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www.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - In the event that your computer freezes at any point during the presentation, you can try logging out … , we conduct a review of the
literature, looking at patient safety, safety culture, medical error, event … And the second analysis, we linked Hospital SOPS to AHRQ Patient Safety Indicators, or PSI, adverse event … found that higher
patient safety culture, or Hospital SOPS scores, were associated with lower adverse event … And our most recent webcast was about the
Implementation of an Event Reporting and Learning System Leading
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www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1concl.html
March 01, 2019 - Engaging stakeholders is a continual process, not a one-time event.
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www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - A legal financial settlement was negotiated shortly after the event. … particularly frontline staff and interpreters, on the full spectrum of what constitutes a patient safety event … interpreters may not be empowered to speak up when they recognize miscommunication or a potential adverse event
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www.healthcare411.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.healthcare411.ahrq.gov/cahps/news-and-events/events/webinar-111920.html
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www.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
July 01, 2018 - In-class sessions
Simulation center
Interdisciplinary training in same location
Data collection
Event … Return to Top
Evaluation: Debriefs
Debriefs occur right after the event and are conducted by the … importance to the rapid response call and failed to provide a critical skill during a rapid response event
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www.healthcare411.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.healthcare411.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
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