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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/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/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Declines in Hospital-Acquired Conditions
Declines in Hospital-
Acquired Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls helped prevent
20,700 deaths and saved $7.7 billion between 2014 and 2017.
Adverse
Drug
Events
-28%
CAUTI*
-5%
CLAB…
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www.healthcare411.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - Although the paper did not study trends in EHR adoption or trends in adverse event rates, one may hypothesize