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9601. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

9602. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

9603. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD; Kristi Miller, RN, MS; Reinhard Priester, JD Abstract The Institute …

9604. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - Presentation: Building Your SSI Prevention Bundle Building Your SSI Prevention Bundle AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about using building a local bundle to reduce surgical site infections. 1 Learning Objectives After this se…

9605. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - Research on Person-Centered Care National Center for Excellence in Primary Care Research Presents Research on Person-Centered Care June 27, 2024 Presented by: Ian Hargraves, PhD Alex Krist, MD, MPH Zsolt Nagykáldi, PhD Moderated by: Maya Gerstein, DrPH 1 NCEPCR Webinar Series The views expressed in th…

9606. SOPS Action Planning Tool: Develop Your Action Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/resources/planning-tool/develop-plan.html
      July 01, 2018 - SOPS Action Planning Tool SOPS Action Planning Tool: Develop Your Action Plan Previous Page Next Page Table of Contents SOPS Action Planning Tool SOPS Action Planning Tool: Before You Begin SOPS Action Planning Tool: Develop Your Action Plan Action Plan for the AHRQ Surveys o…

9607. SOPS Action Planning Tool: Develop Your Action Plan | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/resources/planning-tool/develop-plan.html
      July 01, 2018 - SOPS Action Planning Tool SOPS Action Planning Tool: Develop Your Action Plan Previous Page Next Page Table of Contents SOPS Action Planning Tool SOPS Action Planning Tool: Before You Begin SOPS Action Planning Tool: Develop Your Action Plan Action Plan for the AHRQ Surveys o…

9608. SOPS Nursing Home Survey Items and Composite Measures (Spanish) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nhdim-sp_7-6-2021.pdf
      January 01, 2021 - SOPS Nursing Home Survey Items and Composite Measures (Spanish) SOPS® Nursing Home Survey Items and Composite Measures Version: 1.0 Language: Spanish Notes • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a…

9609. Enhancing the Primary Care Team to Provide Redesigned Care: The Roles of Practice Facilitators and Care Managers (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/enhancing-primary-care-team.pdf
      January 01, 2013 - Enhancing the Primary Care Team to Provide Redesigned Care: The Roles of Practice Facilitators and Care Managers ANNALS OF FAMILY MEDICINE ✦ WWW.ANNFAMMED.ORG ✦ VOL. 11, NO. 1 ✦ JANUARY/FEBRUARY 2013 80 ANNALS OF FAMILY MEDICINE ✦ WWW.ANNFAMMED.ORG ✦ VOL. 11, NO. 1 ✦ JANUARY/FEBRUARY 2013 80 Enhancing the Primary…

9610. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
      January 01, 2013 - TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities TeamSTEPPS® in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities September 11, 2013 TEAMSTEPPS 05.2 Mod 1 05.2 Pa…

9611. Nursing Home Survey on Patient Safety - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nhsurvey-sp-032023.pdf
      March 01, 2023 - Nursing Home Survey on Patient Safety - Spanish SOPS® Nursing Home Survey Version: 1.0 Language: Spanish • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, an…

9612. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Build a Business Case for Quality Improvement SAY: This slide set introduces building a business case for quality improvement. Slide 1 Learning Objectives SAY: After reviewing this slide set, you…

9613. America's Health Literacy: Why We Need Accessible Health Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
      January 01, 2008 - America's Health Literacy: Why We Need Accessible Health Information MA N S ERVICES . U U S H T O F H E A L T H & NE America’s Health Literacy: Why We Need Accessible Health Information Health literacy—the ability to obtain, process, and understand basic health information and …

9614. SOPS® Nursing Home Survey on Patient Safety - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.pdf
      September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety - Spanish SOPS® Nursing Home Survey Version: 1.0 Language: Spanish • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing da…

9615. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
      July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Describe i…

9616. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
      July 01, 2023 - Labor and Delivery Unit Safety: Shoulder Dystocia AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia. The key elements are presented within the framework …

9617. AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Shoulder Dystocia In Situ Simulation Sample Scenario for Shoulder Dystocia In Situ Simulation Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool …

9618. Sample Scenario for Magnesium Toxicity In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-mg-toxicity.html
      July 01, 2023 - Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Magnesium Toxicity In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit …

9619. AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Magnesium Toxicity In Situ Simulation Sample Scenario for Magnesium Toxicity In Situ Simulation Purpose of the tool: The Magnesium Toxicity In Situ Simulation t…

9620. AHRQ Safety Program for Perinatal Care: Sample Scenario for Antepartum Hemorrhage In Site Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Antepartum Hemorrhage In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Antepartum Hemorrhage In Situ Simulation Sample Scenario for Antepartum Hemorrhage In Situ Simulation Purpose of the tool: The Antepartum Hemorrhage In Situ …