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  1. 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.
  2. 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.
  3. 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.
  4. 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
  5. www.talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
    July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).
  6. 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
  7. 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.
  8. 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
  9. 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.
  10. 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
  11. 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
  12. 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
  13. 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.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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).
  20. 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

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