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www.qualitymeasures.ahrq.gov/hai/tools/mvp/modules.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - communicators who participate in conversations
with patients, families, and caregivers following an adverse event … Disclosure Situation, Immediately After Event
Mary is a 39-year old mother of two small children who … Disclosure Situation, Immediately After Event
The following lists and examples show traits of each type … Response to Disclosure Situation, Immediately After Event: [Insert original participant response here
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - 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. … 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 … Is there something—such as a life event or situation at
work—that is detracting from my ability to focus
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www.qualitymeasures.ahrq.gov/cahps/news-and-events/events/webinar-011922.html
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www.qualitymeasures.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Skip to main content
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www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 32,750,000 Discharges— Based on 2010 Baseline)
2012 PFP Measured HACs per 1,000 Discharges
Adverse Drug Event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Imagine the world as they did when the event occurred.
13
Changing the System
13
Why Did It Happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/slchangemgmt.pptx
January 31, 2006 - Professional Education
TEAMSTEPPS 05.2
Mod 8 2.0 Page ‹#›
Change
Management
Page ‹#›
Catalytic Event
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-2-tech-specs.pdf
February 09, 2018 - Ages Younger than 19 years of age during measurement year
Event/Diagnosis Diagnosed with sepsis syndrome
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www.qualitymeasures.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-agenda.html
August 01, 2017 - Time
Event
Speaker
8:00-8:30 am
Registration
8:30-9:30 am
Introduction & State of AHRQ
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005)
** (JC Sentinel Event … Data (Root Causes by Event Type) 2004-2012)
See Instructor Guide, pages 7-9
Select Here for Joint … We use it in our adverse event reports. … did the call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event … the call-outs made by the nurse and the intern aid the team during this emergent labor and delivery event
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www.qualitymeasures.ahrq.gov/cahps/news-and-events/events/webinar-100620.html
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www.qualitymeasures.ahrq.gov/cahps/news-and-events/events/webinar-030321.html
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www.qualitymeasures.ahrq.gov/cahps/news-and-events/events/webinar-111919.html
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www.qualitymeasures.ahrq.gov/cahps/news-and-events/events/webinar-032421.html
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