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  1. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  2. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - Strategy 2: Communicating to Improve Quality (Implementation Handbook) Strategy 2: Communicating to Improve Quality (Implementation Handbook) Guide to Patient and Family Engagement Communicating to Improve Quality Implementation Handbook Strategy 2: Communicating to Improve Quality (Implementation Ha…
  3. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
    February 16, 2011 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 2 Tools 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis 2D: Assessing Pressure Ulcer Policies 2E: Assessing Screening for Pressure Ulcer Risk 2F: Assessing Pressure Ulcer Care Planning 2I: Action Plan …
  4. www.cahps.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 - AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Sensemaking and Learn From Defects for Perinatal Safety SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring defects in your system and apply Comprehen…
  5. www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  6. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - Combining Performance Feedback and Evidence-based Educational Resources 237 Combining Performance Feedback and Evidence-based Educational Resources John R. Meurer, Linda N. Meurer, Jean Grube, Karen J. Brasel, Chris McLaughlin, Stephen Hargarten, Peter M. Layde Abstract Objective: This study is intended t…
  7. www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
    June 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  8. www.cahps.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  9. www.cahps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - Preventing Falls in Hospitals Preventing Falls in Hospitals ADD Hospital Name Here Module 1 Ice Breaker Describe an interesting fact about yourself. ‹#› Compelling Reasons To Implement Program Falls are common. They are the most frequently reported incident in adult inpatient units. The rate of falls ranges f…
  11. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Sensemaking and Learn from Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify…
  12. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    August 31, 2017 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 3 Tools 3A: Pressure Ulcer Prevention Pathway for Acute Care 3B: Elements of a Comprehensive Skin Assessment 3C: Pressure Ulcer Identification Notepad 3D: The Braden Scale for Predicting Pressure Sore Risk 3E: Norton Scale 3F: Care Plan 3G: Pat…
  13. www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  14. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
    February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …
  15. www.cahps.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
    February 23, 2012 - Maternity Care Performance Measurement Set American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 …
  16. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - Section 5, Tables 8 and 9 …
  17. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
    June 16, 2017 - Best Practices in Fall Prevention Best Practices in Fall Prevention ADD Hospital Name Here Module 3 Best Practices Best practices are those care processes—based on literature and expert opinion—that represent the best ways we currently know of preventing falls in the hospital. AHRQ Patient Safety Network (PSNET) …
  18. www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
    January 01, 2013 - Section 6.B, Validity and Reliability SECTION VI. SCIENTIFIC SOUNDNESS OF THE MEASURE VALIDITY VI.B.1 “Informing” Coverage through the natural experiment of appendicitis Administrative data from the Medicaid Analytic eXtract (MAX) is the primary data source for states or government agencies wishing to as…
  19. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…
  20. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
    February 23, 2012 - HF Measures For Public Comment American Congress of Obstetricians and Gynecologists National Committee for Quality Assurance Physician Consortium for Performance Improvement® Maternity Care Performance Measurement Set PCPI Approved: March 27th, 2012 Table of…

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