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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
Engage Patients and Families for Perinatal Safety
SAY:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…
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www.healthcare411.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
September 01, 2020 - Failure to obtain informed consent can be considered negligence, battery, or malpractice by a court of … Compliance and Workflow
Failure to adhere to hospital policy. … Failure to obtain a separate signed consent form for each proceduralist responsible for a different aspect
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www.healthcare411.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
January 18, 2017 - The most frequent area of concern was a hospital’s failure to obtain informed
consent in accordance … Failure to
provide language assistance is risky for patients and can serve as the basis for lawsuits
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www.healthcare411.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
August 01, 2014 - policy does not create any rights to any particular consultation or a right of action against AHRQ for failure
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
August 01, 2022 - Failure to implement change is often the result of under-communicating or communicating poorly, leaving
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - ongoing complex medical care and need for management of advanced Parkinson’s disease, dysphagia, and failure
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - who received a transplant within 3 years of date of renal failure.” … 100,000 population, age
18 and over
HCUP 2020
Deaths per 1,000 hospital admissions with heart failure … kidney
transplant within a year of initiation
USRDS 2019
Patients with treated chronic kidney failure … who received a
transplant within 3 years of date of renal failure
USRDS 2017
Hemodialysis patients … 100,000 population, age
18 and over
HCUP 2020
Deaths per 1,000 hospital admissions with heart failure
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www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - communication problems, and more likely to result in serious harm compared to English-speaking patients
Failure
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
March 07, 2019 - Debriefs also maintain effectiveness by not assigning blame or failure to an individual.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
August 01, 2005 - originate from a variety of sources, including adverse event and near-miss reports, root
cause analyses or failure
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
January 01, 2008 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk
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www.healthcare411.ahrq.gov/sites/default/files/publications/files/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - ♦ Failure to obtain informed consent can be considered negligence, battery, or malpractice
by a court … Compliance
and Workflow
• Failure to adhere to hospital policy.
• Consent obtained from patients with … • Failure to obtain a separate signed consent form for each proceduralist responsible for a different
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
March 01, 2021 - Observational Audits
Observational Audits
A Pathway to Improving Infection Prevention and Preventing the
Spread of COVID-19
Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to
understand if your staff fully comply with infection prevention p…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - care during hospitalization, adults ages 18-89 or obstetric admissions
• Postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative
hemorrhage or hematoma, postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative
hemorrhage or hematoma, postoperative respiratory failure … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - Instructor Comments
This teamwork failure is the result of a series of communication breakdowns. … Instructor Comments
This teamwork failure depicts the absence of a clearly defined leader and lack
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
January 01, 2020 - 780 799)
Symptoms (780-789)
78003 Persistent vegtv state
78072 Functional quadriplegia
7837 Failure … intestine
V4575 Acq absence of stomach
V4611 Respirator depend status
V4612 Resp depend-powr failure
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www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Most were due to failure to
use an appropriate interpreter. … These claims highlight several points related to the failure to provide appropriate language
services … • Twelve of the claims involved the failure to translate important documents such as informed consent … On multiple occasions there had been a failure to provide an
interpreter. … Congestive heart failure hospitalizations and survival in California: patterns according to race/
ethnicity
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www.healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide.html
November 01, 2018 - variety of sources, including adverse event and near-miss reports, reports of root cause analyses or failure
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www.healthcare411.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Medical error was defined as the failure of a planned action to be completed or the use of a wrong plan