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  1. cahps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Medication errors that occur outside the hospital can be lethal for children with chronic conditions,
  2. cahps.ahrq.gov/news/blog/ahrqviews/ahrq-launches-pcor-strategy.html
    July 01, 2023 - Continued learning must occur to inform future initiatives and build the capacity for strategies shown
  3. cahps.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
    October 01, 2023 - Additionally, some items cover events that occur with low frequency in the general population.
  4. cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
    January 01, 2018 - 1 05.2 Page ‹#› Slide ‹#› TeamSTEPPS for Office-Based Care Measurement Start easy… Did the brief occur … Did the debrief occur? Were there any changes from debrief?
  5. cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule7.pptx
    November 02, 2018 - among which information must be communicated A leader must be clearly designated Mutual support must occur … which information must be communicated, a leader must be clearly designated, and mutual support must occur … Krane shared that in his area, nephrology, a briefing would occur before a procedure-- like a kidney
  6. cahps.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 …
  7. cahps.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…
  8. cahps.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…
  9. cahps.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
  10. cahps.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
  11. cahps.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
    June 01, 2020 - At the same time, stakeholders acknowledged that redundancies in research efforts do occur across agencies … federally funded standpoint, I think some sort of way to organize and eliminate the overlap where it does occur … The process of discovering overlaps was said to be “sporadic,” “accidental,” or “anecdotal,” and to occur
  12. cahps.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
  13. cahps.ahrq.gov/funding/grantee-profiles/grtprofile-kaiser.html
    July 01, 2022 - Three virtual conferences are expected to occur in 2022. Dr.
  14. cahps.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
    May 01, 2023 - This step is particularly crucial for handoffs that occur electronically.
  15. cahps.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
  16. cahps.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
  17. Puh-Impmenu (doc file)

    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
    December 15, 2016 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Healing AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Menu of Implementation Strategies The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choo…
  18. cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Introduction Errors that occur … approaches to teaching diagnostic reasoning and the most common discussions of diagnosis for trainees occur … The number of positive tests that would occur in patients with disease and those without disease could
  19. cahps.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
  20. cahps.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

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