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81. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … detailed information on best practices for selected indicators Introduction PDF [248.26 KB] PSI03 Pressure … PDF [61.6 KB] IQI: Mortality Review PDF [115.84 KB] PDI01 Accidental Puncture PDF [61.67 KB] PDI02 Pressure

82. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 - aspirin for eligible patients  A 6.3% increase in cholesterol management  A 2.8% increase in blood pressure … control—an important finding, given decreasing national rates of blood pressure control.

83. EvidenceNow Executive Summary - Oklahoma Cooperative (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
    November 01, 2017 - patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk individuals, Blood pressure … management of patients at risk for CVD events, especially methods such as smoking cessation, blood pressure … • Community-level interventions, such as smoking quit line referral and blood pressure medication … A second randomization assigns practices to work first on either smoking cessation and blood pressure

84. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

85. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
    February 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

86. C1 Prioritization Matrix (xls file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - Value-based purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure

87. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

88. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

89. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

90. Gap Analysis Facilitator's Guide: Appendix D | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

91. EvidenceNOW Building State Capacity Profile: Michigan Cooperative (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-MI-profile.pdf
    September 01, 2021 - facilitators and barriers to sustainable implementation and test whether the model improves: (a) blood pressure … technology; (3) optimization of telehealth tools, including support for remote monitoring of blood pressure

92. Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
    February 01, 2022 - With encouragement from his family, he checks his blood pressure daily using a digital blood pressure

93. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

94. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

95. TeamSTEPPS Mutual Support Module 4
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    February 28, 2022 - The monitor shows an elevated heart rate of 150 beats per minute and blood pressure of 76/48. … The nurse finds it unusual that the blood pressure and heart rate are substantially elevated. 17

96. Advancing Heart Health | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/evidencenow/projects/heart-health/index.html
    March 01, 2024 - A 1.6% increase in blood pressure control—an important finding, given decreasing national rates of … blood pressure control.

97. Technology Assessment Program | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/ta/index.html
    January 01, 2024 - Outcomes in Obstructive Sleep Apnea: A Systematic Review of Comparative Studies Evaluating Positive Airway Pressure … 24, 2019, and October 3, 2019 ]     Disposition of Comments ( PDF - 1 MB) Noninvasive Positive Pressure

98. Appendix 5: Central Line Insertion Care Team Checklist | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/clabsi-tools/appendix-5.html
    March 01, 2018 - to avoid air embolism and ensure intravascular placement)         Transduce central venous pressure … or estimate central venous pressure by fluid column (to avoid arterial placement)        

99. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

100. 2019 Community Pharmacy SOPS Database Report Executive Summary Infograpic (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-execsum.pdf
     January 01, 2019 - AREA OF POTENTIAL IMPROVEMENT: Average percent positive response Staffing, Work Pressure, and