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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - maternity patient who has deteriorated
physiologically; and
• be able to intervene to minimize risk … Form
• Root Cause Analysis
• Eindhoven Model
• Failure Mode and Effects Analysis
• Probabilistic Risk … transition communication
techniques to ensure a shared mental
model of plan of care and perceived risks
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - communication techniques taught in this module could have avoided placing this
patient at unnecessary risk … s unfolding event, no one assumes leadership for the case and the patient is
placed at unnecessary risk … At exactly that moment, the Triage nurse receives a call that a high-
risk patient in acute distress … This high-risk
patient ties up three nurses, two residents, and a covering attending obstetrician for … Instructor Comments
In this situation, the RN team leader becomes aware of a potential risk for the
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ahrq-network-factsheet.pdf
February 01, 2022 - especially vulnerable, and their reliance
on nursing home staff put these essential workers at high risk
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing … systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - specific
interventions
for fallers
Examples of Process Measures
Percentage of—
• Patients at risk … – For instance, reward unit staff the first time they
complete a fall risk assessment form correctly
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - of transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The process could include a discussion of risks and benefits of using continuous EFM versus intermittent
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/bundlingcps.pdf
March 01, 2014 - Reduction of 30-day postdischarge hospital readmission or emergency department (ED)
visit rates in high-risk … although some positive effect of
bundling was observed for sub-
groups
Galvan, 2006
Single-session risk … clinical preventive services, such as inadequate provider
time to discuss the bundles with a patient, risk