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81. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
    September 01, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … injury, they begin to get a picture of the severity of the falls and where the most injurious falls occur

82. 6 Tk1 T3-Resident Information Sheet Antibiotic-Resistant Bacteria Final (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
    October 01, 2016 - An infection can occur when the antibiotic-resistant bacteria grow quickly and are not controlled by

83. Concept: Conflict in Teams | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
    July 01, 2023 - Concept: Conflict in Teams It is important to acknowledge that conflict can occur

84. AHRQ Challenge on Designing the Optimal Future State of CDS Connect | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/challenges/cds-connect/index.html
    February 01, 2024 - Phase 2 presentations will occur during mid- to late-January 2024. … February 2024—Phase 2 presentations will occur.

85. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/funding/training-grants/r36.html
    November 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

86. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - The Axioms of Service Recovery When problems with service do occur—and they will—your organization

87. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - An estimated 250,000 diagnostic errors occur annually in U.S. hospitals.

88. Fact Sheet on Pediatric Quality Indicators (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - The hospital PDIs screen for problems that occur while a patient is hospitalized and that patients experience

89. TeamSTEPPS 2.0 Module 1: Introduction
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
    January 01, 2011 - be able to discuss the TeamSTEPPS Master Trainer course, describe the impact of errors and why they occur … These errors can occur for many reasons, and a single error can often be linked to a number of causal … is going to be safer, allowing the team to more readily identify and correct errors if they should occur … learned to: Describe the TeamSTEPPS Master Trainer course Describe the impact of errors and why they occur … learned to describe the TeamSTEPPS Master Trainer Course, describe the impact of errors and why they occur

90. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/nhguide/about/index.html
    March 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

91. Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/research/publications/search.html?page=17
    March 01, 2010 - Number: 10-0058-EF 10 Patient Safety Tips for Hospitals Medical errors may occur

92. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
    August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™? Is Your Organization Ready for TeamSTEPPS™? Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or to answer the questions with a large…

93. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
    August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™? Is Your Organization Ready for TeamSTEPPS™? Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or to answer the questions with a large…

94. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
    January 01, 2013 - These are falls that occur in patients who have risk factors for falls that can be identified in advance … These are falls that occur in a patient who is otherwise at low fall risk, because of an event whose … These falls occur in otherwise low-risk patients due to an environmental hazard. … If these alerts occur too frequently or inappropriately, they will be ignored. … If learning needs have been identified, teaching to address knowledge gaps can occur.

95. CAHPS Cancer Care Supplemental Items (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-english-557a.pdf
    November 28, 2016 - Please note: Some items cover events that occur with low frequency in the general population.

96. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    talkingquality.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.…

97. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Often, care navigators do not make appointments within the 14-day window in which most readmissions occur … engagement of primary care staff across different role types will help inform an effective system that can occur … medical assistants, front desk staff) • Clarification of the transitional care activities that occur

98. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge

99. Toolkit To Promote Safe Surgery | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/tools/surgery/index.html
    December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur

100. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - Some of these elements, such as screening for behavioral health and patient education needs, occur on