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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary
…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - United Kingdom determine a fair and consistent course of
action toward staff involved in patient safety incidents … Tree supports the aim of creating
an open culture, where employees feel able to report patient safety incidents
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/813.html
May 01, 2022 - Articles featured this week include:
A 6-year thematic review of reported incidents associated with
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ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - progress and offer assistance
CAUTI Team Unit Meetings:
Quarterly
Perform analysis of CAUTI incidents … Catheter alternatives are used on a regular basis
Infection Control reports less investigation of CAUTI incidents
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice?
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ahrqpubs.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - However, establishing a link between CRM and safety was not possible due to limitations in the
number of incidents … It is very difficult to link interventions to low base rate events,
such as incidents and accidents, … Anesthesia
crisis resource management training: Teaching
anesthesiologists to handle critical incidents
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
March 20, 2014 - TeamSTEPPS 2.0: Coaching Scenario 1
TeamSTEPPS 2.0 Coaching Scenarios – D-9-37
Coaching
Workshop
Coaching Scenario 1
INSTRUCTIONS:
Read the scenario below and, among your group:
As the coach, provide constructive and purposeful feedback to the team member about the
issues.
As a team member, as…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - • Mid-Atlantic ASCs had the highest average percentage of respondents who indicated that
near-miss incidents … Nurse Practitioners had the highest average percentage of
respondents who indicated that near-miss incidents … o Average percentage of respondents who indicated that near-miss incidents were
“Always” or “Most of
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - Sustaining Fall Prevention Practices at Your Hospital
Sustaining Fall Prevention
Practices at Your Hospital
Presented by
Pat Quigley, Ph.D., M.P.H., ARNP, CRRN, FAAN, FAANP
Associate Director, VISN 8 Patient Safety Center
Associate Chief for Nursing Service/Research
Welcome!
Thank you for joining this
webin…
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ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - United Kingdom determine a fair and consistent course of action
toward staff involved in patient safety incidents … Tree supports the aim of creating an
open culture, where employees feel able to report patient safety incidents
-
ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/npsd/data/dashboard/medication.html
October 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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ahrqpubs.ahrq.gov/news/research-funding-opportunities.html
March 01, 2024 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - re
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10
Learning From Known Incidents … While research has examined the predictive validity of NLP
algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Multifactorial Context of Diagnostic Safety
Choosing Data Sources for Measurement
Learning From Known Incidents
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - How To Manage Change
How To Manage Change
ADD Hospital Name Here
Module 2
QI Change Process
Change process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure injuries
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism following knee and/o…
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ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - The CAUTI rates trend downward to zero incidents in March 2015.