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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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-2-technical-specifications.pdf
February 21, 2020 - BMI Body mass index for the child is reported to be ≥85th percentile
Event/Diagnosis Child’s parents
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www.qualitymeasures.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
September 01, 2018 - cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/resident-covid-vaccine-administration-record.docx
May 01, 2022 - Contraindication:__________________________________________________________________________
Adverse Event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
May 01, 2022 - Contraindication: __________________________________________________________________________
Adverse Event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/dos_and_donts.pdf
March 01, 2017 - Long‐term Care Facility (LTCF) Component Healthcare-Associated Infection Surveillance Module: UTI
Event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Staff can use this decision tree when analyzing an
error or adverse event in an organization to help … identify how human factors and systems issues
contributed to the event. … Staff can use this decision tree when
analyzing an error or adverse event in an organization to help … identify how human factors and
systems issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
5.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
January 01, 2015 - Case: “Whistling a Tune”
The following event was reported to you (an authority
figure) through your … electronic event reporting system. … Behaviors that
Undermine Safety
Culture
Slide 15
What % of the time would someone report the event … to a responsible party or through an established
event reporting system?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
January 01, 2015 - about issues related to teamwork and communication
Quality improvement committee reviews
Data from event … Progress
2012 – Began collecting data on teamwork and communication using 5 questions included on our event … TeamSTEPPS for Code Blue Teams
Slide ‹#›
Measuring Progress
Limitations
Not a validated questionnaire
Event
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
December 31, 2022 - content of their
presentation with the exception of:
Amy Miller, MD, PhD, faculty for this educational event … using the EMR
experts will respond to questions
submitted in advance by persons
registering for the event … Please answer the survey questions as you leave the event today
-
www.qualitymeasures.ahrq.gov/topics/adverse-events.html
Medication safety event reporting: Factors that contribute to safety events during times of organizational
-
www.qualitymeasures.ahrq.gov/news/events/index.html
November 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/igleadership.pdf
March 10, 2014 - DISCUSSION:
• What event necessitated the need for the huddle? … Debriefs include:
• Accurate recounting and documentation of key events;
• Analysis of why the event … Debriefs can be a brief (about 3 minutes or less) team event,
typically initiated and facilitated by … preprocedure briefing checklist
– Included the patient in the “timeout”
– Held debrief to recap event … Use of these tools leads to gaining a shared model
or understanding of a situation or event (i.e., shared
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - drug-related adverse events
• 1 in 1,000 antibiotic prescriptions leads to an ED visit for an adverse event
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
October 29, 2019 - Event/Diagnosis Imaging studies of the head (CT or MR; Table IMG1) for the evaluation of
atraumatic
-
www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
March 01, 2023 - The event was attended by 800 people online and 200 in person—in my view a strong signal of consensus … I was glad for AHRQ to take the lead in organizing the November 14 event.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Patients are four times as likely to require an emergency department visit for an adverse event related … In fact, they could lead to an adverse event, like diarrhea, that could make it harder to participate … in the family event.”
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Components
A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event. … Led by clinician(s) responsible for patient/resident during the fall event. … Slide 46: Root Cause Analysis
After an injurious fall, collect data to reconstruct the event and
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - Components
A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event
Led by clinician(s) responsible for patient/resident during … the fall event
Involves the patient/resident whenever possible in the environment where the patient/ … Review
Tool 3N
‹#›
Root Cause Analysis
After an injurious fall, collect data to reconstruct the event
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide.pdf
March 01, 2006 - the need for a TeamSTEPPS Intervention could originate from a variety of sources including
adverse event … Available organizational data, (e.g.,
adverse event and near miss reports, AHRQ Patient Safety Culture … starting point to the occurrence of a specific event. … □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … Examples include event counts, rates (percentages), survey scores,
and time-to-event occurrences.