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www.innovations.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - It is important to reinforce what went well and avoid assigning blame or failure to any individual regarding
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - output can be recognized for their “good catch” and
timely contributions to a new diagnosis of renal failure … older female patient complaining of lightheadedness with
a past medical history of congestive heart failure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/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.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-6-b-measure.pdf
January 01, 2013 - pneumonia, dehydration, UTIs, perforated appendix, seizure disorders, skin infection/cellulitis, failure … immunization-preventable conditions, tuberculosis, anemia, congenital syphilis, congestive heart failure
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www.innovations.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Medication problems occurring at hospital discharge among older adults with heart failure.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
October 18, 2017 - decision to prioritize these proposed measures of timing as important process of
care measures, with failure … of the 60-minute measure representing a meaningful failure that
jeopardizes patient safety. … Failure to
measure a timely temperature after birth foregoes the opportunity to identify and manage
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - PSI (2014) Post-Op Hemorrhage
or Hematoma (PSI 9)
19,000 0.59
PSI (2014) Post-Op Respiratory
Failure
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www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Skip to main content
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - Many factors can contribute to a child’s failure to obtain a dental visit in a given year, including … Several factors can contribute to a child’s failure to obtain a dental visit in a given year,
including
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - Here’s what Atul Gawande says, A few conclusions become clear when we understand this, there’s cruel failure … in how we treat the sick and the aged is the failure to recognize that they have priorities beyond
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
September 01, 2018 - ) dataset to determine whether a child disenrolled due to loss of
eligibility (a “good” reason) or failure … MAX dataset to determine whether a child disenrolled due
to loss of eligibility (a “good” reason) or failure … to acquisition of employer-based insurance or an
25
income increase (good reasons), or due to failure
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
May 23, 2018 - to parental income increase or the acquisition
of employer-sponsored insurance, a “good” reason) or failure … MAX dataset to determine whether a child disenrolled due to loss of
eligibility (a “good” reason) or failure … rolls due to acquisition of employer-based
insurance or an income increase (good reasons) or due to failure
-
www.innovations.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - Remember, failure to use interpreters is risky for patients and can also serve as the basis for lawsuits
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
January 01, 2013 - pneumonia, dehydration, UTIs, perforated appendix, seizure disorders, skin infection/cellulitis, failure … immunization-preventable conditions, tuberculosis, anemia, congenital syphilis, congestive heart failure
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-section-6b.pdf
August 10, 2018 - pneumonia, dehydration, UTIs, perforated appendix, seizure disorders, skin infection/cellulitis, failure … immunization-preventable conditions, tuberculosis, anemia, congenital syphilis, congestive heart failure
-
www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Failure to employ advocacy and assertion frequently has been identified as a major contributor to the
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - Failure to employ
advocacy and assertion frequently has been
identified as a major contributor to the
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Mind the overlap: how system
problems contribute to cognitive failure and diagnostic errors.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - equipment or attached appliance (cane, walker, crutch, O2) – improper use X X
Equipment failure