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481. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - The examination includes physical measurements, such as blood pressure and dental examinations, and … infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … events associated with the hospital stay and not present on hospital admission (inpatient falls and pressure

482. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - to using the ASIPS reporting system included time, understanding what to report, and the constant pressures

483. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - The examination includes physical measurements, such as blood pressure and dental examinations, and … Healthcare-associated Infection Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

484. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Healthcare Quality and Disparities Report Data Sources includes physical measurements, such as blood pressure … Healthcare-associated Infection (HAI) Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

485. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - not necessarily want another communication channel with patients, given the data overload and time pressures

486. TeamSTEPPS 2.0 Module 5: Situation Monitoring
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
     February 06, 2006 - The vital signs are heart rate 115, respirations 24, and blood pressure 174 over 98.

487. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking

488. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
     March 11, 2022 - factors principles to improve diagnosis, including addressing interruptions and distractions, time pressures

489. TeamSTEPPS 2.0 Module 3: Communication
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
     December 01, 2005 - His blood pressure is down, and his heart rate is up. The background is Mr.

490. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - accord, and covers non-invasive, routine, minimal-risk procedures such as taking the patient's blood pressure

491. TeamSTEPPS 2.0 Module 4: Leading Teams
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
     March 10, 2006 - consents have been signed, that the appropriate bleeding tests have been reviewed, the patient's blood pressure

492. 2017Qdr-Patsafchartbook (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure … 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure

493. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 - motion should be used to avoid causing additional soft tissue damage or extension of the wound due to pressure

494. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
     January 01, 2021 - Work Pressure and Pace There are enough staff and providers to handle the patient load, and the office

495. Chsp-Accomplishments-Report-2021 (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
     January 01, 2021 - icles/PMC5905409/ McDonald K, Rodriguez HP, Shortell SM. 2018 Organizational Influences on Time Pressure

496. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice - Training Modules (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
     January 01, 2017 - ■ Use peer pressure.

497. Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
     July 29, 2021 - was more than one mutation at a single time or when there were serial mutations after evolutionary pressure