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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
March 01, 2022 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - Miscommunication occurred in the scenario when the night shift failed to properly flag the patient's … resident's care, treatment and services, current condition, and any recent or anticipated changes that have occurred
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective
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pcmh.ahrq.gov/funding/training-grants/r36.html
November 01, 2023 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
Con…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
May 17, 2021 - Job Aid: Process Mapping
Primary Care Practice Facilitator
Training Series
1
Job Aid: Process Mapping
Overview
Process mapping, also called workflow mapping, allows a practice to "see" an entire work
process from beginning to end.
When to use process mapping
Use process mapping to help a p…
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pcmh.ahrq.gov/health-literacy/index.html
SHARE:
Health Literacy
Improvement Tools
Tools to help healthcare organizations, leaders, and professionals improve health literacy
…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
March 10, 2006 - skills
Designed to improve outcomes
An accurate recounting of key events
Analysis of why the event occurred … When doing a debrief, what you really want to be able to do is accurately go through the events that occurred … and document them, analyze why an event occurred if that was a problem-- regardless, you want to know … by asking questions related to team performance
Recap the situation, background, and key events that occurred
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - reductions seen in 2015, 2016, and 2017 compared with 2014, AHRQ
estimates a total of 910,000 fewer HACs occurred … That means approximately 1.8 million fewer HACs
would occur compared with the number that would have occurred … for
2018, and 2019 as the data become available.
12 Due to the transition from ICD-9 to ICD-10 that occurred … the number of events (HACs) for the full year of 2015.
13 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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pcmh.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - SHARE:
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News
Newsroom
Blog
AHRQ Views
Newsletter
Events
AHRQ Views: Blog posts from AHRQ leaders
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors
AUG
22
20…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pcmh.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
June 01, 2019 - Description Phase
Recap of what happened in the scenario
Team members share their perspectives on what occurred
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pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 2. Talking With Residents’ Family Members—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiot…
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pcmh.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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pcmh.ahrq.gov/page/patient-centered-medical-home-decisionmaker-brief-improving-evaluations-medical-home
September 01, 2011 - Without comparison practices, it is not possible to identify and control for changes that would have occurred
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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pcmh.ahrq.gov/nhguide/about/index.html
March 01, 2023 - SHARE:
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Nursing Home Antimicrobial Stewardship Guide
About the Guide
Choosing the Right Toolkit
Toolkits
About the Nursing Home Antimicrobial Stewardship Guide
What Is the Nursing Home An…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - It also helps everyone understand why the event occurred and how it could be prevented in the future. … rapid response
· Nature of assistance provided during response
· Whether a debriefing with primary team occurred
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pcmh.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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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - patients’ goals and priorities with an emphasis on their understanding of what
contributed to and occurred