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www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge
Older adult safety while receiving home health services after hospital discharge
Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD
Other team members:
Bruce Leff, MD (Primary mentor)
Ayse P. Gurses, PhD, MS…
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www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
January 01, 2024 - Who worked together and how did that happen? What was
remedied?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - The team also established nine recommendation
target codes for “who” should make a recommendation happen
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Patient Safety Terminology
Medical errors*:
Medical errors happen when something that was planned as … They can happen during even the most routine
tasks, such as when a hospital patient on a salt-free diet … Most errors result from
problems created by today’s complex health care system, but errors also happen … It happen in the morning.
Nurse: OK, so you have been tired since this morning.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - safety; however, as examples in
aviation and other high‐risk industries have shown, the change will not happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - fails to resolve the error’s
Physician Event Reporting
357
source, errors will continue to happen
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - Note that they have a person or persons responsible to make each task happen by a certain date.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - Note that they have a person or persons responsible to make each task happen by a certain date.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - was to report a technical
malfunction (such as failure of any recommendations to appear, as would happen
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - Being aware of what is going on and what is likely to happen next.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
November 01, 2017 - flow.
9 12 9/12=75%
We look at staff actions and the way
we do things to understand why
mistakes happen
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
September 01, 2015 - Patient visits may run late; emergencies will happen. … Hear the other person: sometimes all that needs to happen is for the other person
to be heard, so listen
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
September 08, 2022 - It’s not going to happen.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
January 01, 2020 - Of course that did happen but it was mostly that people just the
introduction screen, that 11%, and … I happen to be Canadian
and in Canada, people from there will recognize that almost everything you get
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
January 01, 2014 - If that
does happen, you can hit your F5 button on your keyboard to refresh your screen. … This was a real important learning for us, because it gave us a preview of
what would happen, what was
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qual…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety team. Engaging the resident and family as partners will help assure they can be active participants in their care and in the decision-making process …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Innovative Use of Technology in Primary Care Delivery
September 14, 2023
Presented by:
Anjana Estelle Sharma, MD, MAS
Adrian Aguilera, PhD
Ryan J Coller, MD, MPH
Nicole…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Using_Social_Media_2011_09_01_Transcript.pdf
January 01, 2011 - How Social Media Can Draw Visitors to a Quality Report
Transcript release date 9/1/11
How Social Media Can Draw Visitors
to a Quality Report
Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group
Speakers:
Barbara Lambiaso, Project Manager, Massachusetts Health Quality Part…