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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Higher rates were observed in intensive care units (ICU), operating rooms, and emergency departments … communication delays commonly occurred during the handoff process of patients being transferred from the operatingroom to the intensive care unit.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - management and electronic fetal heart rate interpretation, emergent cesarean section transfer to the operatingroom, and a mock code to simulate a cardiac or pulmonary arrest situation in an obstetric patient. … attended by all key staff from the L&D unit, the intensive- care unit (ICU), the NICU, anesthesia, and the operatingroom. … The rapid response nurse then alerts the charge nurse in the operating room.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - management and electronic fetal heart rate interpretation, emergent cesarean section transfer to the operatingroom, and a mock code to simulate a cardiac or pulmonary arrest situation in an obstetric patient. … attended by all key staff from the L&D unit, the intensive- care unit (ICU), the NICU, anesthesia, and the operatingroom. … The rapid response nurse then alerts the charge nurse in the operating room.
  5. Ldusafety Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
    May 01, 2017 - It allows him or her to “flatten the hierarchy” in the operating room, and encourage staff to speak up … The timeout is typically led by the circulating nurse once all staff members are present in the operatingroom or OR.
  6. www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
    January 01, 2024 - diagnosis, admission date and time, admission station, room, transfers (e.g., to another unit, operatingroom, or radiology), transfer date, time location, and discharge date, time and location
  7. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Review a defect in your operating rooms. Select one defect per month.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - Other educational efforts focused on nurses and ancillary personnel (i.e., operating room technicians … Each operating room (OR) at the participating hospitals was equipped with a bound series of laminated
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
    December 10, 2013 - Paul Tedrick AHA – Chicago December 10, 2013 11:00AM CT Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, December 10th, 2013, scheduled for 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding; we now have our speake…
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
    December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) Webinar Transcript Paul Tedrick AHA – Chicago December 10, 2013 11:00AM CT Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Location-Release-fillable-form.pdf
    April 01, 2024 - Location Release Form for Video Shoots Location Release Form for Video Shoots Instructions This Location Release Form must be completed by the location’s Administrator to verify permission to conduct video recording(s) at a particular location. It does not apply to recordings on government property, which may re…
  12. www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
    January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians 1. TITLE PAGE Title: Developing and Training Interruption Management Strategies for Emergency Physicians Principal Investigator: Raj M. Ratwani, PhD Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
    July 23, 2010 - Strategy 3: Bedside Shift Report (Tool 3) Insert hospital logo here Nurse Bedside Shift Report Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 3: Nurse Bedside Shift Report (Tool 3) Guide to Patient & Family Engagement If you have conducted trainings for other strategies in …
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 1: Planning a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program S…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
    January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…
  16. www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
    December 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Lean is a set of principles, practices, and problem-solving tools that aim to improve efficiency and quality. This webinar, presented on October 28, 2016, discussed implementation and impact of Lean redesign in primary care.   Con…
  17. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
    March 01, 2020 - Strategy 6J: Support Groups and Self-Care Contents 6.J.1. The Problem 6.J.2. The Intervention 6.J.3. Benefits of These Interventions 6.J.4. Implementation of These Interventions References    Download Strategy 6J:   Support Groups and Self-Care  (PDF, 214 KB)         6.J.1. The Pro…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
    January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety 151 Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety Myra A. Kleinpeter Abstract The Medical Center of Louisiana at New Orleans (MCLNO) provides care to primarily in…
  19. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
    July 01, 2019 - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Re…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities Sharon Conrow Comden, David Marx, Margaret Murphy-Carley, Misti Hale Abstract Objectives: State agenc…

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