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  1. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
    May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…
  2. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - That means approximately 1.8 million fewer HACs would occur compared with the number that would have occurred … to the transition from International Classification of Diseases, 9th Revision (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 is based on the number of HACs that would have occurred
  3. pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 3, 2023, and was attended
  4. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - The largest decreases occurred among NH API groups, followed by Hispanic, NH White, and NH Black groups … Decreased hospitalization rates for heart failure occurred in all racial and ethnic groups as well.
  5. pcmh.ahrq.gov/page/cognitive-task-analysis-methods-improve-patient-centered-medical-home-models-understanding-and
    March 01, 2013 - Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work March 2013 AHRQ Publication No. 13-0023-EF Prepared For: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 2085…
  6. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - interventions, and investigations such as lying and standing blood pressure or ophthalmology referral occurred … The strategies implemented… had high acceptance by staff… it is suggested that the higher reductions occurred … less positive characterization comes from Cumming: “The lack of effect was evident in both… wards and occurred
  7. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
    February 09, 2006 - Delivering feedback several days or weeks after poor performance has occurred is too late for it to be
  8. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
    January 01, 2008 - TeamSTEPPS for Rapid Response Systems for Rapid Response Systems TM TEAMSTEPPS 05.2Mod 1 05.2 Page 2Page 2 RRS Overview What is the Rapid Response System? The Rapid Response System (RRS) is the overarching structure that coordinates all teams involved in a rapid response call What is TeamSTEPPS? The Agenc…
  9. pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Medicine,1 and the other by Singh18), as follows: Diagnostic safety event: one or both of the following occurred … event reporting for 5 cases of diagnostic safety events that were familiar to them (e.g., events that occurred
  10. pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
    June 01, 2020 - interagency leveraging of overlaps described those efforts as “kind of accidental coordination” that occurred
  11. pcmh.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
    January 01, 2020 - Feedback should be: Timely —given soon after the target behavior has occurred.
  12. pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-4
    June 01, 2011 - Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms June 2011 AHRQ Publication No. 11-0064 Prepared For: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract Number: HHSA2…
  13. pcmh.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
    April 29, 2024 - SHARE: Filter the Results Search items by keyword Search by Keyword Search   Survey Cancer Care (16) Clinician & Group (173) Health Plan (226) Hospital (54) Population Version Adult (327) …
  14. pcmh.ahrq.gov/patient-safety/settings/hospital/candor/index.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 …
  15. pcmh.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - SHARE: More topics in this section SOPS® About SOPS SOPS Surveys SOPS Databases SOPS Additional Resources SOPS Webcasts SOPS Announcements International Users Hospital SOPS Translation Information Hospital SOPS V…
  16. pcmh.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
    January 01, 2020 - improving team performance Feedback should be: • Timely – given soon after the target behavior has occurred
  17. pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
  18. pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Section 1: Overview of Key Concepts and Tools Section 2: Explana…
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 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.4u Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in chi…
  20. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4…

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