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2281. TeamSTEPPS Pocket Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
      May 01, 2023 - TeamSTEPPS Pocket Guide Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety Table of Contents TeamSTEPPS® ................................................. 1 Framework and Competencies ........................1 Key Skills .........................................................…

2282. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
      January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality Final Progress Report 1. Title Page Title: Development and Validation of a Tool to Evaluate Handoff Quality Principal Investigator and Team Members: Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…

2283. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

2284. Third Annual CHSP CoE Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
      January 01, 2019 - Third Annual CHSP CoE Workshop ISSUE BRIEF Third Annual Workshop of the Comparative Health System Performance Initiative Executive Summary The Agency for Healthcare Research and Quality (AHRQ) hosted the Comparative Health System Performance (CHSP) Initiative’s third annual workshop on September 25, 2018, to …

2285. Importance of MRSA and SSI Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
      April 01, 2025 - Importance of MRSA and SSI Prevention Importance of MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services I…

2286. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - These events occur for a variety of reasons, such as poorly designed systems, inadequate training, communication … One study estimated that 1,200 to 2,700 events occur annually in the United States.20 Based on a review … Increasingly complex and invasive procedures now occur routinely in other settings, particularly imaging

2287. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
      February 01, 2018 - Limited Assistance (LA) • Extensive Assistance (EA) • Total Dependence (Total) • Activity Did Not Occur … Limited Assistance (LA) • Extensive Assistance (EA) • Total Dependence (Total) • Activity Did Not Occur … value by taking the highest (or worst) value recorded for that week: • Do no use Activity Did Not Occur

2288. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
      July 01, 2023 - Understand the Science of Safety for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Describe the h…

2289. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
      April 01, 2022 - So, we have incorporated that question into our interdisciplinary rounds that occur each day on our

2290. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
      August 01, 2022 - Discussion about who should participate in each gap analysis focus group should occur early (at least

2291. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…

2292. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
      November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-00…

2293. Recruitment Process Diagram Northwest (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
      June 19, 2015 - Recruitment Process Diagram Northwest Draft H2N Recruitment Process Flow June 19, 2015 Practice completes interest form Interest form is received in H2N email box Recruiter sends an email to practice scheduling time for a phone conversation, provides some additional information about H2N via email…

2294. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
      July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dy…

2295. Chapter 5 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
      August 01, 2022 - regarding the circumstances, caveats, and limitations for when public reporting should or should not occur … The systems could flag reports that occur significantly after the event, which may be used differently

2296. Cover slide
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
      May 01, 2013 - education Organizations should be prepared to respond and communicate proactively when adverse events occur

2297. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Self-Assessment Worksheet Section 1: Screening for Pressure Ulcer Risk Section 2: Pressure Ulcer Prevention Plan Section 3: Communication Practices Section 4: Investigations/Root Cause …

2298. HAC National Scorecard 2014-16 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
      January 01, 2014 - HAC National Scorecard 2014-16 8,000 Inpatient Deaths Averted HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report “National Scorecard on Rates of H…

2299. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
      October 01, 2015 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur

2300. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
      February 01, 2017 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur