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www.ahrq.gov/evidencenow/projects/urinary/resources/preventing-voltage-drop.html
January 01, 2014 - Back to MUI Resources
Preventing the Voltage Drop: Keeping Practice-Based Research Network (PBRN) Practices Engaged in Studies
Resource
Full Article on PubMed.
Summary
Practice-based research continues to evolve and has become a major methodology for many pragmatic studies. W…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - Patient and Family Engagement
The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge.
This module expl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Finally, knowledge-based errors happen when a situation is unique
and unknown, for which no rules exist
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www.ahrq.gov/funding/grantee-profiles/grtprofile-hsu.html
May 01, 2023 - AHRQ funding serves as the catalyst to make all of this happen,” Dr. Hsu said.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module3-transcript.pdf
June 01, 2017 - perfect, we take that, and we take it apart, and
we dissect it so thoroughly that that thing won't happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - collaboratively with patients and family members should make everyone clear about what should and should not happen … The doctor gives the order for discharge, but, this should not be a surprise or happen in a vacuum. … What needs to happen? Who is responsible? … As you play out the scene, the objectives are to make sure that:
Emily is fully aware of what will happen … As you play out the scene, the objectives are to make sure that:
Arnold is fully aware of what will happen
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-mg-toxicity.html
July 01, 2023 - Sample Scenario for Magnesium Toxicity In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Magnesium Toxicity In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Magnesium Toxicity In Situ Simulation
Sample Scenario for Magnesium Toxicity In Situ Simulation
Purpose of the tool: The Magnesium Toxicity In Situ Simulation t…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - This type of communication should always be discouraged, but unfortunately it does happen.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - 1
OVERVIEW
The Six Building Blocks: A Team-Based
Approach to Improving Opioid
Management in Primary Care How-To-
Implement Toolkit:
Overview
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
Contract No. HHSP23320…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
May 01, 2017 - problems in your safety management that you can tackle (problems are gaps between what you want to happen
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www.ahrq.gov/cahps/news-and-events/podcasts/cahps-surveys-podcast.html
March 01, 2016 - Dale Shaller: Okay, but it does seem that what patients might expect to happen could affect how they
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - plan is through briefings and team management, being aware of what is going on and what is likely to happen … other delegated staff speaks to patient and partner regarding the urgency of the situation and what may happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - correct
diagnosis, appropriate treatment)
• Timeliness—which measures how long
it took for something to happen
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit1.html
March 01, 2014 - be translatable to any community resource and any practice willing to take the extra step to make it happen
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Brief defect description
Why did it happen?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - Why did it happen?
How will you reduce the risk of the defect happening again?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - An allergic reaction doesn’t
often happen, but sometimes it does.
2. … Side effects happen
sometimes, but usually aren’t too much of a problem.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - This can happen when
someone touches you, or by touching something that has the bacteria on it, such
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - is much easier to engage someone (anyone, not just executives) if you can be clear about what will happen … The CUSP components of this safety program can be a way to make this happen in a structured, predictable … This doesn’t happen without preplanning and a strong and consistent communication process with the entire