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AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality

pcmh.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…
AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)

pcmh.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
AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality

pcmh.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 …
B3A Combo Chartsforpresentations (xls file)

pcmh.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
Overview | Agency for Healthcare Research and Quality

pcmh.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…
Facapplycusp (doc file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx

September 04, 2012 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
The SHARE Approach: A Model for Shared Decisionmaking - Fact Sheet | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html

September 01, 2020 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
About Learning Health Systems | Agency for Healthcare Research and Quality

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May 01, 2019 - SHARE: More topics in this section Learning Health Systems Supporting Learning Health Systems Building the Workforce Exploring Learning Health Systems' Needs About our Work on Learning Health Systems Resources Lessons from the Fie…
Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html

May 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria Comprehensive Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers …
Documentation and Coding for Patient Safety Indicators (pdf file)

pcmh.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
Team Training in Healthcare and TeamSTEPPS at Johns Hopkins

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx

January 01, 2013 - Team Training in Healthcare and TeamSTEPPS at Johns Hopkins Team Training in Healthcare and TeamSTEPPS at Johns Hopkins December 11, 2013 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS 1 Acknowledgements Project Sponsors Jim Battles, PhD (AHRQ) Heidi King, MS (DoD) Project Team Health Research & Educati…
TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)

pcmh.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 …
Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary (pdf file)

pcmh.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
Diagnostic Safety and Quality | Agency for Healthcare Research and Quality

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January 01, 2007 - SHARE: Diagnostic Safety and Quality Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Identifying themes related to the curren…
Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html

May 01, 2017 - investigated and analyzed (e.g., a root cause analysis may be conducted) to determine if patient harm has occurred
TeamSTEPPS Fundamentals Course: Module 2. Team Structure | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module2/slteamstruct.html

July 01, 2018 - 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 …
Reducing Workplace Violence with TeamSTEPPS® | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/events/webinars/dec-2016.html

July 01, 2018 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars Reducing Workplace Violence with TeamST…
Tool: Cross-Monitoring | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html

June 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Module 2: Team Leadership Module 3: Situation Monitoring S…
About TeamSTEPPS 2.0 | Agency for Healthcare Research and Quality

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June 01, 2019 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Readiness Assessment Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars About Te…
AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html

January 01, 2024 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports AHRQ-Funded Patient Safety Research Featured in Health Affairs Medical Liability …