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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
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/868.html
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August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting
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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.
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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
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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
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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
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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.
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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
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www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
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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
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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
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www.cpsi.ahrq.gov/cahps/news-and-events/events/webinar-053123.html
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June 01, 2021 - thoroughness, and
perceived technical competence
• Actionable: conveys the who, what, when and where of the event
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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.