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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - • An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 22, 2017 - • An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - · An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Skip to main content
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www.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - How To Manage Change
How To Manage Change
ADD Hospital Name Here
Module 2
QI Change Process
Change process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure injuries
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism following knee and/o…
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
July 01, 2021 - Skip to main content
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - Skip to main content
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