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  1. pbrn.ahrq.gov/news/newsroom/ahrq-stats.html
    November 01, 2023 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events AHRQ Stats New data nuggets from AHRQ News Now …
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
    January 01, 2008 - response to the Institute of Medicine’s To Err Is Human report that indicated that 98,000 deaths annually occur … interventions should address the frequency, complexity, and nature of teamwork and communication failures that occur … Finally, your team is safer, allowing it to more readily identify and correct errors if they occur. … Slide * TeamSTEPPS 06.1 | Rapid Response Systems Rapid Response Systems WHERE CAN DETECTION OCCUR
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety Rapid Response for Perinatal Safety SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for responding to urgent maternity care issues. Slide …
  4. pbrn.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
    July 01, 2013 - 0.33 Not measuring TNA Fully out, = 0 Slide 11 Necessity and Sufficiency Necessary relationships occur … Sufficient relationships occur when a characteristic, or combination of characteristics, is observed
  5. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    May 01, 2017 - in patient condition, errors in dosing, etc.) will be caught by a check or team alert when they occur … and adverse events related to oxytocin use • Having a process in place to review inductions that occur
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    August 31, 2017 - usually answers these questions: What prevention practices are being used, and when does the practice occur … Audits or observations by the Implementation Team occur at designated times (such as during the first
  7. pbrn.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
    November 01, 2022 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders The 2022 National Healthcare Quality and Disparities Report: We Still Have Much Work…
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - observed numbers of specific types of infections to the numbers of infections that were predicted to occur … their underlying health status, their risks of contracting CAUTIs, and the consequences of CAUTIs that occur … their underlying health status, their risks of contracting CAUTIs, and the consequences of CAUTIs that occur … • An estimated 400,000 preventable ADEs occur each year in U.S hospitals, generating additional costs … • Changes in the number of providers within each type occur for several reasons, including listing
  9. pbrn.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
    April 01, 2017 - TeamSTEPPS reflects the dynamics that can occur when teams consist of physicians, nurses, and technicians … If train-the-trainer sessions will occur onsite, you will not incur travel expenses.
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - Nevertheless, interruptions still occur in all settings, so it is imperative to understand their implications … comprehensive framework describing the interruption process and identifying where interruptions may occur
  11. pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - What types of activities can occur to inform clinicians of the second-victim phenomenon and supportive
  12. pbrn.ahrq.gov/cpi/about/impact/index.html
    April 01, 2017 - the aim of hospital-acquired conditions actually becoming "never events" (that is, they should never occur
  13. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 12, 2018 - Many lesions may occur on the skin. … How often does that occur?
  14. pbrn.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
    July 01, 2019 - The conference process will occur weeks after that.
  15. pbrn.ahrq.gov/news/newsletters/e-newsletter/901.html
    February 01, 2024 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program Issue Number 901 AHRQ News Now i…
  16. pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - 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 …
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
    October 01, 2017 - These visits occur in part because the system of care does not provide patients with the tools, support
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - Problems often occur in the exchange of information across hospital units (1 (2 (3 (4 (5 8.
  19. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
    January 01, 2014 - family members to be effective team members (including what training should consist of, when it should occur
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested that “AHRQ …

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