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561. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - component of an LHS.13,14 Further, measurement is only valuable to the extent that it is actionable and leads … Efforts should focus on conditions that have been shown to be relatively common in being missed, which leads

562. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
     May 01, 2017 - Underestimation of blood loss is common and leads to delays in recognition and management.19,27,36-

563. AHRQ Slide Template 2004 (ppt file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
     May 14, 2013 - Thygeson, MD is Senior Vice President and Chief Health Officer, Blue Shield of California, where he leads

564. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
     January 28, 2011 - • Identify a feedback loop at the end of the meeting so that members can contact project leads or

565. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/scenarios/dental.html
     March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

566. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - chance a patient has disease under consideration, both before and after testing.17 This tendency likely leads

567. DARTNet Guided Exploration of Linkages Between Existing Health Data, Patient Reported Outcomes and PBRN Research” Webinar Presentation Slides (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/DARTNetDataWebinar.pdf
     August 18, 2015 - DARTNet Guided Exploration of Linkages Between Existing Health Data, Patient Reported Outcomes and PBRN Research” Webinar Presentation Slides DARTNet Guided Exploration of Linkages Between Existing Health Data, Patient Reported Outcomes and PBRN Research Presented By: Wilson Pace, MD, FAAFP and Chester Fox, M…

568. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
     March 13, 2014 - TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning TeamSTEPPS 2.0 Guide to Action Quick Reference - 1 The Quick Reference Guide to TeamSTEPPS Action Planning Step 1: Create a Change Team Objective: To create a team of leaders and staff members with the authority, expertise, credibility, …

569. TeamSTEPPS 2.0 Module 5: Situation Monitoring
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
     February 06, 2006 - TeamSTEPPS 2.0 Module 5: Situation Monitoring Module 5: Situation Monitoring Online Master Trainer Course Welcome to the Welcome to module five of the TeamSTEPPS 2.0 online master trainer course, Situation Monitoring. This is Dr. Brigetta Craft, and I will be guiding you through this module. Situation monito…

570. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles Patient Safety Organizations: A Summary of 2014 Profiles The safety of patients in health care settings remains a national priority and an important challenge. The Patient Safety Organization (PSO) program, which was authorized by the Patient Safety and Qu…

571. Follow-up Practice Survey Codebook Including Core and Optional Items (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
     August 23, 2018 - Follow-up Practice Survey Codebook Including Core and Optional Items …

572. FileNewTemplate
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
     March 07, 2019 - FileNewTemplate Module 2: Team Structure Office-Based Care Online Course Welcome to Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. The following presentation will cover Module 2, Team Structure, that you, as a practice facilitator, will review. Please select the forwar…

573. How To Implement the Pressure Injury Prevention Program in Your Organization
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     November 20, 2014 - How To Implement the Pressure Injury Prevention Program in Your Organization How To Implement the Pressure Injury Prevention Program in Your Organization ADD Hospital Name here Module 4 What We Have Done Thus Far Up to this point, you have: Looked at your organization’s readiness to improve pressure injury preventi…

574. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation April 13, 2016 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Clinical Performance & Safety Culture Slide ‹#› 1 Rules of Engagement Audio…

575. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.

576. Labor and Delivery Unit Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - The obstetrician/surgeon typically leads the preoperative briefing.

577. National Pcep Meeting White Paper (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
     May 05, 2014 - Rather than push any particular model, successful PCEP efforts, like those developed in Pennsylvania, leads

578. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
     April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD Jennifer Bannon RN BSN MSHI Table of Contents Objectives Cardiovascular Disease Cardiovascular Disease (2) ABCS-Aspirin when appropriate Anatomy of a Performance Measure Measure Exce…

579. Tool 11: Community Resource Guide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
     September 12, 2016 - Tool 11: Community Resource Guide Tool 11: community resource guide Purpose Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…

580. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …