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www.cpsi.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
June 01, 2019 - Sets
Event sets are the building blocks of a scenario
Event sets consist of:
Trigger – The incident
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 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.4u
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory failure in chi…
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Resident in her room alone at time of incident, attempting to get up out of chair unassisted-wants to
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - When the Eindhoven Model of analysis is completed, there should be three to seven root causes for each incident
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913
Final Topic Refinement Document
Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913
Date: 05/29/2014
Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913
EPC: Pacific Northwest EPC
AHRQ Task O…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ t…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - City, a computerized
physician/provider order entry (CPOE) system with decision support reduced the
incident
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December 10, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B
Appendix B: Clinical Materials to Share
With Primary Care Providers
Diagnoses and Conditions
■ Anemia of Prematurity
■ Apnea of Prematurity
■ Bronchopulmonary Dysplasia
■ Gastroesophageal Reflux
■ Nephrocalcinosis
■ Patent D…