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  1. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-2-tech-specs.pdf
    February 24, 2020 - Event/Diagnosis An outpatient care visit and BMI ≥85% percentile.
  2. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
    March 01, 2011 - during continuous enrollment period Anchor Date Date of ADHD diagnosis at the physician visit Event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event … during continuous enrollment period Anchor Date Date of ADHD diagnosis at the physician visit Event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event … with ADHD (ICD-9-CM 314.0, 314.00, 314.01, any position) who meet aspects of the PMCoE measure Index event
  3. www.talkingquality.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
  4. www.talkingquality.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
  5. www.talkingquality.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
  6. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/resident-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication:__________________________________________________________________________ Adverse Event
  7. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
    May 01, 2022 - Contraindication: __________________________________________________________________________ Adverse Event
  8. www.talkingquality.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.
  9. www.talkingquality.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 Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. www.talkingquality.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.
  11. www.talkingquality.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
  12. www.talkingquality.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
  13. www.talkingquality.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
  14. www.talkingquality.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.
  15. www.talkingquality.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
  16. www.talkingquality.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
  17. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - 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.
  18. www.talkingquality.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.
  19. www.talkingquality.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
  20. www.talkingquality.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

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