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February 06, 2006 - S, stress, is there anything, such as a life event or a situation at work, that is detracting from my … describe mental model is a mental picture or a sketch of the relevant facts and relationships defining an event … For briefings, we do this every time we have a training event where I work. … Prior to the training event, we'll get together. … That helps us monitor each other and know what each one of us will do in the event of any type of unexpected
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talkingquality.ahrq.gov/talkingquality/assess/what-you-evaluate/chcf-example.html
March 01, 2016 - The campaign also employed branded e-mail messages and event sponsorships.
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talkingquality.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - MPSMS data provide inpatient mortality data for the patients who experienced each type
of adverse event … , and for patients who were exposed to risk for the event.
13
These MPSMS
mortality data were of … ; but for other event types,
such as CLABSIs, only a fraction of patients are exposed to risk for the … event. … Sentinel Event Alert Issue 44; January 26, 2010.
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talkingquality.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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talkingquality.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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talkingquality.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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