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341. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/908.html
     April 01, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal

342. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/895.html
     January 01, 2024 - culture in hospitals, outpatient medical offices, nursing homes, community pharmacies and ambulatory surgery

343. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/index.html
     March 01, 2024 - implement evidence-based practices to improve outcomes and prevent complications among patients who undergo surgery

344. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice - Training Modules (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
     January 01, 2017 - patient understanding (e.g., “Can you tell me in your own words what are the potential risks of the surgery … • Physician’s offices not getting signed forms to the hospital before the day of surgery. • Outpatient … obtain a separate signed consent form for each proceduralist responsible for a different aspect of a surgery … • Inconsistency in whether patients had a signed consent form completed in the ICU before surgery … X percent of informed consent forms will have been completed prior to day of scheduled surgery by [date

345. Documentation and Coding for Patient Safety Indicators (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - unstageable should be used when the stage cannot be clinically determined due to previous graft, recent surgery … Intubation and mechanical ventilation utilized during surgery should not be coded. … Code all re- intubation that occurs after surgery and extubation. … Intubation and mechanical ventilation utilized during surgery should not be coded. … Code all re- intubations that occur after surgery and extubation.

346. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery … Information for Specialty Audiences About the Toolkit Reducing CLABSI Toolkit Safe Surgery

347. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
     May 01, 2017 - Scenarios reinforce teamwork and communication related to— situational awareness; efficient use of safe surgery … Patient Safety: Safe Surgery: Why Safe Surgery Is Important. 2014. http://www.who.int/patientsafety/safesurgery

348. TeamSTEPPS 2.0: Module 11. Implementation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
     March 01, 2014 - Who : Surgeons, anesthesiologists, operating room nurses, and scrub technicians in the General Surgery

349. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
     September 01, 2015 - attack; stroke; deep vein thrombosis or DVT; pulmonary embolism or PE; or because you've had recent surgery

350. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/881.html
     September 01, 2023 - Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing after Surgery (

351. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery … About the Toolkit Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery

352. Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
     September 26, 2023 - Unknown 43,467,537 25.23 43,467,537 25.23 01: General practice 1,707,534 0.99 45,175,070 26.23 02: General … (dentists only) 107,700 0.06 114,778,086 66.63 20: Orthopedic surgery 9,673,183 5.62 124,451,270 72.25 … 124,818,224 72.46 23: Sports medicine 96,982 0.06 124,915,206 72.52 24: Plastic and reconstructive surgery … 130,881,890 75.98 31: Intensive cardiac rehabilitation 14,187 0.01 130,896,076 75.99 33: Thoracic surgery … 512,819 0.30 143,296,701 83.19 78: Cardiac surgery 68,784 0.04 143,365,485 83.23 79: Addiction medicine

353. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
     February 01, 2017 - Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery … CAUTI in LTC Facilities Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery

354. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 29, 2016 - Rate 0.0 0.1 0 $61,991 $ - N 6 6 6 Y Y Y Y Y PDI 06 RACHS-1 Pediatric Heart Surgery … Mortality Rate 36.9 0 $ - N 1 5 5 Y N Y Y N PDI 07 RACHS-1 Pediatric Heart Surgery

355. How To Measure Fall Rates and Fall Prevention Practices
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
     December 03, 2012 - . ‹#› NDNQI Definitions of Fall Injury Major: Needs surgery, cast, traction; and/or results in neurological … Moderate: Needs suturing, splinting; or caused muscle/joint strain Major: Needs surgery, cast, traction

356. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
     January 01, 2013 - English Proficiency & TeamSTEPPS High-Risk Settings and Situations Emergency Department (ED) OB/GYN Surgery … some English… Interpreter not called Inaccurate medical history Latex allergy almost missed before surgery

357. Strategy 2: Communicating for Improve Quality (Tool 5) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_5_Comm_Comp_508.docx
     February 10, 2011 - Say: “This procedure takes a picture of how your knee looks after surgery.

358. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Washington Researchers planned for and implemented a shared decisionmaking (SDM) model in spine surgery … A-12 | P a g e University of Washington Title: Shared Decision Making in Surgery To Improve … user-friendly shared decisionmaking (SDM) tools and processes for patients undergoing elective orthopedic surgery … Methods and Findings Implementing the SDM model in orthopedic spine surgery clinics involved obtaining … events included those occurring during surgeries and other procedures (e.g., failure of sterility, surgery

359. AHRQ Quality Indicator Tools for Data Analytics | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/qualityindicators/index.html
     November 01, 2020 - SHARE: More topics in this section Data & Analytics Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims Databases Healthcare Cost and Utilization Project (HCUP) Medical Expenditure Panel Survey…

360. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - They have created the WHO Safe Surgery Checklist. … In each phase, a checklist coordinator must confirm that the surgery team has completed the listed tasks