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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse event … A unit can decide its approach to debriefing events based on the seriousness of the event, expertise
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cahps.ahrq.gov/news/newsroom/press-releases/nac-meeting-mar6.html
March 01, 2023 - Closed captioning will be provided during this event.
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cahps.ahrq.gov/cahps/about-cahps/principles/index.html
January 01, 2020 - CAHPS reporting questions provide an explicit time frame (e.g., in the past six months) or event reference
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
January 01, 2008 - response team and who follow a patient from one care unit to the
next during a rapid response event … Data collection at this university includes:
•Conducting event debriefing. … SAY:
Responders conduct typical debriefs right after the event to give
teams an opportunity to conduct … Sensemaking
reviews are typically conducted after an event,
much like a debrief. … This is typically
indicative of an attempt to uncover what might have gone wrong
during an uncommon event
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - to the response team and who follow a patient from one care unit to the next during a rapid response event … Data collection at this university includes:
Conducting event debriefing. … SAY:
Responders conduct typical debriefs right after the event to give teams an opportunity to conduct … Sensemaking reviews are typically conducted after an event, much like a debrief. … This is typically indicative of an attempt to uncover what might have gone wrong during an uncommon event
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cahps.ahrq.gov/news/newsroom/press-releases/ahrq-nac.html
March 01, 2024 - Closed captioning will be provided during this event.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - and
expectations for the response, uniform
expectations for documentation of the
rapid response event … • An event that requires a team response. … The L&D unit can decide its approach to
learning from defects based on seriousness of
event, expertise
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cahps.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Partnership with VA to look at data, trends, and solution for delay in
treatment event type.
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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … From Defects
Say:
A unit can decide its approach to debriefing events based on seriousness of event … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event
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cahps.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - While “zero-tolerance” is implied by the term “never event,” this may not be language that the public
-
cahps.ahrq.gov/news/newsroom/press-releases/national-advisory-council-meeting.html
March 01, 2021 - Closed captioning will be provided during this event.
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cahps.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
July 02, 2015 - Adverse Drug Events occurring in U.S. Hospitals
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S. Hospitals
Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals.
New data from all payers in 32 States in HCUP show characteristics of the four most frequent …
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
May 31, 2023 - My supervisor/manager provides
opportunities to discuss the unit’s
performance after an event.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - facilitating a safe
delivery by offering logic and a
clear focus during what can often
be a chaotic event … of hemorrhage, or
patient preferences that may limit
the use of blood and blood products
in the event … culture that supports
debriefing by the clinical team
immediately after a near miss, an
adverse event … o A unit can decide its approach to
debriefing events based on the
seriousness of the event,
expertise
-
cahps.ahrq.gov/diagnostic-safety/resources/index.html
March 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS)
Page last
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cahps.ahrq.gov/patient-safety/news-events/index.html
March 01, 2024 - Skip to main content
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cahps.ahrq.gov/ncepcr/communities/pbrn/registry/machine-machine-mankind-interface-pbrn.html
August 11, 2014 - Supports advance features such as sensor support, behavior pattern recognition, event-driven behavior
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse Drug
Event
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cahps.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Speakers at the event, sponsored by AHRQ and the National Institutes of Health, highlighted major drivers
-
cahps.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event