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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
January 01, 1995 - monitoring to recognize risk or unfolding error
An opportunity to interrupt or correct an action or event … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - the development of high-quality patient care by allowing providers to mitigate risks before a harmful event … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
September 02, 2016 - for the one reason for the readmission, capture all the factors that contributed to the readmission event
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Skip to main content
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www.cpsi.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - evaluating interventions targeting liability-related issues, such as disclosure, transparency, and event … Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse event … caregivers and staff that experience psychological harm as a result of their involvement in an adverse event
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event, … reviews and discussion of video-recorded cases and live simulations, care for the caregiver after an event … Despite the fact that participation in training was a self-reported measure, it was likely a memorable event … Structuring patient and family involvement in medical error event disclosure and analysis.
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
December 01, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.
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www.cpsi.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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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
September 01, 2015 - decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … This is a timed event with the goal to see which team can construct the longest chain.
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
March 01, 2016 - Each eligible hospital stay is assigned an expected probability that a particular indicator event
will … occur based on the frequency with which the event occurred during similar stays in the
reference population … software handles missing data by
requiring confirmation for the assignment of a poor outcome or negative event
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www.cpsi.ahrq.gov/funding/grant-mgmt/index.html
December 01, 2022 - incorporated either directly or by reference in the following (this order of precedence prevails in the event … in the course of or under any PHS research grant be promptly and fully reported to HHS and, in any event
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www.cpsi.ahrq.gov/cahps/news-and-events/events/webinar-050824.html
March 01, 2024 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
July 11, 2017 - A call-out is a tactic used to communicate critical information
during an emergent event. … It also benefits a recorder when present
during a code or emergent event. … Debriefs include:
• Accurate recounting and documentation of key events;
• Analysis of why the event … Debriefs can be a short (about 3 minutes or less) team event,
typically initiated and facilitated by … Is there something—such as a life event or situation at
work—that is detracting from my ability to focus