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  1. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
    April 01, 2018 - office visits involve drug therapy, with 3.2 billion medicines provided each year.9 Prescribing errors occur … A Warm Handoff Plus can occur between any two members of the healthcare team, including clinicians,
  2. talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
    September 01, 2020 - Share a Decision (Note, this video clip identifies when each of the five steps of the SHARE Approach occur
  3. talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
    January 01, 2021 - Response errors may occur if the respondent cannot see the response categories when the question appears … Edit Illegible, Mismarked, and Double-Marked Responses (Paper Only) Problematic responses may occur … mark all of these types of inappropriate responses as missing. 25 Problematic responses may also occur
  4. talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
    September 01, 2019 - The extent to which… Number of Items Communication About Error Staff are informed when errors occur
  5. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
    July 12, 2017 - How well does teamwork occur on this unit? What doesn’t work well?
  6. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
    March 01, 2013 - · How well does teamwork occur on this unit? · What doesn’t work well?
  7. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - magnesium toxicity · Notify the primary maternity care provider if any of the following conditions occur
  8. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
    August 31, 2017 - Good communication needs to occur among staff at all levels: · Within the unit (among nurses, nurse assistants
  9. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
    November 16, 2011 - Examples of processes might include initial fall risk factor assessments (e.g., when does it occur, who
  10. talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
    January 01, 2014 - Adverse drug events occur in 15% or more of older patients presenting to offices, hospitals, and extended … Approximately two-thirds of infant deaths occur in the neonatal period or within 1 month and one-third … occur in the postneonatal period from 1 month to less than 1 year.
  11. talkingquality.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
    May 01, 2016 - She cited the difficulties that occur when transferring from system to system. Mary D.
  12. talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
    September 08, 2022 - Optimizing Health and Function as We Age: Roundtable Report Optimizing Health and Function as We Age Roundtable Report e Optimizing Health and Function as We Age Roundtable Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services Contract No. 75Q80122A…
  13. talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
    February 01, 2020 - 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. talkingquality.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …
  15. talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
    June 19, 2017 - If multiple discharges occur within the same timeframe of the list (e.g., a patient has two separate
  16. talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-lung.html
    September 01, 2020 - 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 …
  17. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
    January 01, 2013 - The inspection may also reveal some situations where falls can occur.
  18. talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
    September 01, 2017 - How well does teamwork occur on this unit? What doesn’t work well?
  19. talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 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 …
  20. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
    January 28, 2011 - knowledge and that their participation is essential to improving services, true collaboration will not occur … believe that privacy policies severely restrict the role for patients and families in discussions that occur … Although these types of introductions do not need to occur at every meeting, it is helpful to include … Problem solving methodology A common activity for safety committees is examining specific errors that occur

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