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  1. ahrqpubs.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  2. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency wo…
  3. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality 1 Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working group t…
  4. ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
    June 01, 2019 - Describe the impact of errors and why they occur. Describe the TeamSTEPPS framework. … Return to Contents Barriers to Team Performance Say: Errors can occur for many reasons, and … Finally, your team will be safer, allowing the team to more readily identify and correct errors, if they occur
  5. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - Monitoring  Engage in team learning and regulation17-18; and  Correct problems before they occur
  6. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - Indiana Hospital Association Meeting; August 2023 Data collection to measure uptake is planned to occur
  7. ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
    May 01, 2023 - This step is particularly crucial for handoffs that occur electronically.
  8. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
    May 20, 2016 - in intensive care units each year, with 250,000 cases of bloodstream infections (BSIs) estimated to occur … Education should occur upon hire, annually, when this protocol is added to job responsibilities, and
  9. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - That means approximately 1.8 million fewer HACs would occur compared with the number that would have … If a 20 percent reduction were to occur in each type of HAC measured, AHRQ projects that these 1.8 million … Similarly, patients’ choices often occur without the robust information they need, and this limitation
  10. ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
    March 01, 2017 - Backsliding can occur as a result of factors such as staffing conditions, administrators' loss of interest … needed to maintain improvements after the project ends allows you to be better prepared if changes occur
  11. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - multiple related or successive encounters and/or missed opportunities, including multiple encounters that occur
  12. ahrqpubs.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  13. ahrqpubs.ahrq.gov/ncepcr/research/health-literacy.html
    September 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  14. ahrqpubs.ahrq.gov/funding/training-grants/index.html
    December 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  15. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  16. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare 1 Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency…
  17. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.5
  18. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
    February 06, 2006 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … scan and assess elements of the situation so that our perceptions match our predictions of what's to occur … perception, or understand that there's just a minimal delay before the normal events of the day will occur … Some of the specific examples for where failure can occur in the STEP process-- remember the STEP mnemonic … It is important to establish the expectation that these team events will occur and that all team members
  19. ahrqpubs.ahrq.gov/ncepcr/care/index.html
    March 01, 2023 - an online resource designed to help organizations anticipate, avoid, and address problems that can occur
  20. ahrqpubs.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
    August 01, 2021 - However, true change will not occur until we address health inequalities by structural changes in the

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