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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/igcommunication.pdf
    October 08, 2015 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, … CALL-OUT IS… SAY: A call-out is a tactic used to communicate critical information during an emergent event … It also benefits a recorder when present during a code or emergent event. … call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event
  2. www.qualitymeasures.ahrq.gov/policymakers/chipra/cpcf-form15.html
    December 01, 2013 - DENOMINATOR The number or population representing the total universe in which an event might happen: … Aggregation Workgroup, 2012 4 NUMERATOR A subset of those in the denominator who have experienced the event
  3. www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  4. Fallpxtool3M (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3m.docx
    November 14, 2011 - Provide falls education brochure to patient/family, engage them in care plan, find out contact wishes in event
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse event … Sentinel Event Alert Issue 51, October 17, 2013. http://www.jointcommission.org/assets/1/6/SEA_51_URFOs
  6. www.qualitymeasures.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
    September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.
  7. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
    April 28, 2023 - of an emergency, the physiologist will initiate EMS and notify supervising provider • In the event … In the event that this occurs, STOP EXERCISING IMMEDIATELY. … Safety procedure reminder: o In the event of screen freeze: continue moving o In the event of any complication … Notify Cardiologist of event after EMS arrives at patients’ home. … Notify Cardiologist of event after EMS arrives at patients’ home. 2.
  8. www.qualitymeasures.ahrq.gov/talkingquality/translate/labels/limit-info.html
    November 01, 2018 - rule of not presenting caveats within a data display: when the measure is of a very rare but serious event
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
    January 01, 1995 - monitoring to recognize risk or unfolding error An opportunity to interrupt or correct an action or event … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - the development of high-quality patient care by allowing providers to mitigate risks before a harmful event … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves
  11. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event
  12. www.qualitymeasures.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
    January 01, 2016 - knowledge, resources and research outcomes to the health services research community that attended the event
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdf
    September 11, 2018 - Continuous enrollment during both the measurement year and the year prior to the measurement year Event
  14. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - Long-Term Care: HAIs/CAUTI Purpose: To identify the types of systems that contributed to the defect (an event
  15. www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - Providence also educated its residents on the importance of maintaining an accurate medication list in the event
  16. www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - evaluating interventions targeting liability-related issues, such as disclosure, transparency, and event … Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse event … caregivers and staff that experience psychological harm as a result of their involvement in an adverse event
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
    June 01, 2022 - In the event that your computer freezes at any point during the presentation, you can try logging out … , we conduct a review of the literature, looking at patient safety, safety culture, medical error, event … And the second analysis, we linked Hospital SOPS to AHRQ Patient Safety Indicators, or PSI, adverse event … found that higher patient safety culture, or Hospital SOPS scores, were associated with lower adverse event … And our most recent webcast was about the Implementation of an Event Reporting and Learning System Leading
  18. www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1concl.html
    March 01, 2019 - Engaging stakeholders is a continual process, not a one-time event.
  19. www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/201515.html
    January 01, 2018 - We call this our ‘always event,'" said Paula Suter, R.N., B.S.N., M.A, SCIC's clinical director.
  20. www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
    October 01, 2014 - what went well and to identify opportunities for improvement—take place within 48 to 72 hours after an event

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