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monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
March 01, 2019 - Our iceberg is melting: Changing and succeeding under adverse conditions . New York, NY: St.
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monahrq.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - increase in the appropriate use of drugs, biological products, or devices; and (II) the prevention of adverse
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monahrq.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Hospital-Acquired Conditions show that national efforts to reduce hospital-acquired conditions, such as adverse
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monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - Our iceberg is melting: changing and succeeding under adverse conditions. New York: St.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - catheters are increasingly used outside the
intensive care unit, putting more patients at risk.1
• Adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - time, the organization must continue to encourage frontline staff to report CANDOR events and other adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Objective information
can originate from a variety of sources, including adverse event and near-miss
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - Our iceberg is melting:
Changing and succeeding under adverse conditions. New
York, NY: St.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - physician by presenting
a case and receiving feedback.42 The study reported a significant reduction in adverse … Effect of systematic physician cross-checking on reducing adverse events in the emergency
department
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monahrq.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
January 01, 2018 - Paid malpractice claims for adverse events in inpatient and outpatient settings.
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monahrq.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Ask:
How did the pilot CUSP team make a case for their project targeting adverse drug events?
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monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - limited health literacy:
Poor compliance with medical management
Increased risk of:
Poor outcomes/adverse
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monahrq.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … the provision of a treatment as appropriate), as well as both intermediate (e.g., disease control, adverse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - The remaining 2 studies
(Giardina et al29,30) analyzed existing data sets of patient reports of
adverse … Secondary analysis of
patient reports of adverse
Timeliness, accuracy,
communication
events
(
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
March 03, 2014 - years of age and remains common in persons 65 years of age and older.3 Low back
pain can have major adverse
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monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - In addition, the toolkit can enable teams to address root causes of adverse events more effectively.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - Defects (CUSP Module)
Key Perinatal Safety Elements
Examples
Debrief and analyze near misses and adverse
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monahrq.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Root cause analysis is a systematic process during which all factors contributing to an adverse event