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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.pdf
    March 01, 2017 - reports, and the presence of a catheter for more than 2 consecutive days are found together • A CAUTI event
  2. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
    March 01, 2017 - CAUTI is an event which may continue for days or even weeks, but it is counted only once, not each day
  3. www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/dental.html
    March 01, 2014 - Instructor Comments A call-out is a tactic used to communicate critical information or an emerging event … This communication failure results in an adverse event. … In the event of high workload, team members are expected to prioritize and assist teammates to ensure
  4. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-2-technical-specs.pdf
    April 30, 2018 - Event/ diagnosis Children on any antipsychotic medication for 90 days or more (Table 1).
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/epic-implementation-q-a-final-deck.pdf
    February 13, 2023 - Please answer the survey questions as you leave the event today 10
  6. www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
    March 01, 2019 - Discussion: What event necessitated the need for the huddle? … Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a brief (about 3 minutes or less) team event, typically initiated and facilitated by … Held debrief to recap event and share lessons learned. … Use of these tools leads to gaining a shared model or understanding of a situation or event (i.e., shared
  7. www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event … , and for patients who were exposed to risk for the event. 13 These MPSMS mortality data were of interest … For pressure ulcers and falls, 100 percent of patients are exposed to risk for the event; but for other … event types, such as CLABSIs, only a fraction of patients are exposed to risk for the event. … patients who received a central line as part of their inpatient care are considered at risk for the event
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - Resources: • CLABSI Event Reporting Tool o The Event Reporting Tools, when completed, produce data … related to an event analysis. … • CAUTI Event Reporting Tool o The Event Reporting Tools, when completed, produce data related to … an event analysis. … http://www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting.docx
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm.pptx
    December 01, 2005 - January 1995-December 2005 † Joint Commission Sentinel Event Data (Root Causes by Event Type). 2004-2012
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-section-2-technical-specs.pdf
    May 23, 2014 - Event/ At least two antipsychotic medication dispensing events (Table 1), regardless if they are the … Event/diagnosis At least two antipsychotic medication dispensing events (Table XXX-A), regardless if
  11. www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - associated with compliance with new processes and procedures, and the corresponding impact on the top-level event … limitation to these tools is that they are dependent upon the people who come together to analyze the event … , health care workers learn these strategies on the job, in the setting where a serious or sentinel event
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
    June 01, 2013 - (b) What would others need to know about your recruitment experience from a historical or recent event … Stakeholders or Partner Organization Perspective: Recruitment Experience from a Historical or Recent Event
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/slleadership.pptx
    February 02, 2006 - Debrief Process Improvement Brief, informal information exchange and feedback sessions Occur after an event … teamwork skills Designed to improve outcomes An accurate recounting of key events Analysis of why the event
  14. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
    March 01, 2017 - * Go to CDC's January 2016 "Urinary Tract Infection (UTI) Event for Long-term Care Facilities," listed … Urinary Tract Infection (UTI) Event for Long-term Care Facilities .
  15. www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
    June 01, 2017 - Preparation (examples) 1 Can we draft an "escalation from CUS event" procedure acceptable to organization … Following the first escalation from a CUS event, prepare to debrief: (a) How well did the escalation … CUS contact person determines what communication has occurred with the patient/family regarding the event … CUS contact person leads after-event debrief with organization leaders.
  16. www.qualitymeasures.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
    December 01, 2017 - at unexpected events, data results, and outcomes to determine all of the underlying causes of the eventEvent Analysis Team notification – Nurse Manager, Medical Director, and Frontline staff notification … – email and huddle Infection Prevention Council report out Slide 66 Event Analysis Tool Image … : Screen shot of a CAUTI Event Analysis form. … Slide 80 Identifying Defects: Defects Can Come From Many Different Sources Staff feedback Event
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-2-tech-specs.pdf
    February 24, 2020 - Event/Diagnosis An outpatient care visit and BMI ≥85% percentile.
  18. www.qualitymeasures.ahrq.gov/takeheart/training/care-coordination/index.html
    April 01, 2023 - Recorded versions of these webinars as well as the accompanying slides and event summaries are available … Slides:   Affinity Group: Improving Support for Women That Need Cardiac Rehabilitation  (PDF, 890 KB) Event
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
    March 01, 2011 - during continuous enrollment period Anchor Date Date of ADHD diagnosis at the physician visit Event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event … during continuous enrollment period Anchor Date Date of ADHD diagnosis at the physician visit Event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event
  20. www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
    February 01, 2016 - outcomes include: 50% reduction in the Weighted Adverse Outcome Score, which describes the adverse event … decrease in the Severity Index, which measures the average severity of each deliverty with an adverse event

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