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www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/apa.html
February 01, 2017 - Event Investigation and Analysis Guide: Appendix A
In this example, there is only one path shown, but answers can create multiple paths and more questions.
Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later.
1st Why:…
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www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/aph.html
February 01, 2017 - Event Investigation and Analysis Guide: Appendix H
Do solutions meet the following criteria:
Address the root cause/contributing factor.
Are specific and concrete.
Can be understood and implemented by a reader unfamiliar with the situation.
Will be tested or simulated prior to full implementation …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Make sure your institution is familiar with the rules on wound photography in your State and have a policy
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - An institution-specific heparin titration nomogram:
development, validation, and assessment of compliance
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/bariatric-surgery-protocol.pdf
November 09, 2016 - Evidence-based Practice Center Systematic Review Protocol: Short and Long Term Outcomes after Bariatric Therapies in the Medicare Population
Evidence-based Practice Center
Technology Assessment Protocol
Project Title: Short and Long Term Outcomes after Bariatric Therapies in the
Medicare Population
I. Background…
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/assemble-fac-guide.html
May 01, 2017 - Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Assemble the Team and Engage Leadership for Perinatal Safety
Say:
The Assemble the Team and Engage Leadership module of the AHRQ Safety Program for Perinatal Care addresses tea…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Getting-Started-Guide-rev-20230303.pdf
March 01, 2023 - Synthetic Healthcare Database for Research Getting Started Guide
Synthetic Healthcare Database for
Research (SyH-DR)
A Synthetic Nationally Representative All-Payer
Claims Database
GETTING STARTED GUIDE
AHRQ Publication No. 22-0039-1-EF
Updated March 2023
Purpose
The Synthetic Healthcare Database for Resear…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/taekman-report.pdf
January 01, 2010 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
January 01, 2011 - TeamSTEPPS 2.0 Module 1: Introduction
Module 1: Introduction
Online Master Trainer Course
Welcome to the
Welcome to the TeamSTEPPS Master Trainer course.
As you will soon realize, this introduction module sets the stage for the entire course.
Please select the forward arrow in the lower right corner to begi…
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www.ahrq.gov/research/findings/studies/index.html?page=62
January 01, 2024 - AHRQ Research Studies
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTIONIII-2020projects.pdf
November 28, 2023 - ACTION III 2020 Project Summaries
ACTION III 2020 Project Summaries
Project Title
Prime
Contractor Total Cost Page #
Assistance to AHRQ to Disseminate
EvidenceNOW Findings and Plan for
Future Investments in Primary Care Quality
Improvement Infrastructure
Abt $2,258,365 1
Evaluation of the SHARE Approach …