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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
January 24, 2019 - Ages Younger than eighteen years of age during measurement year
Event/Diagnosis Diagnosed with Sickle
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www.talkingquality.ahrq.gov/news/newsroom/press-releases/nac-meeting-mar6.html
March 01, 2023 - Closed captioning will be provided during this event.
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www.talkingquality.ahrq.gov/cahps/about-cahps/principles/index.html
January 01, 2020 - CAHPS reporting questions provide an explicit time frame (e.g., in the past six months) or event reference
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - to the response team and who follow a patient from one care unit to the next during a rapid response event … Data collection at this university includes:
Conducting event debriefing. … SAY:
Responders conduct typical debriefs right after the event to give teams an opportunity to conduct … Sensemaking reviews are typically conducted after an event, much like a debrief. … This is typically indicative of an attempt to uncover what might have gone wrong during an uncommon event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … This is a timed event with the goal to see which team can construct the longest chain.
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www.talkingquality.ahrq.gov/news/newsroom/press-releases/ahrq-nac.html
March 01, 2024 - Closed captioning will be provided during this event.
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www.talkingquality.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - to the response team and who follow a patient from one care unit to the next during a rapid response event … Data collection at this university includes:
Conducting event debriefing. … Say:
Responders conduct typical debriefs right after the event to give teams an opportunity to conduct … Sensemaking reviews are typically conducted after an event, much like a debrief. … This is typically indicative of an attempt to uncover what might have gone wrong during an uncommon event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Partnership with VA to look at data, trends, and solution for delay in
treatment event type.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - monitoring to recognize risk or unfolding error
An opportunity to interrupt or correct an action or event
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www.talkingquality.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - A legal financial settlement was negotiated shortly after the event. … Adverse event*:
Any injury caused by medical care. … Identifying something as an adverse event does not imply
“error,” “negligence,” or poor quality care … Never event**:
The term “never event” refers to a particularly shocking medical error (such as wrong-site … Sentinal event data: root causes by type.
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www.talkingquality.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - While “zero-tolerance” is implied by the term “never event,” this may not be language that the public
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www.talkingquality.ahrq.gov/news/newsroom/press-releases/national-advisory-council-meeting.html
March 01, 2021 - Closed captioning will be provided during this event.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
March 07, 2019 - Improvement)
Short, informal information exchange used as a process improvement tool
Occur after an event … It occurs after an event, or shift, and is designated to improve teamwork skills. … Debrief should be a short team event of 3 minutes or less that is typically initiated and facilitated
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www.talkingquality.ahrq.gov/diagnostic-safety/resources/index.html
March 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS)
Page last
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www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
September 01, 2021 - Together, these organizations designed and implemented a successful back-to-school event, which included … The purpose of the event was to provide health education to members while also hosting activities such … During preparation for the event, the community partner and a youth advisor provided feedback on the
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse Drug
Event
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Speakers at the event, sponsored by AHRQ and the National Institutes of Health, highlighted major drivers
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www.talkingquality.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - hospitals,
transportation companies, and linen services) for use by nursing home leadership in the event
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www.talkingquality.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety