facilities
Areas of clinical focus are pressure ulcers, pain management, medication errors, and falls
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes
Transitioning to the SOPS™ Hospital Survey
Version 2.0: What’s Different and What To Expect
Part II: Appendixes
Appendix A – Differences in Scores Between HSOPS 2.0 and
HSOPS 1.0
Appendix B – How T…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - Community Living, Assistant Secretary for Planning and Evaluation, Centers for Disease Control and
Prevention … continue to be collected and these measures will be added
back to the report if their performance falls … 10 | 2019 National Healthcare Quality and Disparities Report
Centers for Disease Control and Prevention … Federal Sources of Data
Agency for Healthcare Research and Quality
Centers for Disease Control and Prevention
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monahrq.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Sioux Falls, SD;
December 2011:16.
Pichert JW, Hoffman WW, Danielson D, et al. … toolkits, establishing a clinical workgroup, and potentially furthering
programs for opiate-addiction prevention
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monahrq.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Principal Investigator: Wilson D. Pace, MD*
Key Personnel: David West, PhD *
Deborah S. Main, PhD*
John Westfall, MD*
Daniel Harris, PhD**
Organizational Aff…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
March 01, 2014 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention
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monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … A clinical example would be an information call-out such as, "BP is falling, 80/48 down from 90/60."
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - operationalize the NASEM definition and/or cite the re-
port while using previous definitions, the work often falls
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monahrq.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 Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management
Module 8: Change Management
Online Master Trainer Course
Welcome to the
Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - • Other care-related adverse events: patient
falls, in-hospital hip fracture or fall
http://www.oecd.org
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - She's a pharmacist with the office of the Army Surgeon General in Falls Church, Virginia. Ms.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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monahrq.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
September 01, 2020 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention