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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
June 28, 2023 - In addition, providing food at the event can be an easy way to
encourage participation and create a … After the event resolves, the team does a subpar debrief
without a focus on identifying opportunities … Are professional roles or
seniority the key to identifying the leader during a clinical event? … Are professional roles or
seniority the key to identifying the leader during a clinical event?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
March 01, 2017 - work with facility leaders and administrators to share information with residents/families when an event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Calls And Hazardous Conditions
https://psnet.ahrq.gov/resources/resource/32494
This new sentinel event … Staff can use this decision tree when analyzing
an error or adverse event in an organization to help … identify how human factors and systemic
issues contributed to the event. … news-and-multimedia/fact-sheets/facts-about-do-
not-use-list/
In 2001, The Joint Commission issued a Sentinel Event
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www.qualitymeasures.ahrq.gov/data/infographics/adverse-drug-events.html
August 01, 2018 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
January 20, 2006 - It occurs after an event or shift and is designed to improve teamwork skills. … Debriefs should be the subject of a brief (about 3 minutes or less) team event typically initiated and
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www.qualitymeasures.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - most frequent root cause of serious patient safety events reported to the Joint Commission's Sentinel Event … particularly frontline and interpreters, on the full spectrum of what constitutes a patient safety event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Event … measurement year"***/
/*Need to include TCD's that may have been performed during visits for a non-SCD event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
January 01, 2008 - December 2005)
2010 - 2013: Communication among top 3 root causes of sentinel events reported
(JC Sentinel Event … Data (Root Causes by Event Type) 2004-2012)
http://www.jointcommission.org/sentinel_event.aspx … According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - In the event of physician co-investigator review, the physician independently reviewed disputed cases … Discrepancies To Contribute to an ADE and Increased Health Care Needs
Note: ADE, adverse drug event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
October 16, 2019 - Event/Diagnosis CT imaging study of the head (IMG1) for generalized seizure or convulsions
(IMG2) occurring
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - Frequency of event reporting
4. Handoffs & transitions
5.
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www.qualitymeasures.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
December 01, 2022 - The Case for Cardiac Rehabilitation
Each year, over 1 million Americans have a coronary event
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www.qualitymeasures.ahrq.gov/takeheart/about/index.html
December 01, 2022 - The Case for Cardiac Rehab
Each year, over 1 million Americans have a coronary event or undergo a
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - A sentinel event is any unanticipated event in a health care setting resulting in death or serious physical … After the nurse helped Elma get back into bed, she paged the on-call physician to notify him of the event
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/hybridcourse.html
November 01, 2018 - Invite the office champions to a one-day in-person learning event using the classroom slides for the
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - and issues require immediate management attention, such as urgent and important issues like a harm event … If an event occurs during care provision that a staff member is concerned about, this simple protocol
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www.qualitymeasures.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - (HBV) reactivation in the setting of rituximab use is a potentially fatal but
preventable adverse event … These
surprising results suggested that the adverse event rate from antimicrobial prophylaxis was
far … Food and
Drug Administration Adverse Event Reporting System (FAERS).
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - First, there was a clinical event that prompted the antibiotic prescription. … We’ll start with the clinical event. … Slide 9
Identifying the Problems
SAY:
Once the clinical event occurs, it is important that the resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
January 01, 2015 - TeamSTEPPS®
Team Dimensional Training
Slide ‹#›
Developmental
Active self-learning
Tied to performance event … Page ‹#›
TeamSTEPPS®
Team Dimensional Training
Slide ‹#›
35
Team member:
“Half-way through the event