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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/smpcefm.docx
May 02, 2006 - Describe the impact of errors and why they occur 1 2 3
3.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - change in patient condition, errors in dosing, etc.) will be caught by a check or team alert when they occur … misses and adverse events related to oxytocin use
Having a process in place to review inductions that occur
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that “A…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
February 01, 2011 - into the event to divert the team’s attention from other events that
are occurring or are about to occur … checklists are event-based and the scenarios are scripted in advance, the
rater knows when each event will occur … the combination of focusing on the presence or
absence of key behaviors and controlling events that occur
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monahrq.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - Skip to main content
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monahrq.ahrq.gov/hai/index.html
March 01, 2024 - Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens
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monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - Skip to main content
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monahrq.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Skip to main content
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monahrq.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - The process of discovering overlaps was said to be “sporadic,” “accidental,” or “anecdotal” and to occur … project to generate impact across all categories, and the impacts of specific projects may not always occur
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
July 01, 2023 - Nearly all readmissions among Medicare beneficiaries occur among those with MCC.
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monahrq.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and
patient safety interventions usually occur … Attribution to an ICU is defined by the CDC as events that occur more than 2
days after ICU admission … In
addition, if a physician orders nares screening for any reason, then screening should occur. … In rare
case reports, anaphylaxis can occur (difficulty breathing; tightness in the chest; swelling … For
example, this may occur if CHG enters the ear canal and the patient has a perforated
(punctured
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monahrq.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Skip to main content
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monahrq.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
September 01, 2020 - Skip to main content
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monahrq.ahrq.gov/learning-health-systems/about.html
May 01, 2019 - Skip to main content
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monahrq.ahrq.gov/data/qualityindicators/index.html
November 01, 2020 - are population-based indicators that capture all cases of potentially preventable complications that occur
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - – Discussion about who should participate in each gap analysis focus group should occur early (at
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monahrq.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Tools for Reducing Central Line-Associated Blood Stream Infections
Tools for Reducing Central Line-Associated Blood Stream
Infections
January 2013
1
Table of Contents
Purpose of the tools ........................................................................…
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monahrq.ahrq.gov/topics/index.html?page=1
January 01, 2012 - Skip to main content
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monahrq.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - Skip to main content
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - Unit can decide its approach to reviewing cases of elective or medical inductions that occur outside … patient/caregiver; ask the patient/caregiver to monitor these signs and notify the nurse if these signs occur