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501. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
     June 30, 2017 - Slide 12 SAY: NDNQI defines the fourth and fifth levels of injury as: Major: The fall resulted in surgery

502. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
     December 29, 2022 - observational study of hospital paging practices and workflow interruption among on-call junior neurological surgery

503. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
     October 01, 2016 - funded/partnership. 6 Dental Hygienist 7 DDS 0.8 Oral Surgeon 15 Dental Assistants 1 Dental Surgery … medical assistant; RD=registered dietician; LPC=licensed practical counselor; DDS=doctor of dental surgery

504. TeamSTEPPS Module 10: Measurement (Instructor Guide) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
     January 01, 2004 - TeamSTEPPS Module 10: Measurement (Instructor Guide) MEASUREMENT SUBSECTIONS • Measurement in TeamSTEPPS • A Model of Training Evaluation • Available Measures (Reactions, Learning, Behavior, Results) TIME: 50 minutes Slide INSTRUCTOR OUTLINE: MEASUREMENT Instructor Note…

505. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

506. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
     July 01, 2023 - If management with medication fails, surgery may be required.

507. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
     May 01, 2016 - Improper assumptions might be made (e.g., is the surgery necessary?).

508. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
     November 19, 2008 - “The patient came to the surgery, and it was assumed that the patient spoke English.

509. Executive Briefing
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - avoidance: Pre-op brief revealed seven patients (3.3%) with previously unidentified severe surgical risks—surgery

510. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
     January 01, 2024 - Family Practice/Family Medicine/Primary Care 30 33% Gastroenterology 1 1% General Practice 3 3% General … Surgery 4 4% Hematology/Oncology 2 2% Internal Medicine 8 9% Neurology 2 2% Obstetrics/Gynecology

511. TeamSTEPPS 2.0 Module 11: Implementation Planning
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
     November 02, 2018 - surgical procedure Who: Surgeons, anesthesiologists, operating room nurses, and scrub technicians in the General … Surgery Service When: Just prior to first incision Where: In the operating room Module 11: Implementation … who is involved, the surgeons, anesthesiologists, operating room nurses, and scrub technicians in the general … surgery service.

512. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - avoidance: Pre-op brief revealed seven patients (3.3%) with previously unidentified severe surgical risks—surgery

513. PowerPoint Presentation
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - column in Elle, journalist Celia Barbour chronicled her experience having a vein nicked during arm surgery

514. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
     November 19, 2008 - “The patient came to the surgery, and it was assumed that the patient spoke English.

515. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
     October 01, 2016 - If the central system does not respond rapidly enough, nurses call about referrals, for example for surgery

516. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement.

517. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
     May 01, 2017 - malpresentation · cord prolapse · prior classical uterine incision or previous transfundal uterine surgery

518. Slide 1
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
     January 01, 2017 - Service lines Pre/Post Anesthesia Care Unit Central Processing Unit Pre-Anesthesia Clinic Ambulatory Surgery

519. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
     September 01, 2017 - Say: NDNQI defines the fourth and fifth levels of injury as: Major : The fall resulted in surgery

520. Tobacco Use and Dependence, General References (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
     January 01, 2010 - conservative and aggressive smoking cessation treatment strategies following coronary artery bypass graft surgery … Nurse led shared care for patients on the waiting list for coronary artery bypass surgery: a randomised … The effect of cigarette smoking on dental implants and related surgery. … Determination of the duration of preoperative smoking cessation to improve wound healing after head and neck surgery