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  1. pbrn.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…
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - FileNewTemplate Module 1: Introduction Office-Based Care Online Course Welcome to Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft, the course director for the TeamSTEPPS 2.0 Online Master Trainer Course.  As a nurse with years of experience in patient safety and qualit…
  3. pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
    January 01, 2013 - Regular neurologic observations for all patients where head injury has occurred or cannot be excluded … cause analysis captures information from the patient, staff, and other witnesses about how the fall occurred … Many falls are unwitnessed, and the patient may not be able to provide accurate information about what occurred
  4. pbrn.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…
  5. pbrn.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…
  6. Slide 1 (ppt file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - Description Phase Recap of what happened in the scenario Team members share their perspectives on what occurred
  7. pbrn.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 This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
    February 19, 2014 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective
  9. pbrn.ahrq.gov/cahps/surveys-guidance/cg/index.html
    September 01, 2023 - visit in which care is delivered and received at the same time, regardless of whether the interaction occurred
  10. Improving-Facnotes (doc file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module Facilitator Notes SAY: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
  11. pbrn.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
  12. pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
  13. pbrn.ahrq.gov/teamstepps/simulation/traininggd1.html
    July 01, 2016 - rating scale is designed to rate the quality of a response (and not just whether or not the response occurred
  14. pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
    December 01, 2015 - 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 …
  15. pbrn.ahrq.gov/questions/resources/index.html
    November 01, 2020 - SHARE: More topics in this section Questions Are the Answer About Questions are the Answer The 10 Questions You Should Know Be More Engaged in Your Healthcare QuestionBuilder App Videos Resources Medical Journal Print Ad …
  16. pbrn.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - SHARE: More topics in this section News Newsroom Blog Newsletter Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems National Advisory Council Meetings AHRQ Research Confere…
  17. pbrn.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
  18. pbrn.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and …
  19. pbrn.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
  20. pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/overview.html
    January 01, 2013 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Preve…

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