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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - Situation Monitoring: Severe Hypertension Hospital AIM Team Leads SPPC‐II Situation Monitoring … establish our shared understanding of the situation with our teammates. 1 Hospital AIM Team Leads … 3 Hospital AIM Team Leads SPPC‐II What Do You See? … 13 Hospital AIM Team Leads SPPC‐II Application to 4 Rs: Briefs & Huddles Readiness Every … We will also proceed with induction of labor.” 23 Hospital AIM Team Leads SPPC‐II en si o
  3. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.
  4. Program Evaluation (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … background data that justify the need for our program and its evaluation. 3 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What
  5. Program Evaluation (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … the proposed evaluation approach for the SPPC–II Demonstration Project. 2 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What
  6. Program Evaluation (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … the proposed evaluation approach for the SPPC–II Demonstration Project. 2 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.
  8. Program Evaluation (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II … module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads … background data that justify the need for our program and its evaluation. 3 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II Growing Interest in Severe Maternal Morbidity (SMM) □ Calls by … SPPC‐II Key Program Evaluation Concepts 10 10 Hospital AIM Team Leads SPPC‐II What
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
    July 01, 2023 -                                                                                         Hospital AIM Team Leads … team structure and assembly. 1 Obstetrics is a Multi‐Team System (MTS) Hospital AIM Team Leads … Words & Two Challenges • Ask her for her feedback o Call‐Outs and Check‐Backs Hospital AIM Team Leads … Select for more information. 10 https://www.ahrq.gov/teamstepps/rrs/index.html Leads SPPC‐II … As Hospital AIM Team Leads, it is part of your role to help them see the value in these tools.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60309/psn-pdf
    May 06, 2020 - COVID-19 leads to increased need for dialysis machines. May 6, 2020 Mosley T. Here & Now. … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines Comorbidities can result … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines https://psnet.ahrq.gov/issue
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
    December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro Implementation of an Event Reporting and Learning System Leads to Improvements
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 -                                                                             Hospital AIM Team Leads … Individual o Support the patient, self, and Awareness other team members Hospital AIM Team Leads …                                                                               Hospital AIM Team Leads … Hospital AIM Team Leads SPPC‐II 5                                                         … Hospital AIM Team Leads SPPC‐II e  H em o rr h ag ri c H u d d le et O b st 18 Great
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork … Number of staff within unit/work area: Physicians: Nurses: Midwives: Other: 2 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT By this time, you probably already have your Hospital AIM Team … 5 Hospital AIM Team Leads SPPC-II SCRIPT Work like this often requires the involvement of multiple … 13 Hospital AIM Team Leads SPPC-II TALKING POINTS Who will you target for training? 1.
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 7 of the SPPC-II Teamwork … Number of staff within unit/work area: Physicians: Nurses: Midwives: Other: 2 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT By this time, you probably already have your Hospital AIM Team … 5 Hospital AIM Team Leads SPPC-II SCRIPT Work like this often requires the involvement of multiple … 13 Hospital AIM Team Leads SPPC-II TALKING POINTS Who will you target for training? 1.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73498/psn-pdf
    July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. … When medical care leads to harm- difficulty finding words: a teachable moment. … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment https
  17. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts SPPC-II/Demonstration Project evaluation approach 2 Hospital AIM Team Leads … the national AIM program SPPC-II Demonstration Project in Oklahoma & Texas 4 Hospital AIM Team Leads … Hospital AIM Team Leads SPPC-II SCRIPT The most common causes of maternal mortality in the United States … 23 Hospital AIM Team Leads SPPC-II This concludes the presentation for the Evaluation Module.
  19. www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
    October 01, 2012 - State leads and the NPT received positive feedback from unit teams on this peer-to-peer teaching. … to learn how to coach on their own, the NPT developed a schedule in which State leads coached teams … To keep State leads informed, HRET created a weekly update, which State leads could use in turn to communicate … After this point State leads led the coaching calls on their own. … NPT Support to State Leads 9.
  20. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
    July 01, 2023 - No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Thank you for participating in the Safety … Patient Safety Bundles The Master Clinical Scenario: Obstetric Hemorrhage 2 ‹#› Hospital AIM Team Leads … healthcare through multidisciplinary collaboration that drives culture change. 3 Hospital AIM Team Leads … Sonentag, obstetrician Hospital AIM Team Leads SPPC-II SCRIPT The obstetrician, Dr. … Sonentag, obstetrician Allison, L&D nurse Hospital AIM Team Leads SPPC-II SCRIPT Ms.