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221. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
     April 01, 2022 - Moving to putting in a nurse-driven protocol is a great idea because those conversations at rounds are occurring

222. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
     January 01, 2004 - studies, health care providers offered detailed and honest accounts of error-related events, some occurring … discussed the case studies with one another, it became easier to raise and discuss issues that were occurring

223. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - understanding of the risk factors for medication errors and how to effectively prevent medication errors from occurring

224. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

225. Serious Reportable Adverse Events in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

226. TeamSTEPPS 2.0 Module 3: Communication
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
     December 01, 2005 - As one nurse covers for another, there's another hand-off that's occurring. … We see this check-back-- this closed loop communication occurring every day in the medical profession … hand-off tool and share with the person they're handing-off to, so all that information transfer is occurring

227. TeamSTEPPS 2.0 Module 11: Implementation Planning
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
     November 02, 2018 - It would also help to promote the maintenance and spread all the positive changes that are occurring

228. Aspiration Pneumonitis/Pneumonia (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
     November 01, 2019 - Aspiration Pneumonitis/Pneumonia Diagnosis • Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric contents. o It can progress quickly to a decline in respiratory status followed by rapid improvement within 48 hours of the insult. o Chest x rays appear similar to multi…

229. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - Using this process, they found that harmful DEs were common, occurring in about 7% of hospitalized patients

230. Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
     November 01, 2019 - Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory T…

231. Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
     September 01, 2022 - Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections Best Practices in the Management of Patients With Antibiotic Allergies Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(22)-0030 September 2022 Antibiotic Allergies AHRQ Safety Program for Improving Antibiotic Us…

232. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
     July 25, 2023 - research division within the Joint Commission published a summary of health care worker violent deaths occurring … violence rate  Verbal abuse  No significant increase in prevalence 85% vs 80%  More frequently occurring … verbal abuse (which was already high), but there was a significant increase in frequency of verbal abuse occurring

233. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

234. Data Measures Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

235. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

236. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Hospital ___________ Unit___________ Month ___________ Please record the following occurrences for all patients in your unit within the selected month. ________ Total number of patients on mechanical ventilation ________ Total number of episodes of mechani…

237. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
     April 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

238. Learning from Errors in Ambulatory Pediatrics (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - Learning from Errors in Ambulatory Pediatrics 355 Learning from Errors in Ambulatory Pediatrics Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods, Eric J. Slora, Richard C. Wasserman, Lynne Uhring Abstract Background: Approximately 70 percent of pediatric care occurs in ambulatory settings, …

239. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-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.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…

240. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …