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  1. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)

    pcmh.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - Given the time pressures, interruptions, and noise levels of many clinical environments, the aim is

  2. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - Given the time pressures, interruptions, and noise levels of many clinical environments, the aim is to

  3. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
    February 19, 2014 - The nurse finds it unusual that the blood pressure and heart rate are substantially elevated.

  4. Practice-Based Population Health: Information Technology to Support Transformation to Proactive Primary Care - Contract No. 290-04-0016 (pdf file)

    pcmh.ahrq.gov/sites/default/files/attachments/Information%20Technology%20to%20Support%20Transformation%20to%20Proactive%20Primary%20Care.pdf
    July 01, 2010 - are flagged as potentially having hypertension after a third sequential visit with elevated blood pressure … A graph page can show patient trends for weight and blood pressure, and key labs over a 2-year period … conditions (e.g., identify groups of patients with diabetes and monitor their hemoglobin A1c levels, blood pressure

  5. Publications From the Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/chsp/publications/index.html
    September 01, 2023 - Organizational Influences on Time Pressure Stressors and Potential Patient Consequences in Primary Care

  6. Return on Investment Tool (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers

  7. Making Informed Consent an Informed Choice: Training for Health Care Professionals Audio Script | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - The final challenge is the time pressure we all face. … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket consent form

  8. SHARE Approach Workshop Curriculum | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod3-guide.html
    September 01, 2020 - Cope with comorbid conditions, such as high blood pressure. Make lifestyle changes.

  9. Strategy 3: Bedside Shift Report (Tool 3)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
    July 23, 2010 - emotional health, symptom resolution, functioning, pain control, and physiologic measures such as blood pressure

  10. Return on Investment Tool (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers

  11. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - emotional health, symptom resolution, functioning, pain control, and physiologic measures, such as blood pressure

  12. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)

    pcmh.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - The ability to shift workload among members to achieve balance during periods of high workload or pressure

  13. Making Informed Consent an Informed Choice: (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
    January 18, 2017 - The final challenge is the time pressure we all face. … Non-invasive routine care, such as taking blood pressure, is usually covered by the blanket consent

  14. Strategy 4: IDEA Discharge Planning (Tool 4)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - emotional health, symptom resolution, functioning, pain control, and physiologic measures such as blood pressure

  15. Improving-Facnotes (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - While some facilities include fire risk assessment, hair removal, and checks of pressure points on their

  16. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter … neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter

  17. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - the definition used by Graber et al.9 Rinke et al24 examined the fre- quency of missed elevated blood pressure

  18. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)

    pcmh.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

  19. Diagnostic error in mental health: a review (pdf file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
    April 15, 2024 - Despite the importance of effective data gathering and synthesis, time pressures, competing priorities

  20. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - While some facilities include fire risk assessment, hair removal, and checks of pressure points on their
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