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talkingquality.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
July 01, 2023 - Closed captioning will be provided during this event.
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talkingquality.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
July 01, 2022 - Closed captioning will be provided during this event.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Calls And Hazardous Conditions
https://psnet.ahrq.gov/resources/resource/32494
This new sentinel event … Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … identify how human factors and systemic
issues contributed to the event. … news-and-multimedia/fact-sheets/facts-about-do-
not-use-list/
In 2001, The Joint Commission issued a Sentinel Event
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talkingquality.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - The event-based data obtained from the Noldus Observer XT12 was transformed into
time-based data that … alternatives while also informing multiple data analysis strategies, such as
spaghetti diagrams and discrete-event … The 2-day, intensive event explored how
different aspects of surgery center design impact patient safety … The event
involved around 100 attendees, including advisory committee members, industry
experts, designers … The goal of the event was
to provide industry leaders with in-depth knowledge of surgical center design
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talkingquality.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - objects avoidable.1
• Retained foreign objects represent a serious and significant patient adverse event … Sentinel Event Alert Issue 51, October 17, 2013.
http://www.jointcommission.org/assets/1/6/SEA_51_URFOs
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talkingquality.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.
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talkingquality.ahrq.gov/talkingquality/translate/labels/limit-info.html
November 01, 2018 - rule of not presenting caveats within a data display: when the measure is of a very rare but serious event
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event
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talkingquality.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
January 01, 2016 - knowledge, resources and research outcomes to the health services research community that attended the event
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talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Skip to main content
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talkingquality.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Providence also educated its residents on the importance of maintaining an accurate medication list in the event
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talkingquality.ahrq.gov/news/newsroom/case-studies/201616.html
November 01, 2016 - percent of all falls, down from 19 percent the previous year, with 64 fewer instances of a fall-with-harm event
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event using an approach that does not … :
· www.safehealthcareforeverywoman.org
· Resource: Process for Reviewing Severe Maternal Morbidity Event
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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/safe.html
June 01, 2023 - Stress: Is there anything, such as a life event or situation at work, that is detracting from my ability
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
March 01, 2017 - CAUTI is an event which may continue for days or even weeks, but it is counted only once, not each day
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
March 01, 2016 - (identified by the PSI number)
PPPS = the number of individuals in the population at risk for the event … OPSS = the observed rate of a given event
Getting Help From AHRQ
If you have problems getting the
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talkingquality.ahrq.gov/policy/electronic/disclaimers/index.html
October 01, 2014 - In the event of authorized law enforcement investigations, and pursuant to any required legal process
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talkingquality.ahrq.gov/teamstepps/instructor/reference/teampercept.html
April 01, 2017 - My supervisor/manager provides opportunities to discuss the unit’s performance after an event.
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talkingquality.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - AHRQ is committed to improving the consumer’s experience with healthcare and making this a rare event