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  1. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module3-presenters-notes.pdf
    January 13, 2022 -                                                                                       Situation What is going … “I believe that something is going on, but I do not yet know what it is” “You have some symptoms that
  2. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
    September 01, 2015 - In addition, practices may collect information for other QI work going on at the practice. … traditional physician-centric models, which has been causing some conflict, but so far things are going
  3. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
    June 28, 2023 - of continually scanning and assessing a situation to gain and maintain an understanding of what’s going … ● Situation awareness (an individual outcome): The state of “knowing what’s going on around you.”
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
    July 23, 2010 - As the patient and family will be going home without us, it is important they have the tools and knowledge … of what to prescribe is resolved to the satisfaction of everyone Jack and Emily understand what is going
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - “If you’re just going to apologize and you’re not going to fix anything, that’s insulting to my intelligence
  6. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
    January 13, 2022 -                                                                                       Situation What is going … “I believe that something is going on, but I do not yet know what it is” “You have some symptoms that
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
    November 01, 2022 - implementation progress at specified times; • Results from short surveys asking staff how the initiative is going … description of: • What activities and work have been accomplished to date; • How well activities are going
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 2: Urinary Catheter Maintenance SAY: In Module 1, we discussed the indications for an indwelling urinary catheter, the causes of catheter-associated urinary tract infections or CAUTI in the intensive care unit or ICU, as…
  9. www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
    February 01, 2023 - Module 2: Urinary Catheter Maintenance Facilitator Notes Preventing CAUTI in the ICU Setting Slide 1 Say: In Module 1, we discussed the indications for an indwelling urinary catheter, the causes of catheter-associated urinary tract infections or CAUTI in the intensive care unit or ICU, as well as metho…
  10. www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
    May 01, 2009 - Your Guide to Preventing and Treating Blood Clots Your Guide to Preventing and Treating Blood Clots U.S. Department of Health and Human Services Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 AHRQ Pub. No. 09­0067­C May 2009 Swelling Clot Vein Blood clots can for…
  11. www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
    June 01, 2012 - When one thing goes wrong, it seems to lead to another thing going wrong, and that can continue until … Lessons: › Learn to notice a change early. › Not reporting a change can lead to other things going … assignment is working, including reviewing assignments to ensure that relationships with the residents are going
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
    February 06, 2008 - SBAR is an acronym for: • Situation: What is going on with the patient? … What do you think is going on? … important consideration in the overall implementation plan is keeping the strategies and practices going
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - • What do you think is going on with this patient? … • What else do you think could be going on with this patient? … • What further tests or monitoring might be helpful to understand what is really going on with the
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
    July 25, 2018 - attention over the last decade was convincing people to adopt and implement and I think our focus going … Yount, July 2018 https://www.ahrq.gov/sops/index.html 6 who's going … But if you're going to do it in the Fall, and you want to administer it now before you've started that
  15. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-2.html
    November 01, 2017 - Established Child Health Care Quality Measures—CAHPS Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Expanded CAHPS 3.0 Child Survey Children with Chronic Conditions Screener Questions …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
    April 04, 2025 - Is this a documentation issue or was something going on with the resident? • Resident J. … What questions are you going to ask your core team about the Nutrition Report information? 2. … What questions are you going to ask your core team about interventions with residents? 6. … Was there something going on with the resident to explain the large difference in the two values? … Do you have any idea of what’s going on? How has her appetite been?
  17. www.ahrq.gov/funding/grantee-profiles/grtprofile-gallagher.html
    May 01, 2020 - Grantee Profile Creating Standards for Communication and Resolution When Things Go Wrong Thomas H. Gallagher, M.D. General Internist University of Washington Thomas H. Gallagher, M.D. “Providers needed a better understanding of how to communicate with patients when something goes wrong and ensur…
  18. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3O: Postfall Assessment for Root Cause Analysis Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall prevention pr…
  19. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-resource-guide.pdf
    November 16, 2022 - Tools and Resource Guide for Automatic Referral System Implementation Tools and Resource Guide for Automatic Referral System Implementation November 16, 2022 1 Tools and Resource Guide for Automatic Referral System Implementation Automatic Referral System Key Resources: 1. Emory Healthcare. “Cardiac Reha…
  20. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapi.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix I. Process Objectives, Measurements, and Evaluation Strategies The tables below provide examples of objectives that can be adapted for a patient advisory council and ways to measure its success. A. Create a Patient Advisory Coun…

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