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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - MOD was adapted
from previous work and defined to occur when evaluation
for a diagnosis was not pursued … A preventable error or delay in
diagnosis may occur because of factors outside the clinician’s immediate
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monahrq.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Problems often occur in the exchange of information across hospital units.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - correlation
in patient/family member and clinician responses was found in regard to failures that occur … Discrepancies were found to occur across all classes of medications. … Themes and subthemes emerging from the analysis suggest failures may occur in multiple
domains of the … Discrepancies were found to occur across all classes of medications. … Themes and
subthemes emerging from the analysis suggest failures may occur in multiple domains of the
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monahrq.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,
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monahrq.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
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monahrq.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.
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monahrq.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?
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monahrq.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
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monahrq.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
February 01, 2017 - Skip to main content
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monahrq.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…
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monahrq.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…
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monahrq.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
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monahrq.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
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monahrq.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
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monahrq.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
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-kaiser.html
July 01, 2022 - Three virtual conferences are expected to occur in 2022.
Dr.
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monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - This step is particularly crucial for handoffs that occur electronically.
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monahrq.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
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monahrq.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
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monahrq.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…