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www.talkingquality.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.
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www.talkingquality.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.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Prov.pdf
October 04, 2016 - Benefit Medical
Event/Diagnosis Primary care visit.
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www.talkingquality.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
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www.talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).
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www.talkingquality.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
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www.talkingquality.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
November 01, 2018 - change over the test period, you will need to consider "denominator data" or the number of times the event … calculated by dividing the number of events that did occur by the total number of opportunities for the event … Antibiotic Administration
Number of patients admitted to labor & delivery who incurred an adverse event … 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.
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www.talkingquality.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event
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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module4/office_lead.html
September 01, 2015 - Occurs after an event or shift.
Designed to improve teamwork skills. … Leading as event management: toward a new conception of team leadership.
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - Primary Care Research , will feature AHRQ grantees discussing their research on engaging patients in event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Measures used to estimate the national HAC rate
HAC Type Source Measure
Adverse Drug
Event
MPSMS … Acquired
Conditions
MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures
MPSMS Adverse Event … Associated With Hip Joint Replacements
MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for
which the MPSMS data are used, we follow these steps:
• Multiply the adverse event … Catheter
Angiographic
Procedures
22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51
MPSMS Adverse Event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - • Common Formats for Event Reporting – Diagnostic Safety
o Released the Common Formats for Event
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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
September 01, 2015 - 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 … Leading as event management: toward a new conception of team leadership.
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www.talkingquality.ahrq.gov/data/ushik.html
July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
adverse event
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www.talkingquality.ahrq.gov/talkingquality/assess/index.html
September 01, 2019 - Project
Reporting comparative quality information to consumers is typically not a one-time event
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www.talkingquality.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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - e.g. staff intimidation,
time-outs
– Focus on processes - not the person
– Encourage medication event
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www.talkingquality.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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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - Event/Diagnosis Imaging studies of the head (CT or MRI; Table IMG1) for the
evaluation of simple febrile