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  1. pcmh.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
  2. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
    March 07, 2019 - team. 15 Front Office Scenario Consider this scenario: Jack, an elderly man who just had cataract surgery … be demonstrated in the nonclinical aspects of the team: Jack, an elderly man who just had cataract surgery
  3. pcmh.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.
  4. pcmh.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
  5. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
    April 01, 2018 - Specific Specialties (Tables A-9, A-12) • Database medical offices that only specialized in Surgery … /General Surgery had the highest average percent positive response across the composites (78 percent … • Database medical offices that only specialized in Surgery/General Surgery had the highest average … Oncology Gastro- enterology Neurology Ortho- pedics Physical Medicine Pulmonary Medicine Surgery … Oncology Gastro- enterology Neurology Ortho- pedics Physical Medicine Pulmonary Medicine Surgery
  6. pcmh.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…
  7. pcmh.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
  8. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 Updated Inform…
  9. pcmh.ahrq.gov/cahps/surveys-guidance/cg/index.html
    September 01, 2023 - In-Center Hemodialysis Mental Health Care Nursing Home Outpatient and Ambulatory Surgery
  10. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
    January 01, 2015 - Checklist-Based Intervention to Improve Surgical Outcomes in Michigan: Evaluation of the Keystone Surgery … Slide 36 Reports of Unprofessional Behavior Anesth: Dr. __ rushed…said to team setting up for surgery
  11. pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
    December 01, 2017 - Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery … Information for Specialty Audiences About the Toolkit Reducing CLABSI Toolkit Safe Surgery … found to have – at that point, after the fall, he was found to have a left hip fracture and he goes for surgery … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds
  12. pcmh.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
    September 01, 2016 - Hunt, who also completed his residency in surgery at Howard University, became a diplomate of the American … Board of Surgery in 1991. … Hunt served as a Clinical Assistant Professor of Surgery at Howard University and Chair of Surgical Peer
  13. pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - item or Unretrieved Device Fragment PDI 05/NQI 01: Iatrogenic Pneumothorax PDI 06: Pediatric Heart Surgery … Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery
  14. pcmh.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - (based on patients with acute myocardial infarction, congestive heart failure, pneumonia, and major surgery
  15. pcmh.ahrq.gov/news/newsletters/e-newsletter/875.html
    August 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access Issue Number 875 AHRQ News No…
  16. pcmh.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - More >> Human Factors in Surgery: Shifting the Paradigm on Patient Safety Kenneth Catchpole, Ph.D
  17. pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
    April 01, 2016 - patients undergoing coronary artery bypass grafting, aspirin should be started within 6 hours after surgery
  18. Fallpxtool3O (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
    January 01, 2008 - of limb, or medication) __Moderate (requires suturing, steri-strips, or splinting) __Major (requires surgery
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
    January 01, 2022 - Specific Specialties (Table A-13 and Table A-18) • Database medical offices that specialize in surgery … • Database medical offices that specialize in surgery had the highest average percentage of respondents … Metabolism Hematology/ Oncology -Neur ology -Ortho pedics Pulmonary Medicine Psychiatry Surgery … Metabolism Hematology/ Oncology -Neur ology -Ortho pedics Pulmonary Medicine Psychiatry Surgery … Metabolism Hematology/ Oncology -Neur ology -Ortho pedics Pulmonary Medicine Psychiatry Surgery
  20. pcmh.ahrq.gov/news/newsletters/e-newsletter/901.html
    February 01, 2024 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program Issue Number 901 AHRQ News Now i…

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