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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
January 17, 2017 - during continuous enrollment period
Anchor Date
Date of ADHD diagnosis at the physician visit
Event … patients, identify all assessment services (see Table 2) with an ADHD diagnosis
code at the anchor event
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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
December 01, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … (es) due to breakdowns in team skills
□ Staff members are concerned that we could have an adverse event … □ Incorporates redundancy and backup systems to minimize risk of patient harm in event of error or … Examples include event counts, rates (percentages), survey scores, and time-to-event occurrences .
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-intro-slides.pdf
March 15, 2016 - Ask a Question
6 www.cahps.ahrq.gov
Accessing Presentations
7 www.cahps.ahrq.gov
Accessing Event … To Ask a Question
Accessing Presentations
Accessing Event Materials
CAHPS Ambulatory Care Improvement
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Doing a thorough event investigation and analysis, or root cause analysis, is an important step in the … hour-care provided while the patient is in the medical setting. 4 Third, taking responsibility for the event … adverse events, continuous communication with patients and families throughout the disclosure process, event … Disclosure is not an event, it is a process, and it does not end until the patient or family says it
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
June 01, 2021 - Category
Unit
Please describe how you think the next resident at your facility will be harmed by an event
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www.talkingquality.ahrq.gov/hai/tools/mvp/vae.html
December 01, 2017 - Tools To Support Monitoring VAEs and Outcome Measures
Ventilator-Associated Event Data Collection Tool … - HTML Version of Slide Presentation ; Facilitator Guide - Word , 3 MB)
Ventilator-Associated Event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
January 01, 2017 - Ask a Question
9
www.ahrq.gov/cahps
Accessing Presentations
10
www.ahrq.gov/cahps
Accessing Event … To Ask a Question
Accessing Presentations
Accessing Event Materials
First Polling Question
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a short (about 3 minutes or less) team event, typically initiated and facilitated by
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-2-tech-specs.pdf
November 01, 2014 - Event/
diagnosis
At least two antipsychotic medication dispensing events (Table 1), regardless if … Event/diagnosis At least two antipsychotic medication dispensing events (Table XXX-A), regardless if
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
February 02, 2018 - 0.10 <0.001
No Insurance 102 (3.2%) 0.04 0.001
Table VII.C.2 – Analysis of differences in adverse event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-5.pdf
April 26, 2018 - Inter-Rater Reliability of Assessment of Event within Specified Time Period
Site Time Total
Records
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
February 02, 2018 - 12.4%) 0.18 <0.001
Other 161 (5.7%) 0.12 0.12
Table VII.A.2 – Analysis of differences in adverse event
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring,
mutual … es) due to breakdowns in team skills
□ Staff members are concerned that we could have an adverse event … process failures)
Incorporates redundancy and backup systems to minimize risk of patient harm in event … Examples
include event counts, rates (percentages), survey scores, and time-to-event occurrences.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
February 02, 2018 - 3 or more body systems 125 (3.6%) 0.27 <0.001
Table VII.B.2 – Analysis of differences in adverse event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
January 01, 2010 - 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 delivery with an adverse event
-
www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - CVD) in adults aged 40 to 75 years, with at least one CVD risk factor and an increased risk of a CVD event … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-2-tech-specs.pdf
February 26, 2018 - Ages Younger than eighteen years of age during measurement year
Event/Diagnosis Diagnosed with sickle … Administration of oral
antibiotics does not qualify as a numerator event.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-2-tech-specs.pdf
February 22, 2019 - • Clarified that schizoaffective disorder is included in step 4 of the event. … Event Follow the steps below to identify the eligible population.
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
September 01, 2020 - particularly frontline staff and interpreters, on the full spectrum of what constitutes a patient safety event … training and educational sessions in this area:
Include a focus on the definition of a patient safety event … Our study revealed that nonclinical staff might not report a patient safety event since they believe
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Preparation (examples)
1
Can we draft an "escalation from CUS event" procedure acceptable to organization … Following the first escalation from a CUS event, prepare to debrief: (a) How well did the escalation … CUS contact person determines what communication has occurred with the patient/family regarding the event … CUS contact person leads after-event debrief with organization leaders.