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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fact-sheet.html
January 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - medical professionals.9, 10 To facilitate
this goal, ACRM training provides trainees with critical incident … Medical Team Management (MTM)
The Air Force developed MTM training specifically in response to an incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
AHRQ Publication No. 17-0003-4-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Science of S…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)
Measure: Cesarean Delivery for Nulliparous
(NTSV) Women (Appropriate Use)
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients who had a cesarean
delivery.
All null…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
January 10, 2017 - Community-Acquired Pneumonia Clinical Decision Support Training - Emergency Department Setting
Community-Acquired Pneumonia
Clinical Decision Support Training
Emergency Department Setting
Disclaimers and Acknowledgements
This project was funded under contract/grant number HHSP233201500023I from the Agency for Hea…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes
401
Technology for Improving Medication
Monitoring in Nursing Homes
Kate L. Lapane, Kathleen Cameron, Janice Feinberg
Abstract
A 1997 report entitled Prescription Drug Use in Nursing Homes, by the
Department of Health and Human Services’ Office…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
November 02, 2017 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Wo…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
June 01, 2010 - Return to Appendix III Contents
North Carolina
Tool or Measure Set: Incident Data for North Carolina's
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiif.html
June 01, 2010 - State data sources identified include administrative data, such as medical records and the State's incident … certification data, investigations, medication occurrence and reporting systems, employment data, critical incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Methotrexate is given weekly for rheumatoid arthritis, but an incident where the
prescriber ordered … Severity-
indexed, incident report-based medication error-
reporting program.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - Lower rates are found when
reporting is passive (e.g., based on incident reports) rather than active
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
January 01, 2017 - The better a hospital’s safety culture, the better the incident reports tend to be.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_ig_summary.pdf
May 10, 2017 - Larkin passed out
– Debrief after the incident led by Gayle, the nurse manager,
to discuss with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
May 01, 2017 - Facilitator allows the baby to be delivered without further incident.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - They are the most frequently reported incident in adult inpatient units.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - Event Sets
Event sets are the building blocks of a scenario
Event sets consist of:
Trigger – The incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
January 01, 2016 - Diagnostic Error Measures: For Quality Improvement & Patient Safety Research
Diagnostic Error Measures:
For Quality Improvement &
Patient Safety Research
Jason Adelman, MD, MS
Chief Patient Safety Officer & Associate Chief Quality Officer
Columbia University Medical Center
NewYork-Presbyterian Hospital
Process
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4o
Selected Best Practices and Suggestions for Improvement
PDI 01: Accidental Puncture or Laceration
Why focus on accidental puncture and laceration in ch…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - Cover slide
Explore the role of patient and family advisors
Describe how to work with patients and family advisors
Present tools to improve communication among patients, families, and clinicians
Discuss how to communicate an adverse event to a patient and family members
Learning Objectives
The Patient’s Hos…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx
January 10, 2017 - Community-Acquired Pneumonia Clinical Decision Support Training: Primary Care
Community-Acquired Pneumonia
Clinical Decision Support Training
Primary Care Setting
Disclaimers and Acknowledgements
This project was funded under contract/grant number HHSP233201500023I from the Agency for Healthcare Research and Qual…