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  1. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - When implementing improvement actions in your hospital, those actions will occur over a period that could … If changes occur over years, you will need to adjust the estimates for inflation and discount future
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - The team should decide whether the debriefing should occur with the patient present.
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
    January 01, 2006 - compare-PSI-rates-average The risk-adjusted rate is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather than its *Note: Risk-adjusted rates are not available in the most up-to-date version of the ICD-10 software. Future versions of the QI software will allow …
  4. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Epibole (rolled edges), undermining, and/or tunneling often occur.
  5. pbrn.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
    January 01, 2020 - 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 …
  6. pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
    July 01, 2023 - Whether timely and appropriate clinical responses occur with respect to EFM findings.
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
    December 01, 2020 - Submission of data to the CAHPS Hospice Survey Data Warehouse will occur quarterly.
  8. pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
    July 01, 2023 - Checklists are cognitive aids that— Reduce slips that occur due to lapses in concentration, distractions
  9. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - TeamSTEPPS Speciality Scenarios, Labor & Delivery TeamSTEPPS 2.0 Specialty Scenarios - 103 Specialty Scenarios L&D Specialty Scenarios - 104 TeamSTEPPS 2.0 Specialty Scenarios L&D Scenario 85 Appropriate for: L&D Setting: Hospital Sue Jones a 28-year-old G1 P0 at term is undergoing an…
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
    July 28, 2016 - How many readmissions occur at your hospital every year? … What you are looking for: Typically, 25% of readmissions occur within 4 days and 50% of readmissions … occur within 10 days Figure 3.
  11. pbrn.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - minute DVD that uses video excerpts of 50 actual chest tube insertions to illustrate problems that can occur
  12. Spreadnotes (doc file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - Knowledge transfer can occur through team presentations, hospital-wide newsletters, a marketing campaign
  13. pbrn.ahrq.gov/hai/cusp/modules/spread/notes.html
    December 01, 2012 - Knowledge transfer can occur through team presentations, hospital-wide newsletters, a marketing campaign
  14. 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 - errors are often slips rather than mistakes Checklists are cognitive aids that— reduce slips that occur
  15. pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-9.html
    September 01, 2020 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
    May 01, 2017 - • Whether timely and appropriate clinical responses occur with respect to EFM findings.
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - for the prevention of pressure ulcers should be structured, organized, and comprehensive and should occur
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - How well does teamwork occur on this unit? What doesn’t work well?
  19. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - When implementing improvement actions in your hospital, those actions will occur over a period that … If changes occur over years, you will need to adjust the estimates for inflation and discount future
  20. pbrn.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
    January 01, 2020 - Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety 2 Table of Contents TeamSTEPPS® • Framework and Competencies ....4 • Key Principles ...............................5 Team Structure • Multi-T…

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