-
www.monahrq.ahrq.gov/policy/foia/foiafy08.html
October 01, 2014 - Documents requested were protected by an exemption
and release would have caused harm to the interest
-
www.monahrq.ahrq.gov/policy/foia/foiafy10.html
November 01, 2020 - requests are not granted: Documents requested were protected by an exemption and release would have caused harm
-
www.monahrq.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - At the direction of AHRQ, teams have also been working on the two Composite Measures (Preventable
Harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
September 18, 2014 - At the direction of AHRQ, teams have also been working on the two Composite Measures (Preventable
Harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - At the direction of AHRQ, teams have also been working on the two Composite Measures (Preventable
Harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - errors and process failures)
Incorporates redundancy and backup systems to minimize risk of patient harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - risks and hazards with an integrated approach in order to
continuously drive down preventable patient harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - claims, and quality operations
■ An understanding of the individual and systemic bases of patient harm … conventional and rhetorical message design logics.
2The overall Approach to Scoring the Group Project and Harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
April 01, 2015 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … again. 1 2 3 4 5 9
32
SECTION D: Near-Miss Documentation
► When something happens that could harm … When something happens that could harm the patient, but does not, how often is it documented
in an incident
-
www.monahrq.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
May 01, 2016 - evaluated diagnostic error as a quality-of-care challenge and examined the epidemiology, burden of harm
-
www.monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Skip to main content
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www.monahrq.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Skip to main content
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
January 01, 2020 - Documentation - 2020 SOPS ASC Database
Near-Miss Documentation
When something happens that could
harm … 25th
%ile
Median/
50th
%ile
75th
%ile
90th
%ile Max
When something happens that could harm
-
www.monahrq.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - ratios are, with one exception, all below 1.0 makes intuitive sense: it is credible that the rate of harm
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - and recommend improvement approaches
☐ Perform proactive risk assessments to determine areas in which harm
-
www.monahrq.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
April 01, 2020 - Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN
-
www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - shows key safety indicators such as the number of days since the last “near miss” event or patient harm
-
www.monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Skip to main content
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …