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ahrqpubs.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - Skip to main content
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - information to improve service processes
Stop handling problems one at a time as if they have never occurred
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of the Comprehensive Unit…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 5 Tools
Tool 5A: Information to Include in Incident Reports
Tool 5B: Assessing Fall Prevention Care Processes
Action Plan Tool to Measure Fall Rates and Fall Prevention Practices
5A: Information To Include in Incident Reports
Background: The purpose of this tool…
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ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Skip to main content
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Improving Teamwork and Communication
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Improving Teamwork and Communication
Long-Term Care
SAY:
Welcome to this presentation, “Improving Teamwork and Communication.”
Slide 1
Objectiv…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - A second theme is that many primary care-initiated care transition programs occurred within the
context … Whether or not these reviews occurred, the primary
care followup visit remained highly valuable to patients
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - Significant improvements have occurred for people receiving care at home.
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ahrqpubs.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html
November 01, 2018 - results – including team-specific results – with practice goals will confirm if planned changes have occurred
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - reductions seen in 2015, 2016, and 2017
compared with 2014, AHRQ estimates a total of 910,000 fewer HACs occurred … 9 Due to the transition from ICD-9 to ICD-10 that occurred … the number of events (HACs) for the full year of 2015.
10 Due to the ICD-9 to ICD-10 transition that occurred … discharges, i.e., the
number of HACs shown in 2015–2017 is based on the number of HACs that would have
occurred
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ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Think about how this communication would have been more challenging if it had occurred in a series of
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - trend-observed
The observed rate is the actual rate at which events measured by the indicator occurred … trend-observed-expected
The observed rate is the actual rate at which events measured by the indicator occurred
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Skip to main content
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ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - process failures (DPFs) in a cohort of representative cases. 1 Most of the significant DPFs (63.3%) occurred
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ahrqpubs.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Skip to main content
An official website of the Department of Health and Human Services
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - cases (PPV
<1) (e.g., individuals were coded as having a patient safety event when no event actually
occurred … that arrived at the hospital with a condition that would be coded as
a patient safety event had it occurred
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
August 31, 2023 - TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department
TeamSTEPPS Video Debrief Guide: Huddle in Emergency
Department
Video Objective
To demonstrate the benefits of a team huddle to enhance performance and patient safety.
TeamSTEPPS Tool or Concept
Huddle.
Brief Video Description
A multidisciplinary …
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 14, 2023, and
was attended