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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
March 01, 2017 - N
Next— What will happen next? Anticipated changes? What is the plan? … frontline care providers is to help and care for residents without harming them, but adverse events happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
January 01, 2018 - or implied, in this summary.
27
Recommendation:
Make a recommendation for what you think should happen
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www.qualitymeasures.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
December 01, 2017 - Identification and Mitigation Tool ( Word , 1.73 MB)
Understand where, when, and why workarounds happen
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - Patient Safety Terminology
Medical errors*:
Medical errors happen when something that was planned … 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
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
January 01, 2019 - This nursing home lets the same mistakes happen again and again. (D3R) 70% 66% 63% 60%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 63% 68%
2. … This nursing home lets the same mistakes happen again and again. … This nursing home lets the same mistakes happen again and again. (D3R) 63% 73%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 68% 65% 60%
2.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - It is just by chance that more serious mistakes don’t happen around
here ........................... … My supervisor/manager overlooks patient safety problems that happen
over and over ................... … My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … We are informed about errors that happen in this unit.
C5.
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www.qualitymeasures.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - In this scenario, the transporter didn’t understand what might happen because of wrong bag placement
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
April 01, 2018 - (F2)
85
Mistakes happen more than they should in this office. … (E1R)
47
They overlook patient care mistakes that happen over
and over. … This office is good at changing office processes to
make sure the same problems don’t happen again. … Mistakes happen more than they should in this
office. … They overlook patient care mistakes that happen
over and over.
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - problems in your safety management that you can tackle (problems are gaps between what you want to happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Identifying Targets To Improve Antibiotic Use
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Identifying Targets To Improve Antibiotic Use
Long-Term Care
SAY:
Hello and welcome to the presentation, “Identifying Targets To Improve Antibiotic…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
April 01, 2022 - The team leads will need to plan with the senior executive how those things happen, including what reporting
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Branding_Your_Quality_Report_2011_05_15_Transcript.pdf
January 01, 2011 - And that includes
our hospitals and health systems who happen to be some of the biggest employers in
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www.qualitymeasures.ahrq.gov/talkingquality/plan/manage.html
November 01, 2018 - Establishing a Management Structure
Quality reporting projects do not happen by themselves.
-
www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - and whether these gaps are reduced for all long-term care patients, since long-term care may not just happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
March 01, 2023 - Remember you are documenting what ACTUALLY happens – not what
SHOULD happen ideally.
c. … What does happen? Who takes care of this? Who is ultimately accountable?
Where does this go?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - in the future
Senior leaders welcome opportunities to learn from setbacks, events or mistakes that happen … identify the factors that contributed to the defect (an event or situation that you do not want to happen … including senior leaders, to identify ways to learn from an event or situation that you do not want to have happen
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/about.html
September 01, 2020 - YES / NO
A change in clinical practice doesn't happen overnight.
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
September 01, 2015 - examples could be from your actual experience in the medical office or experiences that you imagine could happen … and key events that occurred and asks questions related to team performance, such as, Did everything happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
January 31, 2022 - What is Patient Experience and How Does CAHPS Measure It?
WHAT IS PATIENT EXPERIENCE
AND HOW DOES CAHPS
MEASURE IT?
Stephanie Fry
Senior Study Director
Westat
14
What is Patient Experience?
Patient experience refers to what happened in a health care setting. It
encompasses the range of interactions that pat…