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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
February 06, 2006 - A loss of situation awareness results in ambiguity, confusion, and a decrease in communication. … An example of loss of situation awareness that I can share is while driving, I'll be focused on a news … Usually the loss of situation awareness is as a result of the team members failure to share information
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - ROI less than 1: With an ROI of less than 1, the improvement actions yield a net loss from changes in
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pbrn.ahrq.gov/sites/default/files/docs/AHRQ-PBRN-Webinar-PRECIS-RE-AIM.pdf
September 10, 2015 - Applying the
PRECIS criteria to describe three effectiveness trials of weight loss in obese patients
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - For example, greater analytic
rigor is required for shared loss arrangements than for
financially safer … support clinicians in making
accurate and timely diagnoses while minimizing the risk of
burnout and loss
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - ROI less than 1: With an ROI of less than 1, the improvement actions yield a net loss
from changes in
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pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Image: Poster with the words "Medical Studies Indicate Most People Suffer A 68% Hearing Loss When Naked
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Due to few pediatric studies, it is undetermined if this is a current safe practice.1,12
o Low-air-loss
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Fear of:
Loss of reputation and trust.
Being sued.
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pbrn.ahrq.gov/sites/default/files/docs/AHRQ_PBRN_Webinar_IRB_Challenges_QI_Research_5.27.15.pdf
September 10, 2015 - Collaborating Studies
• Randomized weight loss trial comparing meat
to mushroom diets.
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pbrn.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 2014 - During a particularly long case, both the anesthesia provider and the circulating nurse notice blood loss
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set
SOPS Health IT Patient Safety Supplemental Item Set Resource List 1
Improving Health Information Technology (IT) Patient
Safety: A Resource List for Users of the A…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - of Falls
Accidental Fall
Determine Preventability
E.g., Postural hypotension
Weak or impaired gait
Loss
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Fear of:
■ Loss of reputation and trust.
■ Being sued.