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  1. www.cpsi.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
    September 01, 2015 - It occurs after an event or shift  and is designed to improve teamwork skills. … Debriefs should be the subject of a brief (about 3 minutes or less) team event typically initiated and … Leading as event management: toward a new conception of team leadership.
  2. www.cpsi.ahrq.gov/data/ushik.html
    July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event
  3. www.cpsi.ahrq.gov/talkingquality/assess/index.html
    September 01, 2019 - Project Reporting comparative quality information to consumers is typically not a one-time event
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
    April 12, 2018 - ■ Answer your questions. 1 in 9 emergency department admissions are related to an adverse drug event
  5. www.cpsi.ahrq.gov/funding/policies/nofoguidance/index.html
    January 01, 2024 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event … Patient characteristics that might influence the risk of experiencing a patient safety event, for example
  6. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
    July 01, 2023 - The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used … for any perinatal safety event.
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
    May 01, 2017 - and issues require immediate management attention, such as urgent and important issues like a harm event … If an event occurs during care provision that a staff member is concerned about, this simple protocol
  8. www.cpsi.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
    July 01, 2022 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety
  9. www.cpsi.ahrq.gov/teamstepps/officebasedcare/module3/office_comm.html
    September 01, 2015 - † Joint Commission Sentinel Event Data (Root Causes by Event Type). 2004-2012.
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Acquired Conditions MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures MPSMS Adverse Event … Associated With Hip Joint Replacements MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for which the MPSMS data are used, we follow these steps: • Multiply the adverse event … Catheter Angiographic Procedures 22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51 MPSMS Adverse Event
  11. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - Algorithms’ Impacts on Racial and Ethnic Disparities Registration is open for a two-day virtual event … The online event will explore algorithms’ impacts and approaches to identify and mitigate existing biases
  12. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - outcomes include: 50% reduction in the Weighted Adverse Outcome Score (WAOS), which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … decrease in the severity index, which measures the average severity of each delivery with an adverse event
  13. www.cpsi.ahrq.gov/npsd/quality-patient-safety/index.html
    August 01, 2020 - By aggregating data submitted in AHRQ’s Common Formats for Event Reporting (a standardized reporting
  14. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event
  15. www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8c.html
    October 01, 2014 - this review include exercise tolerance, recognition of severe disease exacerbation, self-action in the event … that it significantly improved recognition of severe disease exacerbation, use of self-action in the event … measures such as exercise tolerance, recognition of severe disease exacerbation, use of self-action in the event
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Surgical Centers Instructional Videos on Surgical Safety Checklist Use Leadership Response to a 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 systems issues contributed to the event. … receives urgent requests from organizations seeking help in the aftermath of a serious organizational event … and restore hope” to patients, families, and clinicians who have been affected by an adverse medical event
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Device-associated module: ventilator-associated event. … VAC – Definition Criteria Patient intubated for >2 calendar days (earliest day of event … Device-associated module: ventilator-associated event.
  18. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
    December 09, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.
  19. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_perceptions_ques.pdf
    April 24, 2017 - provides opportunities to discuss the unit’s, department’s, or work area’s performance after an event
  20. www.cpsi.ahrq.gov/teamstepps/readiness/informationitems.html
    April 01, 2016 - 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

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