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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading … Introduction Patient falls are the most frequently reported adverse event in hospitals and the leading … visit by the falls team was not punitive in nature; the intent was to investigate the circumstances leading
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
    March 01, 2023 - for AR with peers and other clinicians; • Hospital QI staff and managers who can bring expertise in leading … tracking a measure and call attention to any results that are really good, really troubling, or that are leading
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
    November 01, 2017 - A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings Prepared for: Agency for Healthcare Research & Quality (AHRQ) U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Co…
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
    September 01, 2022 - with the practice’s approach to managing influenza, or delays in receiving influenza testing results leading
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/surgical_roles.docx
    December 01, 2017 - Surgical Safety Team Roles and Responsibilities Tool AHRQ Safety Program for Surgery Surgical Safety Team Roles and Responsibilities Tool Introduction Problem Statement This tool will help your safety program team understand the core tasks of this project and will help you organize your team to complete the work. …
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/2_steven_martino.pdf
    June 25, 2014 - Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? www.cahps.ahrq.gov Part One What have we learned about the effects of including patient comments in public reports? 12 www.cahps.ahrq.gov Research on Reporting Comments: SelectMD 1.0 • How does adding patient co…
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
    January 01, 2019 - complete data •NCINQ: identfied issues with how health plans interpreted measure specifications, leading … NCINQ team found that some plans were interpreting and applying the HEDIS specifications differently, leading
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2018-ACTIONIII-ProjectSummaries.pdf
    January 01, 2018 - barrier is the need for most organizations to independently develop, deploy, and manage CDS content, leading
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
    January 01, 2015 - Measure: Behavioral Health Risk Assessment for Pregnant Women Measure: Behavioral Health Risk Assessment for Pregnant Women Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Patients who received all behavioral health screening risk assessment…
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical inertia is, therefore, a leading cause of potentially preventable adverse events, disability … clinical inertia Prevalence It is clear from numerous clinical trials that the final common pathway leading … A survey of leading chronic disease management programs: are they consistent with the literature?
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
    February 06, 2006 - discussion of this slide. 37 How Shared Mental Models Help Teams Shared mental models can help teams by: Leading … a mutual understanding of problems, goals, team strategies, patients’ conditions, and plans of care Leading … Here's some ways that shared mental models are used by teams-- leading to a mutual understanding of problems … and goals, team strategies, patient's condition, and plan of care; leading to more effective communication … Tools & Strategies Summary 39 TOOLS and STRATEGIES Communication SBAR Call-Out Check-Back Handoff Leading
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt.pdf
    January 01, 2007 - o Module 1 – Introduction o Module 2 – Team Structure o Module 3 – Communication o Module 4 – Leading … • Module 1 – Introduction • Module 2 – Team Structure • Module 3 – Communication • Module 4 – Leading … separate sessions: o Session 1 provides Modules 1-4 (Introduction, Team Structure, Communication, and Leading … Team Structure 1010 – 1055 Module 3 – Communication 1055 – 1110 Break 1110 – 1200 Module 4 - Leading …    • Call-Out  • Check-Back      • IPASSTHEBATON    • Time-Out  LEADING
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt-cx062819.pdf
    January 01, 2007 - o Module 1 – Introduction o Module 2 – Team Structure o Module 3 – Communication o Module 4 – Leading … • Module 1 – Introduction • Module 2 – Team Structure • Module 3 – Communication • Module 4 – Leading … separate sessions: o Session 1 provides Modules 1-4 (Introduction, Team Structure, Communication, and Leading … Team Structure 1010 – 1055 Module 3 – Communication 1055 – 1110 Break 1110 – 1200 Module 4 - Leading …   • Handoff    • Call-Out  • Check-Back      • IPASSTHEBATON    • Time-Out  LEADING
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
    December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans Systems Change: Laying the Foundation, Leadership and Action Plans K i m N e w l i n , R N , C N S , A N P - C K a t h l e e n T r a y n o r , RN, MS, FAACVPR F e b r u a r y 2 7 , 2 0 2 0 Module 2 American Hospital A…
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
    September 01, 2015 - to the Centers for Disease Control and Prevention’s National Healthcare Safety Network, and are the leading
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
    March 01, 2010 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast The Value and Impact of CAHPS Paul D. Cleary, Ph.D. Yale School of Public Health www.ahrq.gov/cahps Reported Patient Experiences are Related to other Important Processes and Outcomes Among dozens of studies examined in a recent systematic revie…
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
    January 01, 2017 - improve organizational performance B WORK Change Capacity: Organizational competency in planning, leading
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_comm_evbase.pdf
    August 20, 2013 - Leading clinical handover improvement: a change strategy to implement best practices in the acute care
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
    April 01, 2016 - from causes other than atherosclerosis (some heart failure, some stroke) Cardiovascular Disease (2) Leading

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