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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript
1
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture
July 15, 2015 – Webcast Transcript
Speakers
Jim Battles, PhD, AHRQ Center for Quality Improvement and Patient Safety, Rockville, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - Presentation: Implementing Your SSI Prevention Bundle
Implementing Your
Surgical Site Infection Prevention Bundle
AHRQ Safety Program for Surgery
Implementation
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
This module is about implementing your surgical site infe…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
Situation Monitoring
Obstetric Hemorrhage
Module 4 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation moni…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage
SPPC‐II
Toolkit
Hospital AIM
Team
Leads
SPPC II
Situation Monitoring
Obstetric Hemorrhage
Module 4 of 8
‐
SCRIPT
Welcome to Module 4 of the Safety Program for Perinatal Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - 1
TAKEheart Data Implementation Guide – Module 4
Preparing and Understanding Your Data to Support Systems Change
Table of Contents
This document is hyperlinked to facilitate ease of access to the information contained inside.
Press “ctrl” and click on the links below to access the desired section. Clicking o…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I
PATIENT
SAFETY
NURSING HOME SURVEY ON
PATIENT SAFETY CULTURE
2019 User Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Hea…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - varied, the great majority of both patients and clinicians supported disclosure with details about what happened … , how it happened, how it will be corrected, and an apology.
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - breakdowns. (11) Healthcare institutions and providers cannot remedy care breakdowns they did not know
happened … Some patients may be mistaken and believe an adverse
event happened when in fact that was not the case
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - The
goal of the RCA process is to find out what happened, why it happened, and how to prevent
it from
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-204-obesity-disposition-comments.pdf
December 01, 2017 - This happened in the
previous section too. … This happened
in the previous section too.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
January 01, 2022 - Effectiveness: Change in the proportion of PIMs to all prescriptions in the ED to show what happened … We
used logistic regression to examine what happened to the odds of having a health outcome from pre
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-information-exchange-disposition-160504.pdf
December 15, 2015 - These alerts about admissions etc. are
parallel to what has long happened by post office mail. … understanding has been that consumer-based exchange
depends upon widespread uses of PHRs, but that has not
happened
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-women-and-elderly-adults/intimate-partner-violence-and-elderly-abuse-screening-2004
March 08, 2004 -
Screening Questions for Domestic Violence 50
Have any of the following ever happened … Could this be what has happened to you?
Would you like to speak to someone about this?
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/SvB6EjoVaaQxQr4vpCRtWp
March 01, 2004 - Screening Questions for
Domestic Violence50
Have any of the following ever happened to you? … Could this be what has happened to you?
4. Would you like to speak to someone about this?
5.
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - OR Peeping
Citation Text:
Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case December 2006
Hidden Heparins: HIT Happens
Source and Credits
This presentation is based on the December 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrick F. Fogarty,…
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Preventable Rash
March 1, 2005
McLean C. Preventable Rash. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/preventable-rash
The Case
A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit,
screening laboratories were checked. The clinic never contacted th…
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room
– Mixing Up the Ampules
January 29, 2021
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
The Case
A…