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TeamSTEPPS2.0_final (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/smpcefm.docx

May 02, 2006 - Describe the impact of errors and why they occur 1 2 3 3.
Safemed Facguide (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx

May 01, 2017 - change in patient condition, errors in dosing, etc.) will be caught by a check or team alert when they occur … misses and adverse events related to oxytocin use Having a process in place to review inductions that occur
Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html

February 01, 2023 - SHARE: More topics in this section Talking Quality Plan Your Reporting Project Select Measures To Report Domains of Healthcare Quality Types of Quality Measures Data Sources Key Questions About Measures Measures in Different…
Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html

July 01, 2022 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Major Study Finds Significant National Patient Safety Im…
Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/long-covid.html

March 01, 2023 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders Long COVID is a Case Study of Our Fractured Healthcare System MAR 21 …
EvidenceNOW: Northwest Cooperative | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/northwest.html

March 01, 2021 - practice team at the initial welcome visit and again around the fourth in-person visit, which will occur
Search By Author - A | Practice-Based Research Networks | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/tools-and-resources/pbrn-literature/pbrn-bibliography-by-author

January 01, 2015 - More PBRN Listserv PBRN Literature Research By Year Search By Author Bibliography Search Essential PBRN Literature Funding Opportunities PBRN Listserv PBRN Literature Research By Year Search By Author Bibliography Search Essential PBRN Literature Funding Oppor…
AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/policy/electronic/privacy/infosecurity.html

August 01, 2018 - SHARE: More topics in this section Policies Policies AHRQ Equal Employment Opportunity Policy Web Site Policies Accessibility Web Site Disclaimers Linking to the AHRQ Web Site Plain Language at AHRQ AHRQ Privacy Policy…
Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.html

September 01, 2022 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets National Healthcare Quality & Disparities Rep…
Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf

November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested that “A…
Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf

February 01, 2011 - into the event to divert the team’s attention from other events that are occurring or are about to occur … checklists are event-based and the scenarios are scripted in advance, the rater knows when each event will occur … the combination of focusing on the presence or absence of key behaviors and controlling events that occur
7. Conclusions and Recommendations | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html

July 01, 2021 - projects to generate impact across all categories, and the impacts of specific projects may not always occur
Module 2: How To Manage Change (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx

August 24, 2017 - usually answers the following questions: What prevention practices are being used, and when do they occur … Audits or observations by the Team occur at designated times (e.g., during the first week after rollout
Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html

September 01, 2017 - usually answers the following questions: What prevention practices are being used, and when do they occur … Audits or observations by the Team occur at designated times (e.g., during the first week after rollout
Universal ICU Decolonization: An Enhanced Protocol (pdf file)

pbrn.ahrq.gov/sites/default/files/publications/files/universalicu.pdf

September 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and patient safety interventions usually occur … Attribution to an ICU is defined by the CDC as events that occur more than 2 days after ICU admission … In addition, if a physician orders nares screening for any reason, then screening should occur. … In rare case reports, anaphylaxis can occur (difficulty breathing; tightness in the chest; swelling … For example, this may occur if CHG enters the ear canal and the patient has a perforated (punctured
Key Driver 2: Implement a Data-driven Quality Improvement Process to Integrate Evidence into Practice Procedures | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html

November 01, 2018 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Tools for Change Key Driver Diagram Full Description of Key Drivers Key Driver 1: Seek Evidence Key Driver 2: …
Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html

July 01, 2021 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders Investing in Primary Care to Ensure High-Quality Care for All Americans …
Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf

January 01, 2013 - Tools for Reducing Central Line-Associated Blood Stream Infections Tools for Reducing Central Line-Associated Blood Stream Infections January 2013 1 Table of Contents Purpose of the tools ........................................................................…
Mod03-Gap-Analysis-Guide (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf

April 01, 2016 - – Discussion about who should participate in each gap analysis focus group should occur early (at
AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx

May 01, 2017 - Unit can decide its approach to reviewing cases of elective or medical inductions that occur outside … patient/caregiver; ask the patient/caregiver to monitor these signs and notify the nurse if these signs occur