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www.healthcare411.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event
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www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - The process and perspective of serious incident investigations in adult community mental health services
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www.healthcare411.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE)
Advancing Patient Safety Innovation in Rheumatology (ASPIRE)
Principal Investigator:
Jinoos Yazdany, MD, MPH
Co-investigators:
Gabriela Schmajuk, MD, MSc
Urmimala Sarkar, MD, MPH
R. Adams Dudley, MD, MBA
Stephen Shiboski, PhD
De…
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www.healthcare411.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Skip to main content
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www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Document the event in the medical record – Providers must document in the medical record the facts of the incident … and any care the patient received as a result of the incident. … Say:
When an incident occurs, it will be investigated and analyzed (e.g., a root cause analysis may
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www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan.html
September 01, 2015 - Problem or Opportunity for Improvement
Key Actions:
Review office performance and safety data:
Incident
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Strategy 4: IDEAL Discharge Planning (Tool 3)
Improving Discharge Outcomes with Patients and Families
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 4: IDEAL Discharge Planning (Tool 3)
O Guide to Patient and Family …
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Implementing Best Practices Checklist
Implementation Team leader
5A – Information To Include in Incident … Accurate completion of fall incident report form by all staff?
2.
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www.healthcare411.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
July 01, 2021 - Skip to main content
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www.healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Lists date & time of event
Cites NHSN criteria for event labeled as a CAUTI
Raises awareness of incident
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www.healthcare411.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - "Every error counts": a web-based incident reporting and learning system for general practice. … The wrong diagnosis: identifying causes of potentially adverse events in general practice using incident
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Examples include staff educators, nurse managers, counselors, EAP personnel, paramedics with Critical Incident
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - In the past, incident reporting by clinicians has been delayed or often absent.
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www.healthcare411.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population
Final Topic Refinement Document
Therapeutic Options for Obesity in the Medicare Population
(ID: OBET0913)
May 22, 2014
AHRQ Technology Assessment Program
Johns Hopkins University Evidence-based Practice Center
…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4y
Selected Best Practices and Suggestions for Improvement
NQI 03: Neonatal Blood Stream Infection
Why focus on neonatal blood stream infection (BSI)?
•…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution
(CANDOR) process and includes;
■ Identifying the existing process
■ Identifying the existing outcome(s)
■ Identifying the desired outcome(s)
■ Identifying and documenting the gap(s)
Who should use t…
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www.healthcare411.ahrq.gov/funding/grant-mgmt/reptemp.html
November 01, 2011 - Skip to main content
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www.healthcare411.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - The estimated cost of a retained foreign object is estimated to be between $166,000 –
$200,000 per incident