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  1. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 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 …
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
    March 01, 2016 - where in addition to the symbols defined above, ˆˆk k kj je Xβ= the predicted probability of QI k occurring
  3. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_impguide.pdf
    June 22, 2017 - Implementation Guide TeamSTEPPS 2.0 for Long-Term Care Implementation Guide Implementation Guide TEAMSTEPPS 05.2 Shift Toward a Culture of Safety Page 2 TEAMSTEPPS 05.2 Implementation Guide 10 Steps of Implementation Planning 1. Create a Change Team 2. Define the problem, challenge, or opportunity f…
  4. www.cpsi.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.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 …
  5. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
    January 01, 2005 - errors by detecting them before harm occurs.6 Our analysis considers both active and latent errors occurring … Active errors include, for example, those occurring at the time of hospital discharge during knowledge … We analyzed the expected and unexpected errors occurring at the hospital discharge using the process … cause analysis is an action plan that identifies the strategies to reduce the risk of similar events occurring
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…
  8. www.cpsi.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - 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 …
  9. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
    December 13, 2013 - NICU Family Information Packet, Appendix B, Sleep in Preterm Infants Sleep in Preterm Infants SIDS ■ Preterm infants are known to be at higher risk for SIDS; high-risk period lasts up to 10 months. ■ To reduce risk: – Use supine positioning on a firm mattress with no fluffy or loose bedding. – Be sure the in…
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
    December 13, 2013 - NICU Family Information Packet, Appendix B, Anemia of Prematurity Anemia Of Prematurity Characteristics ■ Occurs during the normal developmental switch from fetal to adult hemoglobin synthesis. ■ Immediately after birth, the increase in blood oxygen content results in the downregulation of erythropoietin. ■ On…
  11. www.cpsi.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 …
  12. www.cpsi.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…
  13. www.cpsi.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 …
  14. Data Measures Guide (pdf file)

    www.cpsi.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 ....................................................................................................................…
  15. www.cpsi.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…
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4i Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in…
  17. www.cpsi.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 …
  18. www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-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 …
  19. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/803.html
    March 01, 2022 - more than 60 percent higher in large central metropolitan areas than in any other area, with over 116 occurring
  20. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/797.html
    January 01, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

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