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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/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.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/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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Event … measurement year"***/
/*Need to include TCD's that may have been performed during visits for a non-SCD 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/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
October 16, 2019 - Event/Diagnosis CT imaging study of the head (IMG1) for generalized seizure or convulsions
(IMG2) occurring
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - Frequency of event reporting
4. Handoffs & transitions
5.
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www.healthcare411.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.healthcare411.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.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/policymakers/chipra/cpcf-form15.html
December 01, 2013 - DENOMINATOR The number or population representing the total universe in which an event might happen: … Aggregation Workgroup, 2012 4 NUMERATOR A subset of those in the denominator who have experienced the event
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www.healthcare411.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.healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Skip to main content
An official website of the Department of Health and Human Services
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www.healthcare411.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.healthcare411.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
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www.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdf
September 11, 2018 - Continuous enrollment during both the measurement year and the year prior to
the measurement year
Event