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  1. ce.effectivehealthcare.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…
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
    January 20, 2006 - PRIMARY CARE OFFICE-BASED TEAMS Leading Teams for OFFICE-BASED CARE Leading Teams ® TeamSTEPPS | Office-Based Care Leading Teams Slide ‹#› INTRODUCTION SAY: Leadership is a critical component of effective team performance and the second component of TeamSTEPPS that we will consider. MODULE TIME:…
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
    September 20, 2016 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…
  4. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.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 …
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
    July 30, 2008 - One way of responding to the changes occurring in health care is to get out in front of them and consider
  6. ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 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 …
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - stage.15 Because administration occurs at the end of the medication use process, with no naturally occurring … documentation of detected/prevented errors, specifically, types of errors; where/when errors were occurring
  8. ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
    December 01, 2012 - CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
  9. ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
    January 01, 2013 - the immersion calls, the mid-course meeting was approximately 12 months later, with the final meeting occurring
  10. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
    October 01, 2014 - Many of the trends occurring in care management, such as population-based approaches and managing comorbid
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
    May 01, 2016 - was fairly high, with 91 percent of transfusions meeting the numerator criteria of a transfusion occurring
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
    October 01, 2014 - significant costs attributable to a greater need for health care, more frequent unintentional injury, co-occurring
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p013-ef.pdf
    February 01, 2016 - likely to be responsive to changes in health that result from health care interventions or naturally occurring
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
    January 01, 2003 - of mistakes that led to adverse patient outcomes, (b) the wide variety of mistakes and near misses occurring … surgery, with the opposite holding true in the MICU; (b) more technical than judgmental mistakes occurring … interviews with the surgical residents, a link was implied between the high percentage of mistakes occurring … since most mistakes do no harm to patients) Creates a barrier in the form of a learning “bias,” occurring … , given competitive nature of residency environments A wide variety of mistakes and near misses occurring
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - Reporting systems will need to be flexible regarding analysis and other activities occurring at local … goals for consumer reporting systems. 27 flexible regarding analysis and other activities occurring … As such, consumers may be able to provide much more information on events occurring during transitions … vigilant health care professionals and systems will attempt to both prevent patient safety events from occurring
  16. ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/845.html
    January 01, 2023 - Emergency Department Visits Despite no significant change in mental health emergency department visits occurring
  17. ce.effectivehealthcare.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…
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Advisory Council Session Preparation The purpose of the focus group sessions is to learn what is occurring … ■ Advise participants that the focus is on learning about what is occurring at the institution as
  19. ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
    March 01, 2019 - 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 …
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…

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