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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - Many medication
use practice issues were identified, including non-labeled IV bags from the operating … room, missing medication orders for infusing medications, and IV protocols not being
followed by the
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - In Conversation With… Dave deBronkart
June 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Ci…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Purpose: To help you identify members of your organization who are effective at delivering disclosure
communications.
Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure
Lead(s), Disclosure Communicators.
How to use this tool: Use the Communication Assessment Guid…
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - In Conversation With… Timothy B. McDonald, MD, JD
April 1, 2019
Citation Text:
In Conversation With… Timothy B. McDonald, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy C…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/delirium-disposition-comments.pdf
September 03, 2019 - Among post-operative patients, the type of
surgery and information on surgical parameters (e.g.,
operating … room times, physiological changes during
surgery) should be described more clearly.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - surgical
7
unit (high impact), the women’s and children’s unit (moderate impact), and the operating … room
(low impact).
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hcup-us.ahrq.gov/reports/statbriefs/sb118.pdf
August 01, 2011 - Appendectomy was ranked sixth, and was the only non-obstetric
major operating room procedure that fell
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective
Karen Frank, DNP, RN, MSHA | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Frank K. Becoming a Certified Professional in Patien…
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric
Emergencies Leads to Improved Outcomes
Originally published on December 22, 2020
Last updated on December 23, 2020
https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-
improved-outcomes
Summary
Multidisciplinary tea…
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
Also Read an Essay
Citation Text:
In Conversation With… Brian Jarman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - Meeting Minutes, March 2021
Virtual Meeting
Minutes from the March 18, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 10, 2020, Meeting Summary
Recent AHRQ Accomplishments
Update on AHRQ Bud…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018275-parsons-final-report-2013.pdf
January 01, 2013 - Bringing High Performing Systems to Small Practices - Final Report
Grant Final Report
Grant ID: R18HS018275
Bringing High Performing Systems to Small Practices
Inclusive Project Dates: 09/30/09 – 07/31/13
Principal Investigator:
Amanda S. Parsons, MD, MBA
Team Members:
Sarah Shih, MP…
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc
June 1, 2016
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_disposition-comments.pdf
March 01, 2012 - In relation to “bleeding outcomes” we are
concerned about blood transfusion, return to the
operating … room, infection, prolonged drainage,
prolonged hospital stay, and any loss of function or
increase … In relation to “bleeding outcomes” we are
concerned about blood transfusion, return to the
operating … room, infection, prolonged drainage,
prolonged hospital stay, and any loss of function or
increase … room, infection, prolonged drainage,
prolonged hospital stay, and any loss of function or
increase
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-195-disposition-comments-uterine-fibroids.pdf
December 14, 2017 - surgery since it is our impression
that the majority of procedures in these studies took place in the
operating … room.
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2008_MaskedStats_Core_Weighted.PDF
January 01, 2008 - 3.00 0.34 0.01
NPR Number of procedures on this record 8,158,381 0 0.00 32.00 1.61 0.03
ORPROC Major operating … room procedure
indicator
8,158,381 0 0.00 1.00 0.30 0.00
PAY1 Primary expected payer (uniform) 8,144,696 … 2010 60
Weighted Frequency Distribution for ORPROC
ORPROC Frequency
Percent
of
Total
0: No major operating … room procedure on record 27,982,215 70.16%
1: Major operating room procedure on record 11,902,905 29.84%