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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - communicators who participate in conversations with patients, families, and caregivers following an adverse event … Disclosure Situation, Immediately After Event Mary is a 39-year old mother of two small children who … Disclosure Situation, Immediately After Event The following lists and examples show traits of each type … Response to Disclosure Situation, Immediately After Event: [Insert original participant response here
  2. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  3. www.cpsi.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
    April 01, 2011 - centeredness of care have seen subsequent improvements in patients’ ratings of care.4 References: 1.Sentinel event … Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could … Strategy 4: IDEAL Discharge Planning (Tool 4) Nearly 20 percent of patients experience an adverse event … Remember discharge is not a one-time event, but a process that takes place throughout the hospital stay … That’s why discharge planning should be an ongoing process throughout the stay–not a onetime event.
  5. www.cpsi.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharges Adverse Drug Event
  6. www.cpsi.ahrq.gov/cahps/news-and-events/events/webinar-120623.html
    January 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  7. www.cpsi.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
    February 01, 2023 - Care , a guide to help primary care physicians assess their patients’ risk of a cardiovascular disease event
  8. www.cpsi.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
    November 01, 2022 - prevent 5,800 cardiovascular events over the next 10 years, with $11,000 avoided expense per prevented event—a
  9. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Remember that discharge is not a one-time event but is a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event. … Discharge from a hospital can be a complex process: It is not a one-time event, and no single act will … Recognize that discharge planning is not a one-time event but a process throughout the hospital stay. … Discharge planning is not a one-time event with a single fix.
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_slides_chmgmt.pptx
    January 31, 2006 - Quality Improvement Model TEAMSTEPPS 05.2 Mod 8 LTC 2.0 Page ‹#› Change Management Catalytic Event
  11. www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
    September 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  12. www.cpsi.ahrq.gov/hai/tools/mvp/modules.html
    January 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  13. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - 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
  14. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
    April 18, 2023 - Non-Hispanic Patients July 12, 2022 Major Study Shows Significant Drop in In-Hospital Adverse Event
  15. www.cpsi.ahrq.gov/cahps/news-and-events/events/webinar-053123.html
    May 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - thoroughness, and perceived technical competence • Actionable: conveys the who, what, when and where of the event
  17. www.cpsi.ahrq.gov/patient-safety/education/index.html
    January 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  18. www.cpsi.ahrq.gov/data/resources/index.html
    April 29, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  19. www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
    April 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - the impact of working conditions of nurses on medication administration accuracy and adverse drug event … items measuring four dimensions (hospital—14 items, hospital department—41 items, supervisor—5 items, event … (leadership involvement, blameless culture, organizational involvement, safety concerns addressed, event … measures about which information was available contained dimensions referring to reporting and using event … They both also involve reporting and using event data as well as blaming the system.

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