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www.healthcare411.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - While “zero-tolerance” is implied by the term “never event,” this may not be language that the public
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www.healthcare411.ahrq.gov/news/newsroom/press-releases/national-advisory-council-meeting.html
March 01, 2021 - Closed captioning will be provided during this event.
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www.healthcare411.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - to the response team and who follow a patient from one care unit to the next during a rapid response event … Data collection at this university includes:
Conducting event debriefing. … Say:
Responders conduct typical debriefs right after the event to give teams an opportunity to conduct … Sensemaking reviews are typically conducted after an event, much like a debrief. … This is typically indicative of an attempt to uncover what might have gone wrong during an uncommon event
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
March 07, 2019 - Improvement)
Short, informal information exchange used as a process improvement tool
Occur after an event … It occurs after an event, or shift, and is designated to improve teamwork skills. … Debrief should be a short team event of 3 minutes or less that is typically initiated and facilitated
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www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - A legal financial settlement was negotiated shortly after the event. … Adverse event*:
Any injury caused by medical care. … Identifying something as an adverse event does not imply
“error,” “negligence,” or poor quality care … Never event**:
The term “never event” refers to a particularly shocking medical error (such as wrong-site … Sentinal event data: root causes by type.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse Drug
Event
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www.healthcare411.ahrq.gov/diagnostic-safety/resources/index.html
March 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS)
Page last
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www.healthcare411.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.healthcare411.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-section-2-specs.pdf
June 30, 2009 - enrollment period
Anchor date: Date of enrollment
Benefits: Medical, pharmacy, dental, long term care
Event
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www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - most frequent root cause of serious patient safety events reported to the Joint Commission's Sentinel Event … particularly frontline and interpreters, on the full spectrum of what constitutes a patient safety event
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www.healthcare411.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
September 01, 2021 - Together, these organizations designed and implemented a successful back-to-school event, which included … The purpose of the event was to provide health education to members while also hosting activities such … During preparation for the event, the community partner and a youth advisor provided feedback on the
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www.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Well, we define it as the
extent to which staff feel that their mistakes and event reports are not held … And these three items
are staff feel like their mistakes are held against them; when an event is reported … suggested topics that we might search for policies related to, like corrective action, our
sentinel event … policy, our adverse event reporting policy, our patient safety plan that was approved by the Health … Just Culture is also intended to improve event reporting.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-2-tech-specs.pdf
March 12, 2019 - Event/Diagnosis Diagnosis of asthma in the year prior to the measurement year (see
Table 1).
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www.healthcare411.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.healthcare411.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - How to communicate an adverse event to patients and family members.