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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Presentation: Program Overview
Learn From Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-34-EF
January 2017
Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this ses…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - Module 6: Care for the Caregiver
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 6: Care for the Caregiver
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Facilitator Training Instructor Guide
Slide 1: Introduction to Falls Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Introduction to Falls Reports
Say:
In this session we will in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - This occurs when a
Advances in Patient Safety: Vol. 2
30
patient has a primary diagnosis of accidental … One of the primary procedures that occurs often in this PSI is hysterectomy.
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www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety
---------------------------------------
Weekend Effects and the July Phenomenon in
Patient Safety
Final Research Report to AHRQ
Principal Investigator: Joel S. Weissman, PhD
February 6, 2006
Co-Investigators and Study Staff (i…
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - teams, because the intent is to
respond to acute patient deterioration before a cardiopulmonary arrest occurs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Investigating a Defect Worksheet
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________
Date Defect Occurred: ________________
Date Investigation Initiated: ___________
Use the Learning From …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Investigating a Defect Worksheet
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________
Date Defect Occurred: ________________
Date Investigation Initiated: ___________
Use the Learning From …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization:
Staff Frequently Asked Questions
Safety & Side Effects
This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols.
The…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - It also
asks which staff members are invited, who leads the
meeting, and how often it occurs. … plans;
• Discuss care changes that are needed; and
• Investigate root causes when an adverse event occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Wasserman, Lynne Uhring
Abstract
Background: Approximately 70 percent of pediatric care occurs in
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - In addition, such research often occurs in highly controlled conditions or atypical settings that are … However, no overall prioritization of HSR agendas occurs across agencies, except on a limited number … coordination once redundancies are recognized, but that identification of potential overlaps in portfolios occurs
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - When an adverse event occurs, it can be difficult for a health care worker to take ownership and communicate
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - The most powerful learning occurs during debriefing, when participants have a chance to review their
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Finally, admission occurs early in a patient’s hospital course, when patients may be medically unstable
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - cefadroxil
No reported resistance
Severe penicillin allergy
Clindamycin or azithromycin
Resistance occurs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Not Improve Post-Viral Cough
SAY:
Antibiotics do not hasten the resolution of acute bronchitis that occurs