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61. Selected Best Practices and Suggestions for Improvement (pdf file)
    talkingquality.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…

62. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 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 …

63. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - b) communicate that explanation to the patient.”5 Even a conservative estimate of diagnostic error occurring

64. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - 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 …

65. Selected Best Practices and Suggestions for Improvement (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - • Postoperative sepsis remains a major surgical complication in children, occurring in around 10 per

66. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - Be proactive, not reactive; try to anticipate negative situations from occurring in the first place.

67. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
    June 30, 2017 - Module 5: How To Measure Fall Rates and Fall Prevention Practices Module 5: How To Measure Fall Rates and Fall Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor fall rates and fall prevention practices. Module Goals The goals of Module 5 are to have the Implementa…

68. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of the Comprehensive Unit…

69. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropr…

70. Communication-Facilitator-Guide (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Teamwork and Communication Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Teamwork and Communication Long-Term Care SAY: Welcome to this presentation, “Improving Teamwork and Communication.” Slide 1 Objectiv…

71. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.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 …

72. TeamSTEPPS 2.0 Module 4: Leading Teams
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
    March 10, 2006 - TeamSTEPPS 2.0 Module 4: Leading Teams Module 4: Leading Teams Online Master Trainer Course Welcome to the Welcome to the fourth module of TeamSTEPPS, called Leading Teams. I'm Dr. Brigetta Craft, and I will be guiding you through this module. Leading Teams is the cornerstone that holds the teamwork system t…

73. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/newsletters/e-newsletter/828.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 …

74. Facapplycusp (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
    September 04, 2012 - and Sensemaking tools to identify defects and discuss ways to prevent these and other defects from occurring

75. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - These programs have largely focused on enhancing practices occurring within the hospital setting, including

76. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - 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 …

77. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
    November 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 …

78. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
    talkingquality.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 …

79. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/funding/training-grants/r36.html
    November 01, 2023 - 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 …

80. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
    February 19, 2014 - TeamSTEPPS Module 6: Mutual Support (Instructor Guide) MUTUAL SUPPORT SUBSECTIONS • Task Assistance • Feedback • Advocacy and Assertion: Assertive Statement, Two- Challenge Rule, CUS • Conflict Resolution: DESC Script TIME: 50 minutes Slide Content Page # Approx. Time 1…