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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.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 …  Another simple data calculation is time-to-event-occurrence, or the elapsed time from a defined … starting point to the occurrence of a specific event. … Examples include event counts, rates (percentages), survey scores, and time-to-event occurrences.
  2. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
    May 10, 2017 - DISCUSSION: • What event necessitated the need for the huddle? – Mrs. … Debriefs can be a short (about 3 minutes or less) team event, typically initiated and facilitated by … Use of these tools leads to gaining a shared model or understanding of a situation or event (i.e., … • What event necessitated the need for the huddle? … • Accurate recounting and documentation of key events; • Analysis of why the event occurred, what worked
  3. www.qualitymeasures.ahrq.gov/diagnostic-safety/research/grants-2022.html
    March 01, 2024 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.
  4. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - point-prevalence (e.g., population health management) or incidence-interval (e.g., fee for service event … In contrast, “interval incidence reports,” more typical of traditional clinical reporting, uses an event … In contrast, an interval incidence report uses an event, or activity, as the unit of analysis. … The look-back period, in this case 12 months, should not be confused with the number of times an event … An example would be patients with a 5-year risk of a cardiovascular event > 7.5% who have a statin
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - • Hospital patients with an anticoagulant-related adverse drug event due to low-molecular- weight … , with day of device placement being Day 1 and the line also being in place on the date of event or … If a CL or UC was in place for >2 calendar days and then removed, the date of event of the LCBI must … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … • The three initial targets of the HHS National Action Plan for Adverse Drug Event Prevention are:
  6. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
    January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.
  7. www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/818.html
    June 01, 2022 - authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse event … between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse event
  8. www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Document the event in the medical record – Providers must document in the medical record the facts of … The documentation should include an objective description of the event, the patient’s response to the … event, and the care provided as a result of the event. … PS 105: Patient Safety and Communicating with Patients After an Adverse Event (updated August 15, 2016
  9. www.qualitymeasures.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Prov.pdf
    October 04, 2016 - Benefit Medical Event/Diagnosis Primary care visit.
  11. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Pop.pdf
    October 04, 2016 - Event/Diagnosis None. Hybrid Specification Denominator The eligible population.
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ii.pdf
    January 10, 2017 - allowable gap during continuous enrollment period Anchor Date January 1st of the measurement year Event
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-final-deck.pdf
    February 13, 2023 - Please answer the survey questions as you leave the event today Cerner Resources 8 8 Screenshots
  14. www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
    July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).
  15. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - A field for whether a hospital interpreter was present at the time of the adverse event or was used at … A field to document if a hospital interpreter was called and did not show up at the time of the event … nonqualified personnel for interpretation during the hospitalization or at the time of the adverse event … particularly frontline staff and interpreters, on the full spectrum of what constitutes a patient safety event
  16. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study-key.docx
    March 01, 2017 - Urinary Tract Infection (UTI) Event for Long-term Care Facilities. 2012. http://www.cdc.gov/nhsn/PDFs
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpSpec-Pop.pdf
    August 15, 2012 - Continuous Enrollment Allowable Gap Anchor Date Look-Back Period Benefit Event/Diagnosis
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
    April 12, 2018 - ■ Answer your questions. 1 in 9 emergency department admissions are related to an adverse drug event
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
    March 21, 2014 - My supervisor/manager provides opportunities to discuss the unit’s performance after an event.
  20. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
    November 26, 2013 - Event/Diagnosis Initial newborn screen positive for SCD (see Table 2-B).

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