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University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html

February 01, 2024 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Conne…
TeamSTEPPS 2.0 Module 5: Situation Monitoring

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx

February 06, 2006 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … scan and assess elements of the situation so that our perceptions match our predictions of what's to occur … perception, or understand that there's just a minimal delay before the normal events of the day will occur … Some of the specific examples for where failure can occur in the STEP process-- remember the STEP mnemonic … It is important to establish the expectation that these team events will occur and that all team members
Advancing the Science and Implementation of Patient Narrative Elicitation and Reporting | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html

August 01, 2019 - What would it take for these kinds of improvements to occur in other health systems?
Fuzzy-Set Qualitative Comparative Analysis: A Configurational Comparative Method to Identify Multiple Pathways to Improve Patient-Centered Medical Home Models (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/FuzzySet_031513comp.pdf

March 01, 2013 - for the effect of each individual characteristic holding equal the other 1 Necessary relationships occur … Sufficient relationships occur when a characteristic, or combination of characteristics, is observed
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Appendix | PCMH Resource Center

pcmh.ahrq.gov/page/building-evidence-base-medical-home-what-sample-and-sample-size-do-studies-need-appendix

October 01, 2011 - Contamination might occur if some clinicians within a practice were in an evaluation’s intervention group
Module 19: Conducting a Kickoff Meeting (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-19-kickoff-meetings.pdf

September 01, 2015 - M19-4 Meeting Logistics You will be responsible for scheduling the kickoff meeting, which should occur
Course Evaluation | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/instructor/reference/smpcefm.html

March 01, 2014 - Describe the impact of errors and why they occur.................................... 1 2 3 3.
Using Pragmatic Clinical Trials to Test the Effectiveness of Patient-Centered Medical Home Models in Real-World Settings | PCMH Resource Center

pcmh.ahrq.gov/page/using-pragmatic-clinical-trials-test-effectiveness-patient-centered-medical-home-models-real

March 01, 2013 - other decisionmakers about the effectiveness of PCMH models and other health care interventions that occur … PCTs address practical questions about the risks, benefits, and costs of an intervention as they would occur
Using Pragmatic Clinical Trials to Test the Effectiveness of Patient-Centered Medical Home Models in Real-World Settings (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/UsingPragmatic_032513comp.pdf

March 01, 2013 - other decisionmakers about the effectiveness of PCMH models and other health care interventions that occur … address practical questions about the risks, benefits, and costs of an intervention as they would occur
SOPS Community Pharmacy Survey Items and Composites (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf

June 19, 2018 - When patient safety issues occur in this pharmacy, staff discuss them. B15.
TeamSTEPPS2.0_final (doc file)

pcmh.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)

pcmh.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

pcmh.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

pcmh.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

pcmh.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

pcmh.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
AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality

pcmh.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

pcmh.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)

pcmh.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)

pcmh.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