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www.cpsi.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
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - hospitals,
transportation companies, and linen services) for use by nursing home leadership in the event
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www.cpsi.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety
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www.cpsi.ahrq.gov/news/newsroom/press-releases/national-advisory-meeting-july-14.html
July 01, 2021 - Closed captioning will be provided during this event.
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www.cpsi.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - How to communicate an adverse event to patients and family members.
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
May 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since
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www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide.html
November 01, 2018 - the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse event … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … Action Plan required by the Joint Commission when the Action Plan is generated in response to a sentinel event
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
January 20, 2006 - 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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
January 01, 2008 - December 2005)
2010 - 2013: Communication among top 3 root causes of sentinel events reported
(JC Sentinel Event … Data (Root Causes by Event Type) 2004-2012)
http://www.jointcommission.org/sentinel_event.aspx … According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 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
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/hybridcourse.html
November 01, 2018 - Invite the office champions to a one-day in-person learning event using the classroom slides for the
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www.cpsi.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Skip to main content
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www.cpsi.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - In the event of physician co-investigator review, the physician independently reviewed disputed cases … Discrepancies To Contribute to an ADE and Increased Health Care Needs
Note: ADE, adverse drug event
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - (HBV) reactivation in the setting of rituximab use is a potentially fatal but
preventable adverse event … These
surprising results suggested that the adverse event rate from antimicrobial prophylaxis was
far … Food and
Drug Administration Adverse Event Reporting System (FAERS).
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www.cpsi.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