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www.ahrq.gov/talkingquality/distribute/promote/act-early/choose.html
July 01, 2011 - Choosing and Involving Partners in Promoting a Quality Report
In an increasing number of States and communities, reporting projects are being carried out through collaborative efforts across multiple organizations that reflect the diversity of stakeholders in health care.
If your reporting project is coll…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
February 01, 2024 - Slide 18, “Progress Toward Goal,” allows you to note that care and patient care plans always involve
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - Of the 125 events, 30 were judged to involve “all of the essential elements of a negligence claim: an … Another significant component of the grant was the exploration of ways to involve patients/families who … Clinicians and administrators were unsure how to involve patients and family members, however, due to … Developing the Improving Post-event Analysis and Communication Together (IMPACT) tool to involve patients … patient safety in the ambulatory setting
Continuing medical education (CME) materials for sessions that involve
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www.ahrq.gov/faqs/index.html?page=2
October 17, 2014 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - the distribution of residual harm to the distribution of no residual harm by
whether Fall Incidents involve … the nature of the patient safety concern could not be
attributed to the hospital, did not appear to involve
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - The essential first steps for any hospital wishing to implement either or both of these
strategies involve … Consider these keys to success:
• Involve ALL necessary people. … should not be referred.
• Include both straightforward and more complex scenarios, including those that
involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - Both Steps 7 and 8 involve continuous organizational learning and are consistent with Phase 3, the “making
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - includes addressing both established and emerging safety concerns,
such as diagnostic errors, which can involve … Errors involve common conditions and nearly half of them have potential for patient harm.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - includes addressing both established and emerging safety concerns,
such as diagnostic errors, which can involve … Errors involve common conditions and nearly half of them have potential for patient harm.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - Patient falls involve other intrinsic
factors, such as patient sex, medical condition, mobility impairment … safety event could not be attributed to the hospital, did not
reach the patient, did not appear to involve
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home
Previous Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
…
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www.ahrq.gov/faqs/index.html?page=3
December 20, 2012 - not be issued during the month of September; transfer applications received after July 15 that do not involve
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - Some examples involve contracts between PBRNs and State or county
organizations that could be adapted … Other examples involve
PBRNs within ACOs; these PBRNs have traditionally conducted externally funded … ACO 2.0 will involve new mechanisms and payment
structures (such as bundled payments) to manage high-cost … This drilling down may involve identifying contextual factors (e.g., cultural barriers) or workflow … The RRN MEDTAPP work shows that QI contracts can arise from many
sources and involve diverse partners
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and
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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 results include a detailed health policy agenda designed to
involve affected segments of the health … Involve patients as
active health care
partners
• Empower consumers/patients/clients/residents and … importance and potential effectiveness of the proposals, and developed a set of activities
designed to involve
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Of the 125 events, 30 were judged by communication and resolution program decisionmakers to involve all … The patient and family member interviews, by contrast, involve a qualitative approach to investigating … communication and resolution program and promoting patient-centered accountability in systems that involve … hospitals were included in the study, many of the final analyses conducted by the Fairview team did not involve
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Involve care team staff in the practice’s performance evaluation and quality improvement activities … Involve patients/families/caregivers in quality improvement activities or on the practice’s advisory
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
March 01, 2017 - It is also important to share that change can be difficult and that all improvements involve some change … Slide 33: How To Work With Resident and Family Advisers 7
Say:
Facility safety teams can involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
March 06, 2013 - doctors, nurses, and other hospital staff
about why it is important to conduct bedside shift reports
or involve … and resources related to
multiple aspects of patient- and family-centered care,
including how to involve