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pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Computer Adverse Drug Event
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pcmh.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Although the paper did not study trends in EHR adoption or trends in adverse event rates, one may hypothesize
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
January 01, 2013 - Consider reviewing a variety of sources, including adverse event and near-miss reports, root cause analyses … strategies and tools:
A 50% reduction in the Weighted Adverse Outcome Score, which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event
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pcmh.ahrq.gov/cahps/news-and-events/events/webinar-100318.html
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pcmh.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Consider reviewing a variety of sources, including adverse event and near-miss reports, root cause analyses … strategies and tools:
A 50% reduction in the Weighted Adverse Outcome Score, which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
September 14, 2017 - implementation of a transparent and just response to those who have been
injured due to an adverse event
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - communication of EFM findings
· Unit can decide its approach to debriefing events based on seriousness of event … · Informal debriefings by clinical team immediately following event using an approach that does not
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - medications.11
The smaller volume also reduces the amount of magnesium that can be delivered in the event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … monitoring and tracking capabilities.
· Informal debriefings by clinical team immediately following event
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pcmh.ahrq.gov/cahps/news-and-events/events/webcast-031516.html
June 01, 2016 - SHARE:
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