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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Rapidly shifting priorities
Quick turnover of patients
Chaotic environment
Potential for rapid deterioration
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/ed.html
March 01, 2014 - The paramedic is rapidly giving a report.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_ig_comm.pdf
October 18, 2017 - Introduction Instructor Guide – PDF
Assumptions
Fatigue
Distractions
HIPAA
COMMUNICATION
SUBSECTIONS
• Importance of
Communication
• Communication Definition,
Standards, and Challenges
• Communication Challenges
• Information Exchange
Strategies and Tools (e.g.,
SBAR, Che…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - Unless the patient can be rescued rapidly after the bed alarm goes off, the patient may be able to exit … cause analysis requires input from multiple team members, and it may be difficult to assemble them rapidly … Other units may have patients whose needs fluctuate rapidly or involve frequent patient transport.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - Antibiotic Stewardship Program Development: Part 1
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Antibiotic Stewardship Program
Development: Part 1
Acute Care
Slide Title and Commentary Slide Number and Slide
Antibiotic Stewardship Pro…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
April 01, 2015 - A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania
A Multipayer Patient-Centered Medical Home Initiative in
Pennsylvania
Principal Investigator: Robert A. Gabbay, MD, PhD
Institution: Pennsylvania State University Hershey Medical Center
AHRQ Grant Number: R18 HS019150
Overview…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
April 01, 2015 - Transforming Primary Care: Evaluating the Spread of Group Health's Medical Home
Transforming Primary Care: Evaluating the Spread of Group Health’s
Medical Home
Principal Investigator: Robert Reid, MD, MPH, PhD
Institution: Group Health Cooperative
AHRQ Grant Number: R18 HS019129
Overview of Transformatio…
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
March 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
December 18, 2023 - Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study
1
Using an Electronic Health Record
System to Prevent Opioid
Use Disorder in Older Adults in
Primary Care Practices
Case Study - Westfield Family Physicians
Intervention: The staff at Westfield Family Physici…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - These special units are often the ones that have patients whose needs fluctuate rapidly.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
October 05, 2016 - Organizations and Diagnostic Performance: How to End Up with ‘Fewer Misses & More Hits’ that Mean Something to Patients and Their Families
Organizations
and Diagnostic Performance: How to End Up with
‘Fewer Misses & More Hits’ that Mean Something to
Patients and Their Families
Kathryn McDonald
Stanford University
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Shoulder Dystocia
Labor and Delivery Unit Safety—Shoulder Dystocia
Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 8: Organizational Learning and Sustainability
Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CAND…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Safe Med. Admin.
2
Safe Administration of Medications in L&D
T…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes
Evaluation of Medications Removed from Automated
Dispensing Machines Using the Override Function
Leading to Multiple System Changes
Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - real-time image of
“ground truth” of your unit’s actual practice.29 Areas of poor compliance can be rapidly … Degree of sedation should also
be considered when assessing delirium, as rapidly reversible, sedation-related … Rapidly
reversible, sedation-related delirium versus
persistent delirium in the intensive care unit
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
June 22, 2017 - Introduction Instructor Guide
SITUATION MONITORING
SUBSECTIONS
• Teamwork Exercise #2
• STEP
• Situation Awareness
• Shared Mental Models
TIME: 45 minutes
Slide
INSTRUCTOR OUTLI…